Is it possible for the breaking of the nasal bones during a rhinoplasty to cause trauma to the brain?

Question

Hi all, I have had two rhinoplasties, the second was to move my bridge bones closer together, but they are still too far apart. I have been debating a third surgery to attempt to fix this once and for all, but I recently had an EEG that showed brain wave abnormalities consistent with epilepsy. My doctor said there is no reason for this. Could the force from breaking my nasal bones have caused brain damage? I'm apprehensive about a third surgery because of this. Thanks in advance for any advice!

Eric M. Joseph, MD · Answer

The course of the "chisel" during nasal osteotomies should not cause any brain trauma. If there were brain trauma after surgery, there would be a host of serious health issues beginning in the Recovery Room. Hope this helps you. Dr Joseph

Nima Shemirani, MD · Answer

Hi @Roxy8! It is highly doubtful that osteotomies could cause brain damage. A rhinoplasty in my opinion is one of the most difficult procedures to perform. The skill, artistry, and technique of the surgeon will determine a successful outcome. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. I hope this was helpful!

Andrew Miller, MD · Answer

It is highly doubtful that osteotomies could cause brain damage. The bones at the root of the nose are quite thick and would be very hard to go through during the osteotomies. The path of osteotomies are typically anterior to the brain as well. Also, if there was an injury through these bones to the brain during surgey, you would know about it in the form of at least a CSF leak, if not worse symptoms.

Is it possible for the breaking of the nasal bones during a rhinoplasty to cause trauma to the brain?

Answers (3)