Nasal edema
Introduction
Introduction Nasal root edema is a rejection of postoperative rhinoplasty. According to the rhinoplasty experts, there are many reasons for the sequelae of rhinoplasty. There are patients' own reasons, such as the bone structure is not suitable for rhinoplasty, and there are doctors. In addition, after the rhinoplasty surgery may also have the following complications: local edema, infection, skin bleeding, skin necrosis, incision splitting, incision healing disorders. But some of these sequelae, such as the nose spasm, can be avoided.
Cause
Cause
According to the rhinoplasty experts, there are many reasons for the sequelae of rhinoplasty. There are patients' own reasons, such as the bone structure is not suitable for rhinoplasty, and there are doctors.
1, prosthetic instability or skew after rhinoplasty: the implanted prosthesis contour is faintly visible, when the hand touches the nose, the implanted silicone rubber bridge prosthesis feels shaking under the skin. This situation is related to the doctor's surgical technique.
2, the prosthesis light transmission: rhinoplasty after the nose is enhanced, so that people can feel the presence of subcutaneous prosthesis. This situation is related to the color of the prosthesis.
3, false external dew: the performance of the prosthesis penetrates the nasal skin or the mucous membrane is exposed. It is related to the operation of the doctor.
4, rejection: manifested as nasal edema for a long time does not disappear, and there is a yellow liquid outflow from the incision. This situation is related to the personal physique of the beauty, and the use of autologous cartilage rhinoplasty may be considered.
5, the shape after the rhinoplasty is not ideal.
Examine
an examination
Related inspection
Nasopharyngeal MRI examination of otolaryngology CT examination
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.
Basic inspection:
1. Front nose examination.
2. X-ray nasal photos have clear sinus infection.
Further examination:
1. Nasal secretion smear to detect pathogenic bacteria.
2. Nasal secretions bacterial culture + drug sensitivity.
3. If necessary, virus inspection requires special cultivation, separation and identification.
Diagnosis
Differential diagnosis
Differential diagnosis:
Nasal hypertrophy: It is one of the symptoms of rosacea, slag nose, also known as rosacea acne, rose acne, wine (chapi) nose, rosacea and so on.
Turbinate swelling: is one of the symptoms of chronic simple rhinitis. Examination showed swelling of the bilateral inferior turbinate, the surface was smooth and moist, and it was dark red. Old and frail and anemia, hypothyroidism, only see swelling and no congestion. The inferior turbinate mucosa is soft and elastic, and is exposed by the probe, and the probe can be immediately restored after being removed. The nasal cavity is not easy to see through the mucosal swelling, only the thick secretions can be seen between the inferior turbinate and the nasal septum and the nasal floor. The nasal mucosa responds well to the vasoconstrictor.
Nasal vestibular cyst: located under the skin of the nasal vestibule, the anterior and lateral side of the piriform hole, and the cystic mass in the soft tissue of the maxillary alveolar process. It can be divided into a retention cyst and a spherical jugular cyst that develops from the residual epithelium of the embryonic stage.
