Rhinoplastic Reconstruction of Nose after Nasal Trauma
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About External Rhinoplasty: Post Traumatic Case
Cosmetic Rhinoplasty-Nose Reshaping, or Rhinoplasty, is the surgical correction of nasal deformities. These deformities can be from an injury, after a previous rhinoplasty, or from birth . The shape of the nose is dependent primarily on the underlying structures-namely the nasal bones and the nasal cartilage. In order to reshape almost any aspect of the nose, the cartilage and/or the bones must be manipulated. Sometimes this means removing excess cartilage, or it can mean adding cartilage where it is missing.I perform External-Open Rhinoplasty. The external incision is used to gain access to the tip of the nose. It is barely visible once the scar heals. The operation itself takes 2-4 hours depending on how extensive your deformity is. The procedures are performed in the operating room.
In Post Traumatic cases, one should expect fibrosis and more bleeding while operating as compared to virgin cases.
The entire procedure is done under General anesthesia.Some experienced anesthetist give hypotensive anesthesia which gives a good operation field with minimal bleeding.
Packing and Dressing
In most cases, there will be a small splint on the outside of the nose. This splint should be kept dry and will be removed after a week. If a septoplasty is also performed, you may also have splints inside of your nose. These are usually removed after a few days.