ENT doctor question... please help!?

Question

If I see the ENT (who already diagnosed I had problems) and book surgery, would the ENT also be able to fix my nose so that it no longer looks broken?

By that I mean it is crooked, it curves to the right, so the left side looks bigger, but the right side looks more crooked.

And there's a bump on my nose.

I feel my tip has also swollen up because of all the crap I've been through, I might have some problems there too. Can he remove tissue there?

I think insurance would at least cover most of this surgery right? It really affects my breathing, mentality... every day life pretty much. I can't exercise because of this problem.

Also, removing tissue would also be done to help me breathe . I think I have enlarged turbinates (left side) so that can be fixed too right??

yeah but cant ENT doctors do the needed surgery AND do the cosmetic or reconstructive part as well? aren't they trained to do that?

I think the correct term is septoplasty? For part of it.

I fractured my nose the first time in an accident but barely. The second time, which was very very bad and caused this was through a sports injury.

Answer 1

At the time you sustained the sports injury, the problem should have been addressed i.e.; to improve your breathing thus, the quality of your life and indirectly improve the appearance of your nose.


I used to have chronic sinusitis Cat Scan revealed nasal polyps. The EENT surgeon aside from performing the sinus drainage surgery and removal of the polyps also did a septoplasty for the deviated septuim. I needed to use three pillows in order to facilitate sleeping at night. Anyway, septoplasty is totally covered by insurance.


The results of my septoplasty is not that great; I still have problems breathing via both nostrils. I have enlarged turbinates from prolonged use of inhalers and nose drops.


Most of the work performed by the plastic guys are not covered esp for "nose jobs." or Rhinoplasty. The only time their work is covered if it's done for reconstructive work status post let's say, breast for cancer. or facial status post car accident.


But their work is so much better as this field takes so much training and expertise.


I'm familiar with a lot of patients going thru this procedure. You should discuss this with your doctor to do a SMR (submucous resection) for a deviated septum- so that the insurance would readily and totally cover that. SMR involves removal of some tissue and straightening out the bump and even applying cartilage if needed to build up or define the bridge.

It's a normal reaction to be self-conscious of your broken and crooked nose. Hopefully, this will improve your self-esteem; confidence as well as personal appearance but most of all--- your health.


You might be interested on the below link. it's an open forum from regular people asking a doctor about three procedures:
Septoplasty, SMR and Rhinoplasty
.

In conclusion: Septoplasty and SMR are covered by insurance. But Rhinoplasty produced better and subtle results. Rhino is only done by plastic surgeons and to this date; unfortunately are not covered at all.


http://www.plasticsurgery4u.com/pt_qna_folder/pt_qa_nasal_obstruction5.html

Answer 2

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Answer 3

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Answer 4

Most ENT's do cosmetic repairs. If you want the ENT to do the work you mentioned, be sure to discuss it with him or her prior to surgery so enough OR time can be scheduled. Insurance will probably cover the septal deviation. How much they would pay for the cosmetic part is another issue. If the deviation resulted from an injury, it may. You probably want to call them so there are no surprises when the bill arrives.

Answer 5

For the best answers, search on this site https://smarturl.im/aDCjm

they are surgeons(ENT), there are fellowships: pediatrics, plastics, otology; did you check the forums on sdn that i sent you before? you should, alot of your answers will be there, plus you can talk to other students (college, hs, med students) i applaud your decision to look at the financial aspects of medicine; that is something i ignored until i was well deep into debt while in med school; in hindsight, i dont think that is a smart plan; medicine needs more people like you who are more in i for the money than actually taking care of people, maybe then that will change the way we(as doctors) get treated...and to all reading this, im am NOT being sarcastic, AM NOT

Answer 6

He may be able to fix some of it, by doing your surgery, however since I do not know what kind of surgery he is doing, I cannot say....he maybe going to remove some of the tissue....and it may look somewhat different but changes are he will not be able to all the things you have mentioned......you will have to go to a Plastic Surgeon for that.....

Answer 7

Ear, nose, and throat specialists do not usually perform surgery to correct bumps in the ear, nose, or throat. They are not certified as "plastic surgeons". Ear, nose, and throat specialists confine themselves to the diagnosis and treatment of infections of the ear, nose, and throat, performing tubal implants, removal of adenoids, and treatment of throat infections.

Talk to your ENT doctor to determine what he/she can do to eliminate your problem, and the extent of your insurance coverage. Most doctors know exactly what your insurance will cover.