Nasal Trauma Correction and Congestion Relief – Closed Rhinoplasty Korea

noselab
2024년 9월 20일
2분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today, we will introduce the case of a patient who visited our clinic after developing nasal congestion and shape deformation following nasal trauma.

This patient had been in an accident a month before, which caused trauma to her nose and resulted in nasal congestion and deformation. She came to our hospital for nasal trauma correction.

Patient’s Medical Record – Trauma and Nasal Trauma Correction

7 years before: tip plasty using the septal cartilage.
One month later, someone impacted her nose with an elbow.
After the accident, she developed symptoms of nasal congestion and shape deformation.

Preoperative Design Consultation for Nasal Trauma Correction

Preoperative design consultation, frontal view, 45-degree view and side profile view.

Frontal view:

The right side of the nose tip was tilted.
Noticeable nostril asymmetry.
Visible nostrils.

Side profile view:

Droopy nose tip
Bumpy nasal dorsum
Pointy-looking nose tip

45-degree view:

The nose tip looks upturned while also being droopy

Nostrils:

Columella tilted to the right side.
Nose tip tilted to the right side.
Noticeable nostril asymmetry.

CT findings:

CT endoscopic images showing septal deviation and suspected septal cartilage fracture after nasal trauma.

The left side of the septal cartilage was tilted (septal deviation)
Suspected fracture of the septal cartilage due to the trauma

Surgical Plan

To solve these complex issues, we came up with the following surgical plan:

Septal correction and reconstruction
Septal graft extension using donated rib cartilage.
Correction of the bent nose tip
Raising the nose bridge (non-prosthetic)
Nasal bone asymmetry correction through a lateral osteotomy.

Before and After Surgery Photos

Frontal view before surgery (left) after surgery (right)

The nose tip that was tilted to the right side was centered in the middle.
Great improvement of the nostril asymmetry.
Lowered the exposure of the nostrils.

Side profile view before surgery (left) after surgery (right)

The droopy nose tip was naturally elevated.
The bumpy nasal dorsum was made smooth.
Improvement of the condition of the pointy nose tip into a softer shape.

45-degree angle view before surgery (left) after surgery (right)

The droopy and upturned nose tip became raised in a natural-looking manner.
Harmony improvement of the overall nose shape.

Nostrils before surgery (left) after surgery (right)

The columella that was tilted to the right side was adjusted to the center.
Symmetry improvement of the bent nose tip.
Visible improvement of the nostril asymmetry.

After Surgery Table Photos

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Overview

This case is about solving functional issues and shape deformation that occured due to trauma at the same time. There are some noteworthy points about this case as follows:

Importance of an accurate diagnosis: definite diagnosis of septal cartilage fracture and deviation through a CT scan.
Functional and cosmetic balance: improvement of the nasal congestion at the same time that a natural nose shape was created.
Non-prosthetic rhinoplasty: As the patient had requested, we obtained natural and safe results using only autologous tissue.
Closed rhinoplasty approach: successfully performed a complex reconstructive surgery without leaving external scars.