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Nasal repositioning

Nasal repositioning is a specific medical procedure. Its goal is to restore the anatomically correct position of the bone and cartilage structures of the nose after injury. It is performed to correct displacements and deformities caused by fractures.
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Indications

The main objective of the operation is to restore the functionality and aesthetic appearance of the nasal area. It is prescribed in the presence of the following types of injuries:

  • Acute (occurring less than two weeks ago). They are best suited to closed reduction
  • Old (occurred 14-45 days ago). Most often, such injuries require surgical intervention.

Persistent deformities that develop after one and a half to two months due to improper fusion of bones can only be corrected with the help of osteotomy.

Indications

Restrictions

  • Presence of severe swelling in the area of soft tissue or bones
  • Signs of tissue necrosis or contamination
  • Complicated cases (for example, when a broken nose is accompanied by a serious brain contusion)
  • Problems with blood coagulation (this background increases the risk of bleeding during and after surgery)
  • The presence of an active herpetic rash or inflammatory processes (the procedure increases the risk of infection)

General information about the procedure

Stages of preparation for surgery

Before surgery to restore bones, a thorough diagnosis is necessary. An important step is to perform a computed tomography: this allows you to detect all fragments and determine the exact location of the damage.

After this, the patient will have to undergo a series of preparatory procedures. The list of mandatory tests includes:

  • Blood tests for the presence of HIV, syphilis, hepatitis B and C
  • Coagulogram (allows you to evaluate blood clotting)

For people over 40 years old, an ECG procedure is provided. It eliminates the risks associated with the use of general anesthesia.

Manual nose correction

This procedure for realigning the nose does not involve surgery: the doctor uses only his fingers during the process.

However, in some cases, special tools are used for manual correction. These include:


The main advantage of manual correction is its low invasiveness. This method is often used to treat small nasal fractures or to correct minor deformities. The procedure is usually performed under local anesthesia.

After completing the basic steps, the bone fragments are fixed. It is carried out internally or externally.

Internal fixation after nose correction provides support for bone and cartilage structures in the correct position, and also helps normalize breathing. In this case, soft tampons are inserted into the nasal passages. They support the structure of the nose from the inside. To reduce swelling and prevent infection, they are moistened with medications.

External fixation is aimed at maintaining the nose in the desired position from the outside. It promotes its proper healing and formation of the desired contour. In this case, a plaster cast is usually used - a rigid protection that is applied to the nose and part of the face. Its use allows you to maintain the shape of your nose after surgery. Sometimes, in combination with a plaster cast, splints are used - special devices that are fixed on the nose to maintain its shape.

Open reduction of the nasal bones

Open reduction of the nasal bones is performed for complex fractures. The process involves correction of the nasal septum and the shape of the nose. This approach allows you to restore normal breathing without resorting to more complex and invasive procedures.

Nose restoration in children

Before fixing a broken nose, the child will have to undergo laboratory tests and receive consultations from a dentist, cardiologist, neurologist and allergist. The decision on admission to realignment of the nose is made by the pediatrician based on the results of the examination. The optimal time for repositioning the nasal bones in children is from several hours to 2-3 days after injury.

Minimal damage is corrected using tamponade, while more serious cases require the use of the finger method or special instruments. All procedures are performed under general anesthesia. After repositioning, the child is left in the hospital for a day for observation.

Recovery process after nose surgery

The first stage of rehabilitation involves removing tampons: from the lower part of the nose after 2 days, from the upper part - after 3-4 days. The splint is usually removed one week after surgery. Then (if necessary) the patient is prescribed analgesics and decongestants.

In addition, for 2 weeks you must adhere to the following recommendations:

  • Sleep without touching your face to the pillow
  • Avoid wearing glasses
  • Do not touch or put pressure on your nose
  • Spend less time in the sun
  • Refuse to visit the solarium
  • Do not take hot baths

It is recommended to refrain from visiting baths and saunas for 2 months.

Risks after nose correction

After nasal reconstruction surgery, patients often encounter unpleasant consequences. At first after surgery, severe pain appears and breathing becomes difficult. These reactions are considered normal - they gradually disappear.

The occurrence of serious complications (bruising around the eyes and purulent processes) is possible due to infection or improper wound care. If suspicious symptoms appear, you should promptly seek medical help.

Forecast

Strict adherence to the specialist’s instructions after the procedure ensures proper bone fusion. Thanks to this, no visible traces of damage remain, and the functionality of the nose is quickly restored.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

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