Why does my voice twang 6 months after nose surgery and why does my nose open up only when I lay down?

Changes in voice and nasal airflow following nose surgery can be attributed to various factors related to the surgical procedure and the healing process. Here's why you might be experiencing these symptoms:
Voice changes: Alterations in the nasal passages, particularly if there's swelling or changes in the structure of the nasal septum or sidewalls, can affect airflow through the nose and impact vocal resonance. Swelling and changes in the nasal anatomy can lead to increased air resistance in the nasal passages, resulting in a perceived twang in your voice. Additionally, post-operative swelling and scar tissue can alter the resonance characteristics of the vocal tract, leading to changes in voice quality.Airway obstruction: If your sidewalls were broken and pushed together during the nose job, this could result in narrowing of the nasal passages or obstruction of airflow, contributing to increased air resistance and difficulty breathing through the nose. When you lie down, gravity may help open up the nasal passages slightly, relieving some of the obstruction and making breathing easier.Swelling and healing: It's common to experience swelling and inflammation in the nasal passages for several months following nose surgery. This swelling can contribute to airway obstruction and changes in nasal airflow. As the swelling gradually subsides and the tissues heal, you may notice improvements in nasal breathing and voice quality over time.It's essential to discuss these symptoms with your surgeon during your post-operative follow-up appointments. They can assess your nasal anatomy, evaluate the healing process, and address any concerns or complications that may be affecting your breathing and voice. In some cases, additional treatments or interventions may be necessary to optimize your nasal function and address any persistent issues.