Poor nose shape
Introduction
Introduction Rhinoplasty can result in poor nasal morphology. Rhinoplasty is to change the height and shape of the nose by implanting appropriate materials to coordinate with other parts of the face.
Cause
Cause
Clinical manifestations and causes of rhinoplasty failure:
1. The nose is oblique. The reason is that the patient's nasal bridge axis is not correct, the nasal septum is distorted, the nasal column is skewed; the intraoperative separation of the prosthesis is not correct; the prosthesis implantation cavity is not completely separated, and there is a sling to the prosthesis; the prosthesis is asymmetrical, the axis Improper; postoperative care improper pressure dressing on both sides of the pressure.
2. The shape of the nose is not beautiful. The nose is too high, the bridge of the nose is too narrow, the nose and nose are lacking in curvature, and the curve of the nose is not strong enough. Mainly due to the improper fit of the prosthesis.
Examine
an examination
Related inspection
Otolaryngology CT examination
1. The shape of rhinoplasty is unnatural, there is no normal nasal forehead angle, nasal nose angle, nasolabial angle, no ideal aesthetic curve, no natural curvature with the face.
2. The outline of the inserted body is hidden and visible. When the hand touches the base of the nose, the body is slightly shaken, that is, the silicone rubber bridge prosthesis that is placed is floating and shaking under the skin; the prosthesis is skewed, and the base of the nose is stepped. deformity.
3. After the operation, the skin on the back of the nose is hard, or the reflection is enhanced; the skin is discolored, white or grayish, with signs of skin necrosis; or small concave pits on the back of the nose.
4. Nasal hole deformation, excessive distraction of the nasal wing groove, blunt nose.
5. The silicone rubber nose mold is too long, the nose root peeling is not enough, the upper end of the model is placed in the subcutaneous cavity, the surrounding fixation is not strong, and the nasal end of the nose is suspended under the action of gravity, and the skin of the nose is raised and whitened for a long time. , hyperplasia, silicone rubber exposed when piercing the skin.
Diagnosis
Differential diagnosis
Differential diagnosis of poor nasal morphology:
1. Nose defect: Most of the nasal defects occur in traumatic or nasal tumors. Most of the injuries are bites, especially when they are bitten by rats, rabbits, pigs, etc., so parents should pay attention to the care of infants and young children. Because infants and young children have no self-defense ability, the nose and lips are not clean after eating or eating. Residual food odor, the nose protrudes from the surface, so the animal eats more frequently.
2, nasal column defect: small column defect is due to nasal trauma or infection caused by partial or total defect of the nasal column damage caused by the outcome.
