Nmill11b
https://www.thingiverse.com/thing:4935721 (right cover stl) and https://www.thingiverse.com/thing:5704716 are the two files I’m trying to merge. I’m gonna try playing with windows 3d builder as someone suggested as well
I tried with tinkercad, and I struggled. I was again able to align the shapes directly on top of one another, but when it came to modifying the actual shape I could not figure it out- is there a tutorial on adding shapes together or anything, or even carving stuff out?
I looked and couldn’t find anything this specific. It seemed like a much easier tool to use, but I couldn’t figure out how to do what I wanted. I also used
Nosebleeds can happen and certainly do for some. Nasal hydration helps (for instance, ayr gel in combination with saline spray or irrigations). Ultimately, a good portion of patients that don’t tolerate or fail nasal steroids get surgery.
Azelaetine is fantastic - there’s a lot of patients I prescribe it in conjunction with Flonase. Allergic rhinitis or even just excessive secretions is common in patients with inferior turbinate hypertroph/nasal obstruction, and both meds have a function. They sell it as a combination, actually, but often insurance doesn’t cover the combo.
This applies to nasal decongestants (NOT nasal steroids). Nasal decongestants (such as oxymetazoline AKA afrin, or phenylephrine based medications) are vasoconstrictors. They work very well and work very quickly as the vasoconstriction (constricting the blood vessels) which shrinks the inferior turbinates (and any other edematous tissue).
The body responds to chronic vasoconstriction by making more blood vessels. When the nasal tissues have more blood vessels (and I presume are more dense with vessels) it’s harder for the decongestant to work. This is called rebound congestion — conversely, the patients in this scenario will feel they need to use more decongestant since it previously worked so well, but it no longer does. This cycle can be challenging to treat.
For this reason most ENTs, including myself, typically recommend against afrin use for more than 3 consecutive days. I’ve seen who go as long as five, but I’m cautious and would not recommend more than 3 days.
It’s a bit funny, because if you come into my clinic and get an endosocpic exam of the nose and/or throat (i.e. probably around 50%, often more, of my patients on any given day), I will spray afrin and lidocaine into the nose before my examination. The other main thing I use it for is nosebleeds. It’s okay to use it for 3 days during an acute exacerbation of sinusitis, but I don’t really think it’s necessary.
Edit: I forgot to mention nasal steroids. As I said, the above response doesn’t apply to them. We don’t include nasal steroids in this because they have a very slow effect and don’t have the effect of rebound congestion. With few exceptions doing 2 sprays each nostril daily for a very long is fine for almost everybody, and usually helpful. When I prescribe them I recommend patients use them for at least 4 weeks. Once in awhile there are patient that I would be more cautious with prescribing nasal steroids, such as those with a septal perforation, or frequent nose bleeds. Usually it’s a non issue. Tip: when spraying them don’t spray straight back – use your opposite hand and spray towards the eye (i.e. spray with right hand into left nostril, aiming towards left eye).
It can happen, but the way most ENTs train these days, unlikely. I’ve seen it twice that I recall off the top of my head, but very rare these days.
Most ENTs, including myself, are overly cautious. You’re at a higher risk for symptom recurrence because of under resection.
That being said, I wouldn’t let an oral surgeon or general plastic surgeon touch my family member’s nose (unless they had a very very good reputation). Nothing wrong with their work, I’m just not sure they had the same training and respect for the nose.