Nose swelled more on 1 side, front teeth hurt & top lip swollen = went to dr. Note: rhinoplasty 15+ yrs ago to repair deviated septum, no issues until now. CT SCAN – Mild deformity of bilateral nasal bones – Superimposed fracture cannot be excluded – Reduction of nasal valve angle bilaterally, left greater than right – Mild-to-moderate deviation of nasal septum to left NOW: Still in pain & issue breathing from one side of nose. - Are there options besides taking ear cartilage to repair nose?
March 31, 2014
Answer: Nasal Injury Hello,I am sorry to hear about your injury. There are two schools of thought regarding repair of displaced nasal fractures. First I will digress by saying that fracture of the nasal bones is irrelevant unless it is visibly deformed, and then it is obvious and doesn't require an elaborate CT scan to document.One school of thought is to reduce and align the nasal bones early, within the first week. However, there is a high rate of reoperation in this group, mostly due to persistent defects. I choose this route if the deformity and/or loss of function is severe and the patient will be ameliorated by doing so.The other school of thought is to wait 3 to 6 months to allow healing and resolution of swelling. This will allow a better idea of the extent of deformity and will allow a better repair. If you are at the two week mark, then you would still fall into one category or the other depending on the severity of your nasal appearance or function.You should be evaluated regardless so that you can get the best advice possible. It matters not whether you choose a board certified facial plastic surgeon or general plastic surgeon. Both have excellent training in this matter. What matters more is experience. Best of luck!
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March 31, 2014
Answer: Nasal Injury Hello,I am sorry to hear about your injury. There are two schools of thought regarding repair of displaced nasal fractures. First I will digress by saying that fracture of the nasal bones is irrelevant unless it is visibly deformed, and then it is obvious and doesn't require an elaborate CT scan to document.One school of thought is to reduce and align the nasal bones early, within the first week. However, there is a high rate of reoperation in this group, mostly due to persistent defects. I choose this route if the deformity and/or loss of function is severe and the patient will be ameliorated by doing so.The other school of thought is to wait 3 to 6 months to allow healing and resolution of swelling. This will allow a better idea of the extent of deformity and will allow a better repair. If you are at the two week mark, then you would still fall into one category or the other depending on the severity of your nasal appearance or function.You should be evaluated regardless so that you can get the best advice possible. It matters not whether you choose a board certified facial plastic surgeon or general plastic surgeon. Both have excellent training in this matter. What matters more is experience. Best of luck!
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March 31, 2014
Answer: Hit hard in nose about 2 wks ago from the side. Do I need surgery ASAP to repair or wait? Will it heal without surgery? Really these questions need to be answered after an exam.Find a board certified plastic surgeon who has performed hundreds of rhinoplasties. Look for great reviews and great before
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March 31, 2014
Answer: Hit hard in nose about 2 wks ago from the side. Do I need surgery ASAP to repair or wait? Will it heal without surgery? Really these questions need to be answered after an exam.Find a board certified plastic surgeon who has performed hundreds of rhinoplasties. Look for great reviews and great before
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