Name of the Procedure:

Repair of Nasal Vestibular Lateral Wall Stenosis with Implant(s) (C9749)

Summary

This procedure involves surgically correcting a narrowing of the nasal passage near the nostril (nasal vestibular stenosis) by using implants to widen the nasal airway and improve breathing.

Purpose

The procedure addresses nasal vestibular stenosis, which can cause breathing difficulties, nasal congestion, and reduced airflow. The primary goal is to restore normal nasal airflow by widening the nasal vestibule using implants.

Indications

• Chronic nasal congestion unresponsive to medical treatment
• Difficulty breathing through the nose
• Recurrent nasal infections due to airflow obstruction
• Visible narrowing of the nasal vestibule
• Previous nasal surgeries that led to stenosis

Preparation

• Fasting for at least 8 hours if general anesthesia is used
• Avoiding certain medications (e.g., blood thinners) as advised by the doctor
• Performing preoperative diagnostic tests such as nasal endoscopy or CT scans
• Arranging for a ride home post-procedure if sedation is used

Procedure Description

1. Anesthesia: Local or general anesthesia is administered.
2. Incision: A small incision is made inside the nostril to access the stenosed area.
3. Implant Placement: Specialized implants are inserted to widen the nasal vestibular lateral wall.
4. Securing Implant: The implants are secured in place to ensure they maintain the desired nasal passage shape.
5. Closure: The incision is closed with sutures that may dissolve over time.

Tools and equipment used can include specialized nasal implants, surgical instruments, and endoscopic cameras. Anesthesia or sedation is generally used to minimize discomfort and pain.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

The procedure is performed in an outpatient surgical center or hospital.

Personnel

• Surgeons: Perform the procedure.
• Nurses: Assist during the surgery and in pre- and post-operative care.
• Anesthesiologists: Administer and monitor anesthesia.

Risks and Complications

• Infection at the surgical site
• Bleeding
• Scarring
• Implant displacement or rejection
• Persistent nasal obstruction or congestion
• Allergic reactions to implants

Benefits

• Improved nasal airflow and breathing
• Reduced nasal congestion
• Alleviation of recurrent nasal infections
• Enhanced quality of life due to easier breathing

Recovery

• Post-Procedure Care: Follow-up appointments for monitoring recovery, keeping the nasal area clean.
• Instructions: Avoid strenuous activities for a few weeks, use prescribed nasal sprays or saline rinses, and follow up with your surgeon.
• Recovery Time: Typically 1-2 weeks for initial recovery, with full benefits noticeable in a few months.

Alternatives

• Medical Treatments: Use of nasal sprays, decongestants, or allergy medications.
• Other Surgical Options: Septoplasty, turbinate reduction, or functional rhinoplasty.
• Comparatively, surgical correction with implants offers a more permanent solution but comes with higher risks.

Patient Experience

During the procedure, patients under general anesthesia will not be aware or feel any pain. Post-procedure, there may be mild discomfort, swelling, and nasal congestion, which can be managed with prescribed pain medications and nasal care. Discomfort generally subsides within a few days.