I have a broken nose from about a year ago. I have occasionally been waking up and feeling very tired. About 10 years ago I did have surgery to fix a broken nose, and subjectively I felt my breathing improved from that surgery. The same Dr. quickly looked at my nose, and is suggesting a surgery. I wonder, how confident can he be without further study, that my broken nose is the cause of any breathing problems? I have a medical background, so you can be very techincal with your answers. Thanks!
Answer: The nasal septum commonly gets "deviated" when you sustain a nasal fracture When the outside of the nose is traumatized enough to break the bones, the internal wall called the septum very often is knocked off center at the same time. This is called a deviated septum. Crooked nasal bones are fixed via a closed reduction within the first two weeks of trauma. This helps the bones but does not fix the accompanying deviated septum, that may require surgery at a later date.A surgeon who is adept at nasal surgery inside and out can look inside your nose with a headlight and/or nasal endoscope and tell if you have a deviated septum without any other tests needing to be done.
Helpful 1 person found this helpful
Answer: The nasal septum commonly gets "deviated" when you sustain a nasal fracture When the outside of the nose is traumatized enough to break the bones, the internal wall called the septum very often is knocked off center at the same time. This is called a deviated septum. Crooked nasal bones are fixed via a closed reduction within the first two weeks of trauma. This helps the bones but does not fix the accompanying deviated septum, that may require surgery at a later date.A surgeon who is adept at nasal surgery inside and out can look inside your nose with a headlight and/or nasal endoscope and tell if you have a deviated septum without any other tests needing to be done.
Helpful 1 person found this helpful
August 12, 2015
Answer: Nasal Obstruction After Nasal Injury Nasal obstruction can be thoroughly evaluated via physical exam. Routine nasal exam will evaluate the septum, the the nasal airways. The internal nasal valve can also be examined and testing can be performed to assess if there is a degree of valve collapse leading to obstruction. Nasal endoscopy will provide another level of evaluation to exam the nasal airway in its entiriety. If there are further questions regarding the status of the sinuses or the nasal bones, CT scans can be ordered to help provide further information. I suggest you find a board certified surgeon who specializes in nasal surgery to evaluate your condition. Good Luck
Helpful 1 person found this helpful
August 12, 2015
Answer: Nasal Obstruction After Nasal Injury Nasal obstruction can be thoroughly evaluated via physical exam. Routine nasal exam will evaluate the septum, the the nasal airways. The internal nasal valve can also be examined and testing can be performed to assess if there is a degree of valve collapse leading to obstruction. Nasal endoscopy will provide another level of evaluation to exam the nasal airway in its entiriety. If there are further questions regarding the status of the sinuses or the nasal bones, CT scans can be ordered to help provide further information. I suggest you find a board certified surgeon who specializes in nasal surgery to evaluate your condition. Good Luck
Helpful 1 person found this helpful
Answer: How to determine is a nasal fracture is causing difficulty in breathing On examination it is often clear which nostril is letting less air through the passages and where the injury was based on poorly lined up nasal bones or a fracture and deviation in the nasal septum. Sometimes a CT scan can be helpful as well. Best of luck, Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice. The response to the question does not constitute a doctor patient relationship or formal advice.
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Answer: How to determine is a nasal fracture is causing difficulty in breathing On examination it is often clear which nostril is letting less air through the passages and where the injury was based on poorly lined up nasal bones or a fracture and deviation in the nasal septum. Sometimes a CT scan can be helpful as well. Best of luck, Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice. The response to the question does not constitute a doctor patient relationship or formal advice.
Helpful
September 23, 2015
Answer: Physical exam of a Broken Nose Examination of the nose, both external and internal, can identify breathing problems caused by deviated septum, collapsed internal nasal valves, weakened and collapsing nasal side walls, and overgrowth of turbinates which all can be a cause of nasal airway obstruction. The remedy for each of these problems is specific to the problem. Other testing may be required such as a CT scan. Discuss your surgical plan thoroughly and make sure the surgeon is experienced in the correction of airway deformities.
Helpful
September 23, 2015
Answer: Physical exam of a Broken Nose Examination of the nose, both external and internal, can identify breathing problems caused by deviated septum, collapsed internal nasal valves, weakened and collapsing nasal side walls, and overgrowth of turbinates which all can be a cause of nasal airway obstruction. The remedy for each of these problems is specific to the problem. Other testing may be required such as a CT scan. Discuss your surgical plan thoroughly and make sure the surgeon is experienced in the correction of airway deformities.
Helpful
August 12, 2015
Answer: Broken nose and breathing problems A thorough internal and external examination of the nose is required before making any determination about what may be the cause of breathing problems. There are many issues inside the nose can cause nasal obstruction, such as a deviated nasal septum, turbinate hypertrophy, valve collapse, vestibular stenosis, allergies and chronic sinusitis. Each one of these are treated differently with either medications or surgery. Medical management is always tried first, and if patients have failed medical therapy, consideration for surgical therapy is entertained. Straightening a crooked nose is performed with a rhinoplasty which includes osteotomies and possible spreader graft placed underneath the concave upper lateral cartilage in the mid- portion of the nose.
Helpful
August 12, 2015
Answer: Broken nose and breathing problems A thorough internal and external examination of the nose is required before making any determination about what may be the cause of breathing problems. There are many issues inside the nose can cause nasal obstruction, such as a deviated nasal septum, turbinate hypertrophy, valve collapse, vestibular stenosis, allergies and chronic sinusitis. Each one of these are treated differently with either medications or surgery. Medical management is always tried first, and if patients have failed medical therapy, consideration for surgical therapy is entertained. Straightening a crooked nose is performed with a rhinoplasty which includes osteotomies and possible spreader graft placed underneath the concave upper lateral cartilage in the mid- portion of the nose.
Helpful