closed reduction. Now we are planning a closed rhinoplasty for 9 months post injury. Would a CT scan right after my accident prevented this outcome. Is closed reduction an easier procedure compared to rhinoplasty? Generally what are the typical outcomes and average costs on both these procedures? In my case, a ct scan done 21 days post injury revealed fractures, compressed nostril, displacement, and a bone fragment. Now waiting for rhinoplasty to repair it all. Opinions please?
Answer: Closed reduction or closed rhinoplasty after nasal injury and broken nose
As other rhinoplasty and plastic surgeons stated, generally a CT scan is not required to diagnose a broken nose. A office visit with a surgeon will help determine the broken nose.
Fixing a broken nose is commonly performed early after injury, while the bones are still loose or mobile. Minor nasal injuries may not require surgical broken nose repair, with treatment being rest and observation. If there was no change in the appearance of the nose or nasal breathing, then surgery would not be necessary despite what a CT scan may demonstrate. Broken nose repair or closed reduction is relatively easy and sometimes performed in the office with local anesthesia. After a few weeks, the bones have become too stiff for a closed reduction and will require some form of rhinoplasty, including an open reduction.
Only after a comprehensive evaluation can a surgeon help determine appropriate options for you. Best of luck.
Dr. Chaboki
Helpful
Answer: Closed reduction or closed rhinoplasty after nasal injury and broken nose
As other rhinoplasty and plastic surgeons stated, generally a CT scan is not required to diagnose a broken nose. A office visit with a surgeon will help determine the broken nose.
Fixing a broken nose is commonly performed early after injury, while the bones are still loose or mobile. Minor nasal injuries may not require surgical broken nose repair, with treatment being rest and observation. If there was no change in the appearance of the nose or nasal breathing, then surgery would not be necessary despite what a CT scan may demonstrate. Broken nose repair or closed reduction is relatively easy and sometimes performed in the office with local anesthesia. After a few weeks, the bones have become too stiff for a closed reduction and will require some form of rhinoplasty, including an open reduction.
Only after a comprehensive evaluation can a surgeon help determine appropriate options for you. Best of luck.
Dr. Chaboki
Helpful
December 27, 2011
Answer: CT scan after nasal trauma
The decision making after nasal trauma is not based on imaging. A CT scan may show fractures that are clinically not important. It is the hands on examination that is important. Is there a deformity not previously present, airway obstruction, etc. Closed reduction maybe attempted up to 7-10 days but I agree with Dr Fleming (see below) that usually a rhinoplastic approach will yield better results.
Helpful
December 27, 2011
Answer: CT scan after nasal trauma
The decision making after nasal trauma is not based on imaging. A CT scan may show fractures that are clinically not important. It is the hands on examination that is important. Is there a deformity not previously present, airway obstruction, etc. Closed reduction maybe attempted up to 7-10 days but I agree with Dr Fleming (see below) that usually a rhinoplastic approach will yield better results.
Helpful