Nasal repositioning
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What is nasal repositioning?
Nasal bone repositioning is a therapeutic procedure in which a doctor manually or with instruments returns displaced nasal fragments to their proper positions. It is performed in the first days after an injury, when the tissues are still soft and active bone fusion has not yet begun.
Patients often refer to repositioning as nasal repositioning after a fracture. These are closely related concepts, but repositioning is a medical term, while repositioning is a common one. Without timely treatment, more complex plastic surgery is required.
According to statistics, patient satisfaction with the result averages 60-80% when the procedure is performed within the first 7-10 days after the injury. For fractures without septal damage, a favorable outcome is observed in 70-90% of cases.
Nose repositioning is needed:
- For breathing. Misaligned bones and the septum block the nasal passages, making it difficult for the patient to breathe. Correcting the position of the bones helps restore normal nasal breathing
- For aesthetics. A crooked nose is visually noticeable and disrupts the harmony of the face. Correcting its shape restores symmetry and an attractive appearance
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)
Causes and symptoms of nasal fractures
In most cases, a broken nose is caused by:
- A strong blow to the face during a fight
- Sports injury
- Falling on the face from a height or sliding on ice
- Road accidents
- Accidents at home
Failure to observe safety precautions at work also leads to injuries with displacement of bone fragments.
Symptoms of a broken nose include:
- Pain that intensifies with touch
- Nasal bleeding of varying intensity
- Difficulty breathing due to swelling and obstruction of the nasal passages
- Change in the usual shape of the nose
- Crunching and mobility of fragments when pressure
- Bruising around the eyes
These signs allow you to quickly suspect a violation of the anatomical structure of the nasal bones and consult a doctor.
First aid for nasal injuries
Attempts to reset the nose on your own are not recommended. Incorrect actions can worsen the fracture and cause further bone displacement. Applying a tight bandage or using traditional methods for fixation is prohibited. Self-medication can lead to increased bleeding and significant changes in the shape of the nose.
If you suspect a fracture, first aid is essential. Before seeking medical attention, you should:
- Stop the bleeding. To do this, gently press the soft part of the nose with your fingers for 10-15 minutes, tilting your head slightly forward to prevent blood from flowing down the throat
- Apply ice. A cold compress to the bridge of the nose reduces pain and swelling associated with a nasal injury
- Ensure rest to prevent further displacement of the bone fragments and breathing difficulties
Types of nasal fractures
Based on the number of damaged areas, fractures are classified as single and multiple. In the first case, a single bone area is deformed, which is easily restored. With multiple bone fragments, the nasal shape is severely deformed, increasing the risk of complications.
Depending on the nature of the injury, a distinction is made between:
- Closed fracture. The skin over the damaged bone structure remains intact. Bone displacement, nasal deformity, and breathing difficulty may occur
- Open fracture. Bone fragments protrude through the wound, and the skin or mucous membrane over the nose is damaged, increasing the risk of infection
- Displaced fracture. The shape of the nose changes, impairing breathing. Repositioning is often required to restore anatomy
- Non-displaced fracture. Bone fragments remain in place, and the shape of the nose remains largely unchanged. Complex correction is not required
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.
Advantages of performing repositioning in a clinic
Having the procedure performed at the K+31 Clinic offers several advantages:
- Experienced doctors. Qualified surgeons ensure precision in treatment procedures, minimize the risk of complications, and guarantee optimal results.
- Modern equipment. The center is equipped with expert-grade equipment that allows for rapid diagnosis of bone displacement, monitoring of the procedure, and ensures comfort and safety.
- Restoration of functionality and aesthetics. Patients can breathe fully, which positively impacts their overall well-being.
To achieve the most effective and long-lasting results, doctors focus on an individualized approach, selecting the optimal treatment method and recovery plan.
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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:
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.