What Causes Nasal Bone Curvature? How is the surgery done?

Ear Nose and Throat Specialist Op. Dr. Hayati Kale gave information about the subject. With nasal bone curvature surgery, it is aimed to correct the structures that cause curvature in the nose, to improve the nasal airway and to create a nose with an aesthetic appearance. The anatomical structure that separates the nose from the midline is called the septum. The reason for most of the externally noticed curvatures in the nose is the curvature of the septum. There are many different techniques to correct septum curvatures. Which technique will be applied is directly related to the patient's nose structure and the problem to be corrected. The most important issue in nose surgeries is good pre-operative preparation. Incorrect determination of the technique to be used and the strategy to be followed during the surgery affect the success of the surgery. Why is nasal bone curvature surgery performed?

What causes nasal bone curvature?

Nasal bone curvature can be congenital or acquired. Subsequent curvature is caused by trauma or a previous surgery. Changes that occur after trauma in childhood become the natural structure of the nose with development. Therefore, there is a difference between acute traumatic deviations experienced in adulthood and deviations in the developmental period. The deviation in the septum is caused by the cartilage structures or the bony structure, in most cases a combination of the two elements to varying degrees. The septum can be oblique, curved, angled, bent, developed spur. For this reason, there is no routine or standard method that can satisfy the cause of the curvature. A tailored approach is required for each individual.

Why is nasal bone curvature surgery performed?

The main reason for performing nasal bone curvature surgery is to correct the curvature of the nose that obstructs the nose, affects airflow or impairs aesthetic appearance.

Sometimes, the nasal bone may need to be corrected during other procedures such as sinus surgery or removal of tumors located at the base of the brain. In addition, the cause of sleep apnea, snoring and acute sinusitis may be nasal bone curvature.

Those who suffer from severe nasal congestion, frequent nosebleeds or recurrent sinus infections, or those who think that their nose is aesthetically curved, can consult an otolaryngologist to find out the source of their problems.

How is the surgery done?

Nasal bone curvature surgery can be planned together with rhinoplasty surgery to improve the aesthetic appearance of the patient as well as to ensure proper breathing. For people who are satisfied with their aesthetic appearance, septoplasty surgery can be performed to restore the function of the nose without changing the external appearance. In short, how the surgery will be done is related to the patient's expectation from the surgery.

Some people may need external changes to help with breathing problems. For example, in a nose that has been traumatized for any reason in the past, cartilage grafts taken from the septum, ear or rarely the rib may need to be placed in the nose to improve the appearance and function of the nose.

Nasal bone curvature surgery is usually performed under general anesthesia. It takes about an hour or two. The patient can go home after the effect of anesthesia wears off. It may be necessary to stay away from work life for a week or ten days after the surgery to support the healing of the nose and prevent infection. This period varies according to the type and difficulty of the surgery performed.