Hello,I am a doctor who has fixed this problem. Although you have already made a diagnosis of the strut being too long, you may not be correct. It sounds like the suture broke, and the potion that was exposed from between the native medial crura is making the noise. This does not necessarily mean it's too long. As I mentioned in more than one previous post, you are not going to get a good answer without an examination. Best of luck.
Columellar struts can cause the problems you note, and can be revised and fixed in place to eliminate the "clicking" and "grinding." In most cases, suturing the strut to the septum stabilizes it, and minimizes recurrence of the problems.
Hello and thank you for your question. This is a common problem and I have revised a number of columellar struts with this exact same problem. If it is clicking, it need to be shortened and secured to the caudal septum with permanent sutures. This will fix the problem.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Thank you for the question and every case is different so you would need to be seen and examined before saying in your case whether the answer is yes or no.