Who In Richmond Virginia Is The Best Dr To Do External Sphincter Repair Surgery?

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Overview

A septal perforation is a hole in the nasal septum. This causes airflow through the nasal crenel to criss-cross through the hole in the septum causing turbulence, which adds drag to the air as it flows through the nose, causing the awareness of obstruction. Nasal septal perforation repair is ultra specialized, requiring very advanced knowledge of rhinoplasty techniques also equally tissue advancement and grafting.  Placing sutures deep in the olfactory organ is extremely delicate and takes supreme concentration and patience. Midlothian, VA facial plastic surgeon Dr. Matthew Bridges M.D. FACS trained with a earth-renowned expert in rhinoplasty and septal perforations.  He has extensive experience and a special interest in the repair of septal perforations.

Septal Perforation Reviews

"Dr. Bridges was swell. He listened to me during my consultation and did what was best for both of our interests. He's an ENT so he took my breathing into account likewise as the desired shape of my nose without doing besides much. He fifty-fifty gave me a discount considering it was simply a finesse rhinoplasty. I'm even so only 5 weeks mail op with swelling but when I don't have blockage, I can definitely breathe better. I would recommend him to other patients in this area seeking rhinoplasty or septoplasty."

- L / RealSelf / Nov 26, 2022

"Dr Bridges is wonderful, and then relatable and made me feel comfortable from the start. Thorough assessment that led to a wonderful result. Was sent to him for my deviated septum and insurance ended up roofing information technology was then bad. He was in surgery for a good while, but dang does it look good. Thank you so much Dr Bridges!"

- J.H. / Google / Jul 17, 2022

"Dr. Bridges helped set up my highly deviated septum from multiple nose injuries and at the same time helped sculpt my nose into something more appropriate for my features. I recommend him to everyone I know looking at getting nasal surgery washed. I've had several friends who have seen him through my recommendation and take besides had wonderful results that they are extremely happy with. He's a a fantastic doctor and I'd go as far to say an creative person in his craft!"

- P. / Healthgrades / Jun 22, 2022

"Gave Me the Nose That Was Meant for my Face. - I went to Dr Bridges for help with a severely deviated septum every bit well as in the hopes of altering my nose for artful preferences. I sobbed when I took the bandages off, his piece of work is absolutely stunning. He turned the affair I was most self-conscious about to my favorite function of my body. He gave me medication that fabricated my recovery And then easy, I did not bruise at all despite him having to break my nose in gild to set up previous breaks. I can breathe And then easy now and my profile looks like what it was always supposed to."

- Chiliad. / RealSelf / Jun 22, 2022

"Doctor Bridges is the best doctor I have always met. I had a nasal perforation that whistled with every unmarried jiff I took to the signal that it drove me insane. I visited five doctors, none of who could help me. Doctor Bridges did what v other doctors could do - he closed that hole in my nose and in doing and then gave me my sanity back. My breathing has never been better. His skills, demeanor and level of intendance are different anything I have experienced before in the medical customs."

- A. / Healthgrades / Nov 21, 2022

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Surgical Technique

Open Perforation Surgery

 Septal perforations tin can be approached via an open rhinoplasty technique, which places a small incision in the pare betwixt the nostrils.  This exposes the nasal cartilages and allows wide access to the septum for repair.  The disadvantage of this arroyo is the recovery, which can exist somewhat longer than the closed approach.  Also, in that location may be more of a run a risk of causing external cosmetic changes to the nose due to the more than extensive autopsy involved.

Closed Perforation Surgery

Endonasal, or "closed", septal perforation repair involves making incisions only inside the olfactory organ.  The term "airtight" is a misnomer, since the olfactory organ/septum is certainly opened during surgery, just only with internal incisions.   Dr. Bridges does most of his septal perforation repairs using this technique.  There is significantly less external swelling/bruising with this procedure vs the "open" approach.  Also, the gamble of unintended cosmetic change is minimized.  Performing closed septal perforation repair is highly technical and requires very advanced surgical skill.  Simply surgeons with this skill, such as Dr. Bridges, should fifty-fifty try this approach.

During/Later Surgery

Septal perforation surgery is an outpatient procedure performed under general anesthesia. The approach used during the surgery varies for each patient, depending on the severity of the perforation.  This actual technique used to close the hole is like in both approaches (closed vs open), however.  The tissue surrounding the perforation is advisedly elevated on both sides to separate the flaps and allow the hole to be closed in each flap independently.  This is done with careful suturing inside the nose.  An "interposition" graft of tissue is then placed between the flaps and the flaps are then sewn back together, incorporating the tissue.  Various tissue sources are available for grafting, including tissue from backside the ear, or even from the leg.  Dr. Bridges typically uses acellular dermis, or Alloderm, which is prepared donor tissue that does not require another incision for harvesting.  This tissue works very well.

After surgery, thin silicone sheets are kept in place on both sides of the septum for three-4 weeks.  This allows the tissue to completely heal without drying out and is very of import in the overall process.  The silicone sheets are typically well tolerated by patients.  With the closed approach, there is usually piffling to no external swelling or bruising, and external taping/splinting is not necessary.  Overall, the procedure is non particularly painful.

Septal Perforation Surgery FAQ

Does Information technology Piece of work?

The success rate of septal perforation surgery depends on the severity of the perforation. Well-nigh xc per centum of patients who undergo septal perforation surgery (both open and closed techniques) experience a successful procedure with minimal risks and side furnishings.

Open or Closed?

The technique used during the process depends on the size and severity of the perforation. About patients with small or medium-sized perforations have closed septal perforation surgery, while patients with larger perforations may reuqire open surgery. During the initial consultation, the surgeon evaluates the perforation to determine which technique would exist the most successful.

Covered past Insurance?

Some insurance companies may cover the toll of surgery because of its medical effect on patients suffering from a septal perforation. Patients are encouraged to speak with an insurance representative before surgery to find out what will be covered by their insurance policy.

When Tin can I Exercise?

Most patients tin can render to routine practise 3-4 weeks later on surgery. However, patients should be extremely careful to not hit or injure their nose during practise.

Related Procedures

*Individual results are non guaranteed and may vary from person to person. Images may contain models.

Who In Richmond Virginia Is The Best Dr To Do External Sphincter Repair Surgery?,

Source: https://matthewbridgesmd.com/procedures/nose/septal-perforation-richmond-va

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