Nose Surgery

The particular needs of a patient determine the kind of nose surgery a doctor performs. No two noses are alike. The appearance of the nose and the desired effect guide the type of surgery the patient undergoes. Variations include alterations to increase or decrease the nasal bridge; reduction of the size or width of the nose, narrowing or widening of the nostrils, reshaping and improving the definition of the nasal tip, or changing the angle between the nose and the upper lip. There are two types of rhinoplasty. A closed rhinoplasty procedure involves surgery through the inside of the nose via small incisions inside the nostrils. In open rhinoplasty, a doctor makes a small incision across the vertical strip of tissue separating the nostrils. An open rhinoplasty offers clearer view of the nasal structures. In both the open or closed rhinoplasty approaches, a plastic surgeon sculpts the nose framework out of bone and cartilage into the desired shape. The surgeon may reshape or reposition the bones in the nose as necessary. He can build up certain areas, using either nasal cartilage or bones and cartilage from other parts of the body. The doctor then re-drapes the skin and soft tissues over the reshaped bone and cartilage structure. To fix the size of the nostrils, the doctor excises small wedges of skin and subcutaneous tissue at the base of the nostrils. The surgeon hides the resulting scars in the natural creases of the nose. A turbinectomy procedure corrects breathing problems. Turbinates are prominences in the nasal passage that warm and humidify the air as a person breathes it in. In certain instances, the turbinates obstruct the passage of air. In such cases, a turbinectomy can open the nasal air passage by reducing the size of the turbinates. The nasal septum is a midline-dividing wall within the nose that separates the right side of the nose from the left. If the septum, made of cartilage, shifts from the midline to either side it can obstruct air passage. Such septum deviation results from a genetic predisposition or from trauma. A septoplasty corrects a deviated septum and the associated airway obstruction.

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A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments. They may focus their practice on certain disease categories, types of patients or methods of treatment - known as specialist medical practitioners - or assume responsibility for the provision of continuing and comprehensive medical care to individuals, families and communities - known as general practitioners. Medical practice properly requires both a detailed knowledge of the academic disciplines underlying diseases and their treatment — the science of medicine — and also a decent competence in its applied practice — the art or craft of medicine. Both the role of the physician and the meaning of the word itself vary around the world, including a wide variety of qualifications and degrees, but there are some common elements. For example, the ethics of medicine require that physicians show consideration, compassion and benevolence for their patients. Around the world, the combined term "Physician and Surgeon" is used to describe either a general practitioner or any medical practitioner irrespective of specialty. This usage still shows the original meaning of physician and preserves the old difference between a physician, as a practitioner of physic, and a surgeon. The term may be used by state medical boards in the United States of America, and by equivalent bodies in provinces of Canada, to describe any medical practitioner.