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Nasal septum looks like broken, does not join with nasal bone after rhinoplasty. Solution?

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General & Family Physician
Practicing since : 2009
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My nasal septum is crooked, it actually seems broken as it does not join with nasal bone which makes my nose looks slanting to one side. how can this be fixed?
I got rhinoplasty done 6 years back, the earlier nose was slanting too but it did not seem broken.
Posted Fri, 13 Apr 2012 in Ear, Nose and Throat Problems
 
 
Answered by Dr. Vidya Muralidhar 11 hours later
Hi XXXXXXX

Thanks for the query.

On reading your history I would want to say that, if you are feeling any new depressions/ lack of joint uniformity in the nose, you may need a review on the condition, probably with an x XXXXXXX and further tests.

You may need a revision Rhinoplasty in these cirucmstances:
1. After the examination, if the doctor feels it is deviated enough to cause symptoms(stuffy nose, headache, etc)

2. If you are not happy with the results of previous Rhinoplasty for cosmetic purposes.

I would like to also tell you that , the results may again vary and we may not surely say if the nose will look better or not; and the slant is fixed completely or not. So, please discuss these issues with your ENT surgeon and decide if you really want to go in for a revision surgery .

If you have any other queries on this write back to me. I will be available to answer your follow up queries.

Take care
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Follow-up: Nasal septum looks like broken, does not join with nasal bone after rhinoplasty. Solution? 7 hours later
thanks for the reply Doctor.
I have another query. there in actually no extra (extension of) bone that needs to be cut, but it needs to be made straight by shifting it, as I mentioned its slanting. is it possible to shift the bone to the right position, as the septum should be straight, right.
Kindly let me know if its possible to move the bone to the right position and how it is done?
 
 
Answered by Dr. Vidya Muralidhar 15 hours later
Hi XXXXXXX

As explained before, I want to tell you that , the type of procedure, will be decided only after a thorough examination of your nose and then the investigation reports as well.It is up to the doctor who will be studying your findings and the x XXXXXXX films, to decide if the surgery is needed and what will be the results of the same.

Coming to your question:"Is it possible to shift the bone to the right position, as the septum should be straight?"

There are many procedures to change the angle of the septum, by Septoplasty, it is possible to bring the septum in right alignment and make it straight as well, this will be done only if there is an indication for the same , since your case will need a revision surgery, it will be the doctor's decision to go for the same or not.

If you have any other queries on this write back to me. I will be available to answer your follow up queries.

Take care,

Regards.


Disclaimer: This advice is based upon history as provided by the patient as there is no Physician – Patient relationship established. The patient has not been examined per se. The advice is not valid for medico-legal purposes. Please see a local doctor before acting upon the advice.


Above answer was peer-reviewed by
 
Follow-up: Nasal septum looks like broken, does not join with nasal bone after rhinoplasty. Solution? 10 hours later
Thanks for the reply Doctor.
One more query.
What exactly does septoplasty mean? How is Septoplasty different from Rhinoplasty? What are the procedures followed in each?
 
 
Answered by Dr. Vidya Muralidhar 12 hours later
Hi XXXXXXX

Thanks for your query.

Coming to explaining the procedures to give a brief idea about septoplasty and rhinoplasty:

1. RHINOPLASTY: It is a procedure to reconstruct the nose, to alter its shape or enhance the same, restoring the functions of the nose as well, to help in breathing,and to correct nasal deformities. The procedure includes the creation of a proportionate nose by the surgeon ,the nasal cartilage and bones are reshaped, the skin and soft tissues are separated to give room for a good appearance and function of the nose. It is of two types called open and closed rhinoplasty. It can be done under sedation or general anesthesia as well depending on the situation.Indications of this procedure is airway obstruction causing difficult nasal breathing, external nasal appearance not satisfactory, when septoplasty, turbinectomy, and other procedure done before have not given good results.

2. SEPTOPLASTY: It is a corrective procedure done to straighten the nasal septum , bringing it into alignment.It is mostly done only when there is a medical indication like nasal obstruction due to a deviated nasal septum , recurrent sinusitis, allergic rhinitis leading to complications and not getting resolved with medical treatment.Septoplastty is a procedure done along with rhinoplasty, so you may call septoplasty as a part of rhinoplasty.The procedure is done in the same way as a rhinoplasty which I explained above.

Since your case needs a revision surgery, all modalities have to be kept in mind , if you really need the procedure , if yes, which procedure to choose for, this will be explained by the ENT surgeon who will be considering your case with the help pf examination and investigations.

I hope I was able to give you a sneak peak into this procedure, your surgeon will explain in detail to you if you opt for the same .

I will be available for further queries as well.

Wish you good health.

This advice is based upon history as provided by the patient as there is no Physician – Patient relationship established. The patient has not been examined per se. The advice is not valid for medico-legal purposes. Please see a local doctor before acting upon the advice.
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