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Functional Rhinoplasty
Functional rhinoplasty is performed to improve breathing problems caused by structural issues such as septal deviation or turbinate enlargement. During evaluation, both the aesthetic and functional aspects of the nose are carefully analyzed to achieve a balanced and healthy result.
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Nasal Pathologies That May Accompany Rhinoplasty
During the examination of patients who apply for rhinoplasty, we frequently detect certain nasal pathologies such as turbinate hypertrophy, septal deviation, or nasal polyps. In fact, approximately 35% of patients seeking rhinoplastyare diagnosed with one or more of these conditions during the evaluation process.
Among these nasal pathologies, the most common condition is septal deviation, which refers to the curvature of the bone and cartilage inside the nose. If you want to avoid functional problems after rhinoplasty, it is very important to correct issues such as turbinate enlargement, nasal polyps, or septal deviation during the same surgical session.
In many cases, aesthetic concerns and functional problems are closely related. Correcting septal deviation during rhinoplasty not only improves breathing but also helps achieve better cosmetic outcomes. Otherwise, patients may be dissatisfied with both the appearance and the function of their nose.
Turbinates and Their Role in Nasal Function
Although every nose has its own anatomical variations, there are six turbinates inside the nasal cavity, three on each side of the nose. These structures are known as inferior, middle, and superior turbinates, or collectively as conchae.
When the inferior turbinates enlarge, they may cause significant nasal obstruction and a sensation of dryness in the nose.
Turbinates play a critical role in nasal function. Before the air we breathe reaches the lungs, it is filtered, humidified, and warmed inside the nose. Turbinates also contribute to the resonance and quality of the voice.
Interestingly, turbinates naturally change size throughout the day. They may enlarge or shrink depending on environmental factors. For example, cold environments or exposure to cigarette smoke may cause turbinate swelling, which can lead to temporary nasal congestion.
In warm environments, the opposite mechanism occurs and the turbinates may shrink. These physiological changes are temporary and return to normal once environmental conditions stabilize.
However, turbinate enlargement may become persistent in individuals with allergies, chronic sinusitis, exposure to air pollution, or smoking habits.
