The nose consists of the nasal bone, upper alar cartilage, lower alar cartilage, and septal cartilage. A deviated nose occurs when a part of the nose is crooked to one side.
Deviated nose correction is divided into two: axis deviation (external deviation) and septal deviation (internal deviation). Nose deviation can cause functional issues such as breathing problems, chronic daily headaches, and even facial asymmetry. Therefore, deviation correction should consider the functional aspect as well as the aesthetic aspect.
Types of Deviation
Causes of Breathing Issues Due to a Deviated Nose
Nasal valve narrowness
When the nasal valve, which controls the air going in and out of the nose, is narrow, breathing can be uncomfortable.
After rhinoplasty, when the supporting structure of the septum becomes weakened or thicker, breathing can be uncomfortable.
Alar sculpturing suture
With the most common method of deviation correction, when the height of the alar cartilage is different, asymmetry can be corrected by realigning the alar cartilage.
When the nasal bone is crooked, the deviation can be corrected by cutting the bone.
Deviated septum correction
When the septum is severely deviated, the septum can be corrected by cutting and removing part of the septum.
When the asymmetry is caused by a slanted columella, the slanted columella can be supported by inserting ear cartilage, a septal cartilage strut, or a silicone implant.
Inferior turbinate concha correction
When the inferior turbinate concha naturally blocks the airway or the mucosa around them is enlarged, the size of the turbinate bone can be reduced or the thickness of the mucosa can be reduced using high-frequency therapy.
How does CDU perform ideal and precise surgery using the closed method?
By conducting an in-depth examination with a cutting-edge, three dimensional CT analysis, CDU surgeons precisely plan possible approaches for the best result by analyzing the nasal bone shape, bone thickness, and the condition of the soft tissues around the nose.
(*3D-CT scanning may be required depending on the surgeon’s diagnosis.)
Q&A about Deviated Nose Correction
Yes, it is necessary. Nasal packing is commonly used for decreasing risks such as bleeding, swelling, hematomas, deviation, and adhesions. The packing needs to be maintained for at least seven days. On the seventh day after the operation, the packing is removed by the surgeon.
The majority of patients don’t undergo severe pain. It is manageable by taking pain medication such as Tylenol, or even nothing at all. Patients are more likely to experience difficulty breathing due to the packing than pain after surgery.