Nasal surgery in Hamburg - without Tamponade

In the past, tamponades were regularly used during operations of the nose and sinuses. The procedure of wearing and removing the tamponades is very uncomfortable and painful.

The idea for their use is to prevent postoperative bleeding: In recent years, however, the surgical techniques have changed significantly, so that the use of tamponades is almost no longer necessary. In fact, tamponades have a negative impact in numerous aspects.

 

We do not apply tamponades in our Hamburg practice to avoid open wounds.

We used silicone foils to stabilize the nasal septum.
We used silicone foils to stabilize the nasal septum.

Why are tamponades no longer required today?

Operations on the nasal septum and aesthetic nose surgery require the mucous membrane to be detached from the cartilage. It needs to regenerate and re-grow after the surgery. Special silicone foils are sutured onto the nasal septum for a few days to provide support. The pressure created in this way usually prevents postoperative bleeding. Tamponades are no longer required.

 

Many rhinoplasties involve the reduction of the so-called nasal conchae to improve nasal breathing, so that more air can pass through the nose. These corpus cavernosum structures used to be regularly shortened by means of scissors in the past. This resulted in a large, open wound site. Therefore, tamponades were inserted for a few days to prevent bleeding.


The benefits of the radiofrequency method

We apply the radio frequency method exclusively in our practice. The cavernous tissue of the nasal conchae is thereby vaporized while at the same time preserving the surface. There are no open wounds and we can avoid the use of tamponades. 

Why should tamponades not be used?

Tamponades are foreign bodies in the nose that can promote postoperative inflammation. The nose requires a low-germ procedure and cannot be operated on in a sterile way. After the surgery, nasal care (nasal douches, nasal ointments/oils) should be initiated as early as possible.


Risks: Displacement of the structure, post-operative inflammation

If tamponades are used in rhinoplasty, pressure is exerted on the freshly modeled bone and cartilage. Consequently, displacements are possible, which can negatively affect the aesthetic result. 

 

Tamponades prevent nasal breathing and thus make mouth breathing at night necessary. Mouth breathing in turn leads to the drying out of the mucosa in the oral cavity and to possible inflammation after the procedure.