Burning pain and gradual worsening of mucosal appearance in the area of my cadaveric rib cartilage implant in the septum

Question

Three years ago I had an implant of cadaveric rib cartilage placed on the anterior right side of my septum to increase air resistance. I can feel the added volume when I touch the septum. Two years ago I began experiencing chronic burning pain on my right septum. Using a torchlight I noticed that the painful area has a spot of mucosa that’s become thinner, less bulky, and whitish compared to the surrounding mucosa. Could the implant be causing these changes over time? What might be the cause?

Eric M. Joseph, MD · Answer

I am not aware of people having problems with rib graft many years after rhinoplasty surgery. Sometimes, surgeons utilize permanent sutures to hold grafting material in place. Occasionally, these permanent sutures may become infected and extrude either into the nasal cavity, or worse, through the outside of the skin. Please visit a reputable otolaryngologist or rhinoplasty specialist for an examination and diagnosis of your condition. I do not believe it will be a major problem in the long run. I hope this helps! Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. This is an issue that I would definitely recommend being evaluated in person. If your own surgeon is not able to help you then you should definitely seek a revision expert.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Burning pain and gradual worsening of mucosal appearance in the area of my cadaveric rib cartilage implant in the septum

Answers (2)