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Dr. Andrew Rynne

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Exp 50 years

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Can the nasal bone, septum and cartilage be treated and brought back to their original shape size and structure ?

Dear ENT doctors, if the nasal bone , nasal septum and nasal cartilage are broken by injury for example in accident or in fighting, can the nasal bone, nasal septum and nasal cartilage be treated and brought back to their original shape, size and structure or there will be permanent nasal deformity ? Will there be any scar left on the nose after the treatment ?
Sun, 22 May 2011
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  User's Response
hi,
nasal deformity will be there after injury, but plastic surgery will help you, so consult a plastic surgeon who is specialist in this type of injuries.
ENT Specialist Dr. Sumit Bhatti's  Response
1. Septorhinoplasty can correct any major deformity. The final result will be evident only after full healing after the operation, which may take many months. No one has a perfectly symmetrical face, in fact it would look abnormal. Slight, subtle deformities give our faces their unique character.

2. Usually there are no external scars. However the following may leave some minor scars:

a) Open Rhinoplasty: at the columnar or alar incisions.

b) External osteotomies, if performed on the upper third of the nose.

c) Pre-existing scars and skin discolorations due to the original trauma or injuries.

3. Also be aware that there are other complications of Rhinoplasty worse than scars, some temorary and not seen in all patients such as temporary, black eye/s; while permanent internal scars or nasal valve distortions may interfere with airflow in some patients.

4. To avoid these, meticulous planning, detailed CT Scans and realistic expectations from surgery are important.
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