Immediately After Rhinoplasty Surgery I Noticed I Had Torus Palatinus and Torus Mandibularis - What is the Cause?

Question

Immediately after I came out of the operating room I noticed I had a huge bump/ulcer on my hard palate(torus palatinus) and days later I started developing in my lower gums-torus mandibularis, its been growing and its painful. Why would those appear after nose surgery? Did the doctor put pressure on my palate or something? Are those toruses only able to remove with surgery?

Ali Sajjadian, MD, FACS · Answer

Hi Pamela,

	It is very unlikely that Rhinoplasty could cause Post Operative Tori.

	These are  Bony prominences and are benign and were present prior to surgery.

	You just did not know and had not noticed them.

	Best,

	Dr. S

Eric M. Joseph, MD · Answer

A torus palatinus is a long-standing, benign, bony, firm protruberance in the midline of your hard palate. Some patients are not aware of their existence until noted on a dental or head and neck examination: they tend to be asymptomatic unless you're getting fitted for dentures.

	It's not uncommon to have painful irritation of your palate after orotracheal intubation. If the breathing tube was resting firmly on your torus, you could develop a painful ulceration that may take a week or longer to resolve.

	I'm not sure why you're having ulceration and pain in lower gums. You should certainly let your surgeon know what's happening in your mouth, and ask him to examine you. If your surgeon is unsure what's going on, you should consult a reputable, certified ENT for further evaluation and management.

	I hope this is helpful for you.

	Regards from NJ:

Daniel Reichner, MD, FACS · Answer

Pamela

	Most likely these lesions are the result of pressure from the endotracheal tube and should get better with time.  I recommend that you follow up with your Plastic Surgeon.

David Shafer, MD, FACS · Answer

You need to see your surgeon for evaluation.  It is not normal for you to have ulcers in your mouth after rhinoplasty surgery.  It may just be coincidence.  However, your issue is beyond what can be answered in this forum and the best person to evaluate you is your surgeon, since they are familiar with the procedure you had done, your medical history and what occurred in the operating room.

	 

	Good Luck.

Steven Wallach, MD · Answer

Torus mandibularis and torus palatinus are bony prominences unrlalted to yoru rhinoplasty. It is likely that you had them and were never aware of them.

Immediately After Rhinoplasty Surgery I Noticed I Had Torus Palatinus and Torus Mandibularis - What is the Cause?

Answers (7)

Answer: Ulcers after surgery

Answer: Ulcers after surgery

Answer: Tori of mouth

Answer: Tori of mouth

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Immediately After Rhinoplasty Surgery I Noticed I Had Torus Palatinus and Torus Mandibularis - What is the Cause?

Answers (7)

Answer: Ulcers after surgery

Answer: Ulcers after surgery

Answer: Tori of mouth

Answer: Tori of mouth

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.