Treatment of Nasal Deformities that Have Developed After Accidents and Operations
Collapses that develop after imprecisely performed rhinoplasty operations can be both in the nasal framework and the nasal wings; and in consequence of surgeries done for their correction, the nose is reshaped and the patient is enabled to breathe comfortably. Surely, such collapses are not only the results of surgical errors but may also be caused by various accidents and serious falls.
A replacement material is required for forming the nasal framework of patients, whose both nasal bone and cartilage have been removed and who cannot breathe through the nose, as a result of an accident. Taking a part from the ribs is the best, easiest and safest way to obtain that replacement material. In particular, the cartilage part of the ribs is the most suitable part for us.
A rip part usually taken from the right part of the chest and under the breast is shaped on the table and then is used for establishing the nasal framework. The rib is taken out of a protective sheath. A rib part with a length of approximately 5-6 cm is adequate. The protective sheath of the rib is repaired. That rib recreates the rib in the course of time. In other words, the missing part is completed by the body.
The cartilage taken is shaped on the operation table, according to the shape of the nose. The nasal ridge and front nasal septum are produced. If there is a collapse, thin parts suitable for the nasal wings are prepared. When the parts are ready, it is time to fix them in accordance with the structure to be established under the skin. At that stage, the nose is restructured. The parts are fixed and then the skin is closed.
Now the collapse has been eliminated, the nose that previously could not function in terms of breathing has been lifted, it has become beautiful, and its air ways have been opened.
The physician should be careful as much as possible and try to meet the expectations of the patient, during the reconstruction of the nose.