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Nose curvature

Nose curvature – violation of proportions or symmetry of a nose as a result of deformation of its back or a partition. Except that deformation of a nasal partition leads to change of a shape of an external nose, its curvature can be followed by violation of free nasal breath, nasal bleedings, vasomotorial rhinitises, headaches, snore. Diagnostics of anatomic and functional violations includes a rinoskopiya, a X-ray analysis of bones of a nose, consultation of the otolaryngologist. Correction of a curvature of a nose is carried out by a surgical way by means of different types of a rinoseptoplastika.

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Nose curvature

The curvature of a nose can be the hereditary line transferred from generation to generation. However most often curvature of a nose is acquired and serves as consequences of injuries of the nose postponed in the childhood of rickets, uneven growth of bones of a skull. Usually leads existence of a small hump or the bent nasal partition to a curvature of a shape of a nose.

Among the anatomical structures forming a nose, most often the nose partition is exposed to deformation. The nasal partition is formed bone and cartilaginous speak rapidly. The bone component of a partition is made a perpendicular plate of a trellised bone and a soshnik. The plate of a trellised bone from above and in front connects to a frontal bone and the internal surface of nasal bones, and behind and from below – adjoins the upper edge of a soshnik. Between a soshnik and a perpendicular plate the quadrangular cartilage which upper edge serves as forward department of a back of a nose settles down. The quadrangular cartilage from two parties is adjoined by medial legs of krylny cartilages. Unlike bone, forward, skin and cartilaginous department of a nasal partition mobile is also easily deformed at mechanical impact on it.

The nasal partition divides a nose cavity in the vertical direction into two parts which by nature usually happen unequal. If the partition of a nose is bent, then the sizes and a configuration of cavities even more differ. The bent partition of a nose can have thickenings, bends, protrusions that causes problems with nasal breath. Quite often the curvature of a nose is followed by difficulty or switching off of nasal breath, headaches; on its background otitises, sinusitis, nasal bleedings quite often develop.

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Nose curvature options

Depending on the deformed fabric allocate bone and cartilaginous type of a curvature of a nose. Symmetry of a nose is most often broken in the field of a back or a nasal partition.

Distinguish several types of a curvature of a nasal partition important when carrying out plasticity of the bent nose: With-shaped, S-shaped, curvature of a nasal partition of rather bone crest of the top jaw, and also combined curvature of a nasal partition and bone crest of the top jaw.

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Indications to correction of a curvature of a nose

Need of correction of a curvature of a nose can be dictated by two groups of the reasons: esthetic and medical. For the esthetic reasons not only public people (actors, politicians, etc.), but also the ordinary patients dissatisfied with its form even more often resort to correction of a curvature of a nose.

On medical indications correction of curvature of a nose is carried out to the people experiencing difficulty at nasal breath, having vasomotorial rhinitis, nasal bleedings, sharp and chronic sinusitis, snore.

Operations on correction of a shape of a nose (rhinoplasty) are often combined with septoplastiky – correction of curvature of a nasal partition and dictate need of interaction of the plastic surgeon and otolaryngologist. Not only formation of beautiful and correct outlines, a form and the size of a nose, but also restoration of normal nasal breath has to become result of correction of a curvature of a nose.

Surgical treatment of a curvature of a nose is carried out after 18 years, i.e. after completion of formation and growth of nasal bones. In the presence of the expressed violations and complications performance of surgical correction of a curvature of a nose in earlier terms is possible.

As performance of plasticity of a nose is connected with big blood loss, women are recommended to carry out operation in 10-14 days after the termination of periods. At an aggravation of inflammatory processes at first carry out their treatment to nose cavities (rhinitis, sinusitis, antritis), and resort to carrying out plasticity of a nose 2 weeks later after final treatment.

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Surgical correction of a curvature of a nose

In need of correction of curvature of a nasal partition resort to performance of a septoplastika. Usually operation is performed under local (infiltration or application) anesthesia, sometimes – under the general anesthesia.

Through a section of a skin part of a nasal partition peeling of a mucous membrane of both parties of a partition is made. Then allocation and removal of the bent parts of cartilaginous and bone structures of a partition of a nose is made. Further seams are imposed, and the tamponada of a nose for 24-48 hours is made for a bleeding stop. From above the nose takes cover a prashchevidny bandage.

After operation before extraction of tampons the possibility of nasal breath will be excluded. Within several days reception of liquid, not hot food is recommended. In the postoperative period the antibacterial and anesthetizing medicines are appointed. In the next days after removal of a tamponada cleaning of a cavity of a nose of nasykhayushchy crusts and greasing of the nasal courses with oils is made. Free nasal breath is restored in several weeks, after a convergence of hypostasis and the termination of formation of crusts. After carrying out a septoplastika the patient can return to work 1-2 weeks later, within a month physical activities are forbidden.

At other forms a curvature of a nose the operations on rapprochement of side bones (osteotomiya), to elimination of a small hump (rhinoplasty) leveling a nose contour can be carried out.

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Prevention of complications after surgical correction of a curvature of a nose

The quantity of complications when performing plasticity of a nose is small. Rather rare early complications are nasal bleedings, formation of the hematomas caused by a blood congestion between leaves mucous a nose. The tamponada and drainage of a cavity of a nose is made for the prevention of these complications.

Extremely seldom in the postoperative period there is a perforation of a nasal partition as a result of traumatizing mucous a nose sharp tools. The prevention of perforation dictates need of carrying out operation carefully, control of position of tools at advance between leaves mucous a nose.

Also seldom plasticity of a nose is complicated by abscess of a nasal partition. The nasykhaniye of purulent crusts in anticipation of a nose, existence of purulent sinusitis, a congestion of pieces of a cartilage and blood clots between leaves of a mucous cavity of a nose can promote an abstsedirovaniye. Prevention of development of purulent complications after plasticity of a nose comes down to careful processing of the operational field, active preoperative sanitation of the purulent centers, antibiotic treatment in the postoperative period.

The deformation of an external nose caused by need of a high resection of a quadrangular cartilage and specific features of the patient belongs to late complications of operations on correction of a curvature of a nose.

Risks of development of postoperative complications after carrying out plasticity of a nose are extremely small in connection with wide experience of carrying out similar operations.

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Nose curvature - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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