Why is an X-ray Not Helpful in Post-op Monitoring After Rhinoplasty, to Detect if Bone Has Moved?
- Asked by petra.ss
- 1 year ago
i want to know if my bone on bridge has moved or if it is just a bump due to callus/ swelling. can an xray not tell me this? why doesnt any doctor take an xray before or after a rhinoplasty procedure? all major surgeries involve xrays. so why not a rhinoplasty?
X Ray After Rhinoplasty
An x-ray for nasal bone evaluation is not a sensitive test. The bones are so small and fragile that it is most likely that you will not pick up any defect at all. As a Rhinoplasty surgeon I rely heavily on my clinical physical examination of the nose to guide me. If I feel there is residual bone on the top or if the nasal bone fracture I have created has moved then I will suggest treatment. An x-ray plays little if any roll in delivering useful information in this situation. Even a nasal fracture may not show up on x-ray. Not a good test!
- Nasal bones x-rays do not give the kind of detail we need because of the all the other bones around the skull
- Our physical exams are great at determining fractures, calluses, or changes in the bone
- Plus you get exposed to radiation to your face and brain without any benefit to the surgeon or the patient
- The best thing to do is to bring up your concerns with your surgeon and go from there
X rays to evaluate nasal fractures and nose bone problems
- I rarely find nasal bone x rays helpful in evaluation of deformity and injury of the nose. When evaluating the nasal shape and function, plastic surgeons examine the skin, cartilage, bone and airway flow.
- If a visible or functional problem exists with one of these structures, then treatment may help, even if an x ray is negative for a fracture. I have also seen many x rays showing a fracture, though the patient has no visible deformity or airway blockage. In these cases, treatment is not necessary.
- Patient symptoms and physical exam usually mean more than an x ray.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.