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

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

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:

Dr Schafer's advise is right on the button. Torus palatinus (pl. tori palatinus) is a bony protrusion on the palate. Palatal tori are usually present on the midline of the hard palate. Most palatal tori are less than 2 cm in diameter, but their size can change throughout life.Prevalence of palatal tori ranges from 9% - 60% and are more common than bony growths occurring on the mandible, known as torus mandibularis. Palatal tori are more common in Asian and Inuit populations, and twice more common in females. In the United States, the prevalence is 20% - 35% of the population with similar findings between blacks and whites.
Although some research suggest palatal tori to be an autosomal dominant trait, it is generally believed that palatal tori are caused by several factors. They are more common in early adult life and can increase in size. In some older people, the size of the tori may decrease due to bone resorption. Consequently, it is believed that mandibular tori are the result of local stresses and not solely on genetic influences.Sometimes, the tori are categorized by their appearance. Arising as a broad base and a smooth surface, flat tori are located on the midline of the palate and extend symmetrically to either side. Spindle tori have a ridge located at their midline. Nodular tori have multiple bony growths that each have their own base. Lobular tori have multiple bony growths with a common base.
Palatal tori are usually a clinical finding with no treatment necessary. It is possible for ulcers to form on the area of the tori due to repeated trauma. Also, the tori may complicate the fabrication of dentures. If removal of the tori is needed, surgery can be done to reduce the amount of bone present. 

Thus, I doubt the rhinoplasty caused their occurrence, but made them more noticeable. Best of luck from MIAMI DR. Darryl j. Blinski