How are common nasal deformities surgically treated?

by 865512 on 2008-12-19 10:04:51

Saddle Nose: Saddle nose depression is usually treated by the method of using filling materials. The choice of filler generally depends on the degree of local collapse and the patient's opinion. For mild depression, dermis or fascia from the patient's body can be used; for more obvious depression, the patient's own costal cartilage or iliac bone can be used. If nasal septum deviation correction is performed, nasal septum cartilage can be used. Using autologous materials as fillers can result in mild local reactions after surgery, fewer complications, and a high success rate. Artificial synthetic materials such as silicone, which come in liquid and solid forms, often cause redness, darkening, infection, and discomfort of the local skin after application, and may even lead to fistula formation with continuous secretion overflow, necessitating the removal of these materials, causing great physical and mental pain to the patient. Therefore, it is best to use autologous materials.

(Pre-nose augmentation) (Post-nose augmentation)

Humped Nose: Humped nose is caused by excessive development of the nasal bone, leading to a high arched bridge that resembles a hump, which is an external nasal deformity. The humped nose can be corrected surgically by removing excess bone. To ensure the surgical effect, the age for surgery should be after 18 years old.

(Pre-nose augmentation) (Post-nose augmentation)

Deviated Nose: Deviated nose is a common nasal deformity. It is often caused by trauma but can also be congenital. It is usually accompanied by deviated nasal septum, requiring surgical correction. The incision is made inside the nasal vestibule, and separation is performed subperiosteally upwards. A triangular excision is made on the wider side of the nasal dorsum, with the tip pointing upwards, while the other side of the nasal bone is chiseled open, and the nasal bridge is pushed to the midline. The external nose is then fixed with small splints for two weeks.

Rosacea: Commonly known as red nose, it is mainly caused by mite infestation. Mites mainly parasitize on human faces, especially in the hair follicles and sebaceous glands of the nose. Initially, the tip and wings of the nose become flushed, shiny, and more noticeable when heated. Then papules and pustules appear scattered on the red spots, with red threads entwined around the tip of the nose, making it uneven. If not treated in time, the papules enlarge, the skin thickens, and the tip of the nose turns purplish red and spherical, affecting appearance. Commonly used surgical methods include: excision and skin grafting, cutting, and shaving.