Dr. Miriam Boenisch

Nasal Surgery: The “Complicated” Nose

The Boenisch techniqueAn Already Well-Accepted Independently Developed Surgical Method

The correction of a very poorly formed nasal septum is especially difficult. In order to achieve the straightest shape possible, it’s almost always necessary to work with the deformed cartilage in very small sections. This sectioning leads to instability in the cartilage and, during the healing phase, the bridge of the nose might not be well supported. This results in the danger of a serious complication: the bridge of the nose might sag down or back in the middle after the operation; this condition is known as “saddle nose”.

In order to avoid this complication, I developed a new surgical method in 1996 wherein the individual pieces of cartilage are attached to a cartilage-friendly plastic sheet before being implanted back into the nose. This plastic sheet (the PDS® Flexible Plate) supports the bridge of the nose for as long as is needed for healing and then it breaks down. Five months after the surgical procedure, the implant is gone completely.

This method has been published in medical journals and presented in person to surgical professionals. The method has also been adopted by well-known surgeons and health care facilities – the reports coming in show very good outcomes for patients.