Purpose of Splints in Rhinoplasty:

1. Maintaining Shape and Stability:

   – After reshaping the nasal bones and cartilage during rhinoplasty, splints are applied externally and sometimes internally to maintain the new shape and prevent shifting.

   – They hold the nasal bones in their new position, especially if osteotomies (bone cuts) were performed to narrow or reposition the nasal bridge.

2. Reducing Swelling and Edema:

   – Splints help minimize post-operative swelling (edema) by providing external pressure, which can aid in reducing the amount of fluid accumulation in the tissues.

   – This can contribute to faster healing and a more predictable outcome in terms of nasal contour.

3. Protecting Against Trauma:

   – They serve as a protective barrier against accidental trauma or pressure on the nose during the initial healing period.

   – This protection is crucial in preventing deformities or shifts in the nasal structure that could compromise the aesthetic or functional results of the surgery.

4. Supporting Nasal Airways:

   – In some cases, splints may include internal nasal stents or packing that support the internal nasal passages (nasal airways).

   – This helps to prevent collapse of the nasal valves and maintain proper airflow, particularly in cases where the surgery involved correcting nasal obstruction or improving breathing.

Types of Splints Used:

– External Splints: These are typically made of lightweight materials such as plastic or silicone and are applied externally over the nasal bridge. They are held in place with tape or adhesive.

– Internal Splints: These may include nasal stents or packing placed inside the nasal passages to support the internal nasal structures. They are often used to maintain the shape of the nasal airways and prevent collapse.

Duration of Splint Use:

– Temporary Use: Splints are usually worn for about 1-2 weeks after rhinoplasty surgery, although this can vary depending on the surgeon’s preference and the complexity of the procedure.

– Removal: Removal of external splints is typically straightforward and done in the surgeon’s office. Internal splints or packing may be removed during a follow-up visit, often a week or so after the surgery.

Benefits of Splints:

– Enhanced Healing: By stabilizing the nasal framework, splints promote more predictable healing and help maintain the desired shape of the nose. 

– Reduced Complications: They can minimize the risk of post-operative complications such as nasal asymmetry, excessive swelling, or breathing difficulties.

Considerations:

– Patient Comfort: Splints can initially feel uncomfortable due to pressure and restricted nasal breathing, but this improves as swelling decreases and the nose heals.

– Post-Operative Care: Proper care instructions provided by the surgeon are crucial for maintaining the effectiveness of splints and ensuring optimal healing.

In conclusion, splints are integral to the success of rhinoplasty procedures by supporting the nasal structure during the critical early stages of healing. Their role in maintaining shape, reducing swelling, protecting against trauma, and supporting nasal airways underscores their importance in achieving optimal aesthetic and functional outcomes for patients undergoing rhinoplasty.