Introduction

When it comes to nasal stent reconstruction in New York City, patients are often on the lookout for the best hospitals with experienced doctors and advanced treatment options. Nasal stent reconstruction can be a crucial procedure for individuals suffering from various nasal and sinus conditions, such as chronic sinusitis, nasal polyps, and post - trauma deformities. In this comprehensive guide, we will explore the top hospitals and doctors in New York City that excel in nasal stent reconstruction, as well as provide detailed information about the procedure itself.

Understanding Nasal Stent Reconstruction

What is Nasal Stent Reconstruction?

Nasal stent reconstruction is a surgical procedure aimed at restoring the proper structure and function of the nose. It may involve the use of stents, which are small, tube - like devices that are placed inside the nasal passages to keep them open. These stents can help maintain the results of surgery, improve air circulation, and prevent scarring and blockages. The propel® sinus stent, for example, is an FDA - approved implant that releases a controlled amount of anti - inflammatory medication to reduce swelling and prevent polyp formation.

Reasons for Nasal Stent Reconstruction

• Chronic Sinusitis: This condition causes long - term inflammation of the sinuses, leading to symptoms such as nasal congestion, facial pain, and difficulty breathing. Nasal stents can help keep the sinus passages open, allowing for better drainage and reducing the need for repeated surgeries.
• Nasal Polyps: These are non - cancerous growths in the nasal passages that can block airflow and cause breathing problems. Nasal stent reconstruction can help in the treatment of polyps by maintaining the patency of the nasal passages after polyp removal surgery.
• Nasal Trauma: Accidents, sports injuries, or other traumas can damage the nose, resulting in a deviated septum, fractured bones, or damaged cartilage. Stent reconstruction can be part of the process to restore the normal structure and function of the nose.
• Post - surgical Scarring: After previous nasal surgeries, scar tissue can form and cause blockages or narrowing of the nasal passages. Nasal stents can help prevent the recurrence of such issues.

Top Hospitals and Doctors for Nasal Stent Reconstruction in New York City

Mount Sinai Hospital

Mount Sinai’s division of rhinology, sinus surgery, and allergy is at the forefront of treating nasal and sinus diseases. Their fellowship - trained surgeons are experts in endoscopic sinus and skull base surgery, which are often associated with nasal stent procedures. They utilize state - of - the - art technology and offer the least invasive treatment options possible for each patient.

One of the novel treatments offered at Mount Sinai is the use of dissolvable steroid implants (propel) in patients suffering from polyp disease and severe chronic sinusitis. This treatment provides direct delivery of steroid therapy to the sinus cavity while decreasing the degree of systemic steroid absorption. The hospital also conducts extensive research and offers clinical trials in the field of rhinology, which can benefit patients in terms of access to new and innovative treatments.

Dr. Satish Govindaraj, an ENT/otolaryngologist in the division of rhinology, sinus surgery, and allergy at Mount Sinai, is well - known for his expertise in treating a wide range of nasal and sinus conditions. He has an average rating of 4.40 out of 5 stars from patients. His office is located at 234 E 85th St #5, New York, NY 10028.

City Facial Plastics

City Facial Plastics in midtown, Manhattan, is a renowned center for nasal reconstruction. Dr. Gary Linkov, a respected reconstructive and facial plastic surgeon at the clinic, has spent years helping patients with facial trauma recover the function and form of their nasal features. He has extensive experience in nasal surgery, including the use of advanced techniques and cutting - edge medical technology to restore the function of the nasal passages and ensure the aesthetic balance of the nose.

Dr. Linkov's approach to nasal reconstruction takes into account the principles of replacing like with like, using aesthetic units, and following a reconstructive ladder. His goal is to not only restore the nasal structure but also improve breathing and create a natural - looking appearance. The clinic's team is dedicated to providing personalized care and ensuring the best possible outcomes for patients.

LM Medical NYC

LM Medical NYC, with clinics in Greenwich Village and the Upper East Side, offers nasal reconstruction surgery under the expertise of Dr. Lesley Rabach. She is a double - board - certified facial plastic surgeon and is also board - certified in otolaryngology - head and neck surgery. Her combined experience in facial reconstruction for function and plastic surgery for aesthetics makes her well - suited for nasal stent reconstruction procedures.

During nasal reconstruction surgery at LM Medical NYC, Dr. Rabach first addresses the functional aspects, such as restoring proper breathing by repairing the bone and cartilage structure of the nose. Then, she focuses on reshaping the exterior of the nose to achieve a balanced and beautiful appearance that matches the patient's facial features. Many patients have left positive testimonials about Dr. Rabach's skills and the overall care provided at the clinic.

Other Prominent Doctors

Healthgrades lists several other doctors in New York City who perform nasal septum surgery, which can be related to nasal stent reconstruction in some cases. These include:

The Procedure of Nasal Stent Reconstruction

Pre - operative Evaluation

Before nasal stent reconstruction, patients will undergo a thorough evaluation. This includes a detailed medical history review to identify any underlying health conditions, allergies, or previous surgeries. A physical examination of the nose, including a nasal endoscopy, may be performed to assess the internal structure of the nasal passages and sinuses. Imaging studies such as CT scans may also be ordered to get a clear picture of the nasal anatomy and identify any areas of concern, such as polyps, blockages, or structural deformities.

Anesthesia

The majority of nasal stent reconstruction procedures are done under general anesthesia to ensure the patient's comfort and safety during the surgery. However, in certain cases, local anesthesia or deep sedation may be used, depending on the complexity of the procedure and the patient's medical condition.

Types of Reconstruction Techniques

• Secondary Intention Healing: This is the simplest form of repair, where the wound closes gradually by itself. It can be a prolonged process but may be suitable for smaller defects.
• Primary Intention: Involves suture closure and is a good option for smaller defects on the nose where the surrounding tissue will not distort.
• Skin Graft: Skin is removed from another area, such as the back of the ear, and placed over the nose defect. It is then bolstered in place until it heals. However, this can sometimes result in depression and discoloration.
• Local Flap: Tissue adjacent to the nasal wound is rearranged, advanced, or rotated to fill the defect. Incisions are placed in ways to camouflage the repair.
• Regional Flap: Tissue not immediately next to the nasal defect, such as from the cheek or forehead, is recruited for closure. These surgeries may require more than one procedure to complete the nasal reconstruction.
• Cartilage/Bone Graft: These tissues may be needed to provide added support if cartilage or bone are missing. Ear cartilage is often used to help reconstruct the nasal ala, and rib cartilage or septal cartilage can also be applied.
• Alloplastic Material: For large nasal defects with significant loss of structural support, a combination of treatments may be required, which at times includes various foreign materials to serve as a scaffold.

Stent Placement

If a stent is used, it is typically placed during the surgical procedure. The propel sinus stent, for example, is inserted into the sinus cavity after surgery to help maintain the open passage. It releases a controlled amount of anti - inflammatory medication over a period of time, which helps reduce swelling and prevent scarring. The stent usually dissolves within 45 days after delivering the medication.

Recovery and Aftercare

Immediate Post - operative Period

After nasal stent reconstruction, patients can expect swelling, bruising, light bleeding, and pain in the first 1 - 2 weeks. They should apply antibiotic ointment to the incisions and/or bolsters during at least the first week to prevent infection and keep the incision sites from drying out. At the first follow - up appointment at 1 week post - operatively, the skin sutures are removed (if not dissolvable), and bolsters are removed if they were used.

Longer - term Recovery

Larger regional flap reconstructions may require additional staged procedures. Patients may experience difficulty breathing through the nose and/or a cosmetic deformity between procedures. Incisions will appear red for weeks to months, and the final scar is judged at one year. Scar revision is possible, at least 3 months after nasal reconstructive surgery, and laser resurfacing or dermabrasion may be started as early as 6 weeks after surgery if indicated.

Follow - up Care

Regular follow - up appointments with the surgeon are essential to monitor the healing process, assess the function of the nose, and make any necessary adjustments. The surgeon will also provide instructions on nasal care, such as nasal saline rinses, to keep the nasal passages clean and promote healing.

Risks and Complications

As with any surgical procedure, nasal stent reconstruction carries some risks and potential complications. These include:

• Unfavorable Cosmetic Outcome: The reconstructed nose may not have the desired aesthetic appearance, which could require additional corrective surgeries.
• Pain: Post - operative pain is common, but it can usually be managed with pain medications prescribed by the doctor.
• Bleeding: Minor bleeding is normal after surgery, but excessive bleeding may require medical attention.
• Infection: There is a risk of infection at the surgical site, which can be minimized with proper wound care and the use of antibiotics as prescribed.
• Poor Scarring: Scarring can occur, and in some cases, it may be more prominent or disfiguring than expected.
• Nasal Breathing Difficulty: Despite the surgery, patients may still experience difficulty breathing through the nose, which could be due to swelling, scarring, or improper reconstruction.
• Nasal Valve Collapse: This can lead to further breathing problems and may require additional treatment.
• Asymmetry: The reconstructed nose may not be perfectly symmetrical, which can affect the overall appearance.
• Prolonged Healing: Some patients may experience a longer than expected healing time, which can delay the recovery process and the return to normal activities.

Cost of Nasal Stent Reconstruction

Most cases of nasal stent reconstruction are covered by insurance as they are rarely done for purely cosmetic reasons. However, some patients may not have insurance coverage, and some surgeons may not accept in - network insurance. In these situations, the cost is calculated based on the complexity of the nasal reconstruction and the number of anticipated stages. The cost typically includes the surgeon’s fee, facility fee, and anesthesia fee.

Conclusion

New York City offers a wide range of options for nasal stent reconstruction, with top - notch hospitals and highly experienced doctors. Mount Sinai Hospital, City Facial Plastics, and LM Medical NYC are just a few of the leading institutions in the city. Understanding the procedure, recovery process, risks, and costs associated with nasal stent reconstruction is crucial for patients considering this treatment. By choosing a qualified doctor and a reputable hospital, patients can increase their chances of a successful outcome and improve their nasal health and quality of life.

If you or someone you know is in need of nasal stent reconstruction, we encourage you to schedule a consultation with one of the recommended doctors in New York City. Take the time to research your options, ask questions, and make an informed decision about your treatment. Share this article with others who may benefit from this information, and continue to explore related topics on nasal health and surgical procedures.