What to do if your nose is crooked

The most important part of a person's facial features is the bridge of the nose. Under normal circumstances, the bridge of the nose is in a straight line and generally has no bends. However, some people have crooked noses due to congenital factors or accidents, which not only affects their health but also their appearance. In fact, if the bridge of the nose is crooked, it can be improved through correction methods.

What to do if your nose is crooked?

Different shapes of deviations require different treatments. The deflection of the lower half of the nose bridge is caused by the deflection of the cartilage. It is only necessary to correct the deflected cartilage, cut off the connection between the nasal septum cartilage and the vertical plate of the ethmoid bone, the vomer bone, and the lateral nasal cartilage, cut off the excess lateral nasal cartilage, and restore the neutral position of the nasal septum. After the operation, the nasal cavity must be filled with iodoform gauze for 5-7 days to maintain the position of the repositioned nasal septum. This surgery can be performed under local anesthesia on an outpatient basis and only oral antibiotics are required after surgery.

The deflection of the middle part of the nose bridge is caused by the deflection of the nasal bones. The nasal bones need to be cut off on both sides of the middle and at the junction of the nasal bones and the maxilla, and the connection between the nasal septum cartilage and the vertical plate of the ethmoid bone needs to be cut off. The nasal bones can be repositioned and the deflection of the septum can be corrected at the same time. This operation requires hospitalization and is performed under general anesthesia. After the operation, the nasal cavity needs to be filled with iodine form gauze for 5-7 days and fixed with plaster to maintain the position after reduction. Intravenous antibiotics are required for 3 days. If accompanied by a collapsed nose bridge, this type of crooked nose can be flattened on the sides by implanting a prosthesis, thus correcting the crooked nose bridge.

How to correct crooked nose

First, the incision to correct the crooked nose bridge

After routine disinfection and anesthesia, please note that there are two types of incisions for corrective nose surgery: intranasal approach and extranasal approach, each with its own advantages. The extranasal approach uses a U-shaped incision on the columella, extending to the anterior edge of the alar cartilage on both sides, and then separating the subcutaneous tissue upward. This incision provides better exposure of the surgical field. The intranasal approach incision is made at the upper edge of the alar cartilage in the nasal vestibule on both sides, an arc-shaped incision is made, and the incisions on both sides are connected into one by passing through the front edge of the septal cartilage. After the incision is completed, the subcutaneous tissue can be widely separated upward to expose the piriform aperture and the soft tissue on the lateral side of the nose up to the nasal bone. Special reminder: be careful to avoid operating the skin on the nasal dorsum at this time.

Second, cartilage cone treatment to correct crooked nose bridge

After the crooked nose correction surgery has widely separated the soft tissue of the nasal dorsum and the bone support, the northern edge of the nasal septum soft epiphysis can be incised to separate the septal cartilage from the nasal cartilage. Then, the nasal septum mucoperichondrium flap of the wider nasal cavity is separated from the nasal septum cartilage until the nasal floor, and the soft inner front edge of the nasal septum and its connection with the vertical plate of the ethmoid bone and the pear bone are cut off, so that the septum cartilage is in a semi-free state. If necessary, a relieving incision can be made on the septal cartilage so that the septum can be completely pushed to the midline position. For patients with crooked noses, whose nasal cartilages are asymmetrical, the larger nasal cartilage that exceeds the midline should be removed, and the deviation of the cartilage cone can be corrected.

Third, bone cone treatment to correct crooked nose bridge

During the operation, depending on the degree of vertebral deviation, a bone chisel or bone saw is used from the edge of the piriform foramen upwards to cut off the frontal process of the maxillary bone and the nasal bone. The upper end of the nasal bone is clamped and twisted with bone forceps to break. At this time, the bone cone can be loosened, and the fingers can be used to push and reshape the nose. After observing that the nose shape is corrected to your satisfaction, the incision can be sutured. After the operation, symmetrical packing and fixation were performed in both nasal cavities to keep the nasal septum in the neutral position. The external nose is fixed and pressurized with proofing glue or a small splint. After the entire crooked nose correction surgery is completed, routine postoperative treatment can be performed and the external nose bandage can be removed after ten days.