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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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No Improvement In Sinus After Surgery For DNS. Advice Of Surgery To Remove Bolts And Plates Inside Nose. Suggestion?

I had upper jaw surgery in May 2012. When they removed the tube I had a deviated septum . When this was repaired the best possible but still slightly deviated, my sinuses were still not right. I saw a nose specialist and he and my oral surgeon conversed on the phone after the camera went inside my nose and I had a CT scan . Now they believe that removal of the plates and bolts ( titanium ) will resolve the issue. I would like to know your thoughts and how they plate and bolts are removed - like cut in the roof of my mouth OR under my nose inside my mouth and then the details after that. Thank you so much. It s schedule for tomorrow so I have delayed because I am hoping for the best and no new developments from this removal plan.
Thu, 24 Oct 2013
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Otolaryngologist / ENT Specialist,  's  Response
Your surgery is nearly one and half year old. These titanium screws and plates are osseo-integratable i.e. they cause minimal tissue reaction and the bone grows with them.
Now, the issue of removing the screws and plates. You have not mentioned your complaints. If the plates and screws are causing tissue reaction and infection and are causing cosmetic problems, then they need to be removed.
If you can explain your symptoms, it can be discussed in detail.
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No Improvement In Sinus After Surgery For DNS. Advice Of Surgery To Remove Bolts And Plates Inside Nose. Suggestion?

Your surgery is nearly one and half year old. These titanium screws and plates are osseo-integratable i.e. they cause minimal tissue reaction and the bone grows with them. Now, the issue of removing the screws and plates. You have not mentioned your complaints. If the plates and screws are causing tissue reaction and infection and are causing cosmetic problems, then they need to be removed. If you can explain your symptoms, it can be discussed in detail.