Roof of mouth pain 7 months the after rhinoplasty

Question

I had a rhinoplasty 7 months ago. I have had constant pain in the small section behind my two front teeth. I have also noticed the pain increased and is directly connected to how much movement I have had in the tip of my nose. Surgeon said it could be a “fungus” however I am very certain is it not poor hygiene as again, the level of pain is always there ans increases or decreases with my nose sensitivity. I still have considerable swelling on the right side of my nose.

Zoran Potparic, MD · Answer

In some patients discomfort and pain you report is result of temporary injury of nasopalatine nerve in the course of rhinoplasty. In most cases it is due to postoperative swelling and will go away in time. Injection of corticosteroid in the area may decrease discomfort and pain significantly. You should discuss this with your surgeon. Good luck.

Eric M. Joseph, MD · Answer

After 25 years of performing rhinoplasty surgery, we have not seen any post-surgical infections that did not involve a nasal implant. Additionally, we have never seen a fungal infection of the nose after rhinoplasty surgery. If you are unable to visit your surgeon for an examination, please consider visiting with another reputable rhinoplasty specialist or an otolaryngologist for evaluation and management. Wishing you while moving forward. Sincerely, Dr Joseph

Anil R. Shah, MD · Answer

Hello, 
Roof of mouth pain can be due to a nerve that sometimes goes through the floor of the mouth into the maxilla. Some things you can do to help with this is you can consider taking Vit B tablets and most of the time that pain from the nerve will come back but talk to your surgeon for further details. This nerve is called nasopalatine nerve.

Ronald J. Edelson, MD · Answer

That is very common after rhinoplasty exactly as you describe it. In my experience it always resolved with time. I would wait it out. It should get better with time

Mats Hagstrom, MD (license on probation) · Answer

What you describe is not that unusual.
Much depends on what was actually done during the rhinoplasty procedure.
This is especially true if infracturing was involved.
Real self will not let me add a website link. Add the h t t p : w w w to the link below 
Perhaps a bit technical, but it shows the proximity of branches of the trigeminal nerve.
.sciencedirect.com/topics/neuroscience/anterior-superior-alveolar-nerve
Long-term things are likely to get better, but it can’t take longer than people anticipate
Best,
Mats Hagström, MD

Roof of mouth pain 7 months the after rhinoplasty

Answers (5)