What does a German nose look like

When does a nose operation make sense?

Status: 05/29/2017 01:02 p.m. | archive

The cause of illnesses like chronic runny nose, sinusitis and difficult breathing often lies inside the nose. If the sinuses are not properly ventilated, it can lead to constant inflammation. If the nasal septum is crooked, restricted breathing can result. In some cases, an operation is useful.

Nose cleanses and warms the air you breathe

Every day, up to 15,000 liters of breathing air flow past the nasal mucous membrane, which is well supplied with blood.

  • At the breathe in On the way to the throat, the nose warms the air we breathe to almost body temperature, humidifies it and thus optimally prepares it for the lungs. Cilia remove dust particles from the air.
  • At the Exhale The nose removes heat and moisture from the air we breathe and thus provides the body with air conditioning.

Sinus infection symptoms

Symptoms of an inflamed paranasal sinus (sinusitis) are runny nose, stuffy nose, headache and heavy pressure on the forehead and cheeks, especially when bending over. Around every seventh German suffers from sinusitis at least once a year. Usually it is an acute, i.e. temporary, form. If the symptoms occur more than four times a year or if they last longer than two months, this is an indication of chronic sinusitis. In the long run, this can lead to asthma, sleep disorders and cardiovascular diseases. Anyone who has to take antibiotics at least four times a year because of chronic sinusitis should definitely ask a specialist to clarify the exact cause. In some cases, an operation can be useful.

Chat minutes on the subject of nose surgery

A poorly ventilated nose can lead to permanent discomfort. Dr. Sylvia Brockhaus answered questions on the subject in the Visite Chat. The protocol for reading. more

Operations for chronic sinusitis

Chronic sinusitis is usually caused by constrictions that lead to permanent accumulation of secretion in the nested, bony cavities of the paranasal sinuses. They form an optimal breeding ground for bacteria and lead to persistent inflammation. The ethmoid bone, an air-filled bone between the nose and eyes, is particularly often affected. The ethmoid bone forms the center of a complicated labyrinth through which the nose is ventilated and secretion drains away.

If caves or passages are chronically blocked, a surgical procedure can clear the air again. However, if important bone structures are removed, the resulting cavities can collapse after the operation. The ethmoid bone can shrink and scar, so that the connection between the paranasal sinuses and nose closes again. Therefore, the operation is often not successful in the long term.

Biostatic surgery on the ethmoid bone

A gentler operation for chronic sinusitis is the so-called biostatic surgery of the ethmoid bone. Before the operation, the doctor examines the inside of the nose with an endoscope to assess swelling and suppuration. The air flow through the nose is checked with smell tests and flow measurements. A computed tomography shows the structure of the paranasal sinuses. During the operation, only the diseased mucous membrane and narrowed bone walls are removed, while supporting bones are retained. A blocked frontal sinus can also be operated on endoscopically with specially curved instruments. If all cavities are open again, pus and secretions can drain away. The air flows freely through the entire system.

Risky surgery on the nasal septum

If the mucus drains poorly due to a poorly ventilated nose, doctors must first determine the cause - for example, constrictions, a crooked nasal septum or thickened turbinates. The cause depends on whether an operation can eliminate the symptoms and which method is suitable. According to a long-term study, only 68 percent of patients actually have improved nasal breathing after surgery. That is why many experts are now warning against premature and unnecessarily large interventions. For example, operations on the nasal septum are associated with considerable risks such as bleeding, permanently dry mucous membranes, pain from scarring and irreparable damage to the mucous membranes.

Radiofrequency therapy for thickened turbinates

Thickened turbinates can also interfere with the ventilation of the nose. The main causes of the thickening are allergies, hormonal changes and the constant use of decongestant nasal spray. Radiofrequency therapy, for example, is suitable for making the turbinates smaller - a small outpatient procedure without bleeding or tamponades and with less pain. A probe with an electrode is inserted into the nose under local or brief general anesthesia. Current flows through the electrode at a special frequency, which obliterates the excess tissue and thus ensures better ventilation over the long term.

Interview partner

Interview partner in the studio:
Dr. Sylvia Brockhaus, specialist in ear, nose and throat medicine, allergology
ENT practice in Falkenried
Tram ring 3, 20251 Hamburg
Tel. (040) 89 72-13 31, Fax (040) 89 72-13 32
Internet: www.hno-falkenried.de

Interview partner in the post:
Prof. Dr. Hans Behrbohm
Head of Department Ear, Nose and Throat Medicine - Plastic Operations
Park-Klinik Weißensee
Schönstrasse 80, 13086 Berlin
Internet: www.park-klinik.com

Additional Information:
German Professional Association of Ear, Nose and Throat Doctors V.
Hair 221, 24539 Neumünster, Germany
Internet: www.hno-aerzte-im-netz.de

This topic in the program:

Visit | 05/30/2017 | 8:25 pm