Crooked nose: ways to correct the defect. All the subtleties about the procedure for straightening the nasal septum Straightening the nose

The nose is an organ on which human comfort directly depends. As soon as his work is disrupted, it is no longer possible to breathe normally, and, therefore, to do the usual things. Often the cause of such problems is the deformation of the septum. This defect is most effectively corrected by an operation, but not everyone decides on it, fearing the consequences. The good news is that there are other methods by which you can normalize the respiratory function.

How is the human nose

The nose has three sections: the external nose, the nasal cavity and the paranasal sinuses. The outer part consists of bones and cartilage. The cavity is located between the eye sockets and the mouth. It is divided by a partition into two halves. The septum itself (aka the medial wall) is formed by cartilage and bone tissue. The paranasal sinuses are four pairs of cavities around the nasal cavity, connected to it through small openings.

Causes of deformation and displacement of the nasal septum

The reasons for changing the shape of the septum are divided into physiological, traumatic and compensatory. Physiological curvatures are associated with uneven growth of cartilage and bones. Bruises received in fights, while playing sports, etc. lead to traumatic displacements. Compensatory deformities are associated with an increase in shells, foreign objects entering the nasal cavity, and the appearance of polyps. As a result, there is pressure on the plate, and it is displaced.

Types of curvature of the nasal septum

Septal deformation is classified into several types. In shape, it is divided into C-shaped, S-shaped, comb-shaped, spike-shaped, or a combination of these types. By localization, it can be located in the anterior, posterior or lower part of the nose.

Signs of curvature

A number of signs testify to the deformation of the septum. Their severity depends on the type and degree of displacement. In serious cases, the pathology can be seen with the naked eye, and in some people, due to the structural features of the body, symptoms may be completely absent. An ENT specialist should diagnose and cure the defect.

The following phenomena speak of the irregular shape of the partition:

snore;
labored breathing;
runny nose;
dry mucous membrane;
nosebleeds.

Violation of air circulation creates ideal conditions in the nasal cavity for the development of inflammatory processes in the paranasal sinuses and middle ear. Some people experience an exacerbation of allergies, up to the onset of bronchial asthma. In severe cases, hypoxia affects internal organs, primarily the lungs and heart.

Ways to correct the shape of the nose without surgery

Before prescribing treatment, the doctor, using an examination and a series of procedures (radiography, tomography, rhinoscopy), determines the degree of deformation. With a significant curvature, the only option is surgical correction, since only this method can restore the correct anatomy of the nose. Indications for surgery are impaired respiratory function, persistent colds or allergies, and inflammation in the sinuses, middle ear, or Eustachian tube.

For most people, a curved partition practically does not cause serious inconvenience. They can not straighten it with the help of surgery, but get by with more gentle methods: laser correction, medicines, clips, massage, breathing techniques.

Straightening with laser chondrocorrection

The main alternative to classical surgery is laser correction. This is a minimally invasive procedure that takes place without violating the integrity of the mucous membrane. The cartilage is heated by the laser and becomes flexible enough to be shaped properly.

Despite the advantages, the procedure also has significant disadvantages. This is a relatively new technique, so there is no research on how it affects the patient in the distant future. It is advisable to use it if the deformation has affected the cartilaginous part, it is impossible to align the bones in this way. Also, this procedure is very expensive.

Medical alignment of the nasal septum

Deformation does not always affect air circulation. When prescribing treatment, the degree of difficulty in breathing is taken into account, and not the curvature of the cartilage and bones. It is possible to normalize the work of the nose not only by surgery, but also by medicines. The patient is prescribed decongestant tablets or drops, antihistamines if allergic, and steroid sprays to relieve inflammation.

Medicines affect only the mucous membrane, therefore, congestion is eliminated in this way, but the correction of the nasal septum is impossible without surgery or chondrocorrection. The method also has disadvantages. With frequent instillation of vasoconstrictor drugs, a regular vasospasm occurs. The body includes a compensatory mechanism, tissues begin to grow and thicken. As a result, breathing becomes even more difficult, and the person is forced to use the medicine more often, which only accelerates the hypertrophy of the mucous membrane. Only correction will help to get out of the vicious circle.

Correction of a defect with folk remedies at home

It is possible to normalize the work of the nose without resorting to surgery or medicines with a high price. Eliminate swelling of the mucous drops from beetroot or honey decoctions, it will become easier to breathe after special exercises and massage.

Application of breathing techniques

You need to do gymnastics outdoors or in a room with good ventilation. For nasal congestion, it is recommended to pre-use drops. Before performing the exercises for two to three minutes, you need to take deep breaths with a breath hold.

Exercise "Palms" is done standing or sitting. Hands raised to chest level and bent at the elbows, palms facing forward. A sharp breath through the nose and mouth, at the same time fists are clenched. As you exhale, open your fists.
Exercise "Eight" is performed while standing, feet shoulder-width apart. While inhaling, bend forward as far as the stretch allows, freeze and hold your breath. Exhale after 5 seconds and return to the starting position.
The starting position for the “Vacuum” exercise is to stand, leaning slightly forward, put your palms on your hips. Inhale deeply through the nose, on a sharp exhalation, draw in the stomach as much as possible and stay in this position for 10 seconds.

Curvature treatment with massage

When performing soft circular movements, blood begins to flow intensively to the nose, which leads to a local increase in temperature, removal of edema and elimination of congestion. For a greater effect, it is recommended to apply a cream with propolis to the skin before the massage.

Features of the treatment of displacement of the nasal septum in children

Septal deformity is common in children under four years of age, because at this time the facial bones are too fragile, and even minor damage leads to displacement of the cartilage. Often, the baby's nose suffers during childbirth. In addition to mechanical causes, pathology can be congenital. This occurs if, during ossification of the skull, the septum continues to grow.

Signs of a deviated septum in children are the same as in adults: nosebleeds, runny nose, snoring, in severe cases - mouth breathing.

If any of these signs are present, it is necessary to take the child to an otolaryngologist who will diagnose and prescribe treatment. Usually they manage with drug therapy aimed at normalizing breathing. Surgically, the displacement of cartilage and bones in children under sixteen years of age is rarely eliminated, since the skull has not yet formed. The operation is resorted to only with a strong curvature.

In order not to aggravate the condition of a child with a crooked partition, his room should be well ventilated. Also, children with a similar pathology should avoid colds so as not to additionally burden the respiratory system.

How to prevent a deviated septum

There are no preventive measures against a congenital septal defect. Only mechanical damage that provokes deformation can be avoided. To do this, you need to follow safety precautions when practicing traumatic sports (martial arts, ball games) and avoid conflicts with other people that can spill over into a fight.

Summing up

A deviated septum does not bother many people. But if it significantly complicates breathing, treatment should be taken immediately. Tightening will lead to chronic runny nose, hypoxia and disruption of the internal organs. Non-surgical methods of treatment, although considered less effective, can normalize the functioning of the nose and return a person to a comfortable life.

Dear readers, if you yourself have encountered a similar problem and successfully overcome it, and also know other methods of how to fix the nasal septum without surgery, we will be happy if you share your experience in the comments.

Today, attractiveness in the eyes of other people comes to the fore. According to statistics, most people who are unhappy with their appearance want to change the shape of their nose. However, not everyone dares to take this serious step. The cost of correction, fear of surgery and a host of other reasons stop people. Modern medicine is now at a high level, and correcting the shape of any organ is not a problem. There are several ways, which we will discuss in detail in our material.

imperfect nose

It is worth noting that the desire to improve one's external qualities is not the only possible reason for the operation. In some cases, surgical intervention is justified by the practical side. For example, a person has an irregularly shaped nose from birth, or in the process of life, the septum is bent, which makes it difficult to breathe. Plastic surgery helps people not only correct their appearance, but also get rid of problematic pathology.

A qualified specialist will be able to eliminate the consequences of serious injuries, burns, frostbite, etc. However, it must be said that the lion's share of plastic surgery clinic patients go under the knife due to dissatisfaction with external data. How to straighten the nose? It depends on the desire of the client and the presence of contraindications from a medical point of view. Often, the patient wants to remove the hump, change the tip of the nose, lowering it or raising it, reduce the nostrils or adjust the back of the organ.

How does it work in practice?

Many women who desire but fear surgery take a different approach. If a slight adjustment is needed, this can be achieved with the proper use of cosmetics. It is not necessary to allow the intervention of surgeons if the issue is one millimeter. To create the most suitable image, the girl needs to experiment with toners. As a result, sooner or later, the representatives of the weaker sex find the best option for themselves and refuse the operation.

But if the essence is to eliminate the consequences of injuries or damage, the only right decision will be surgical intervention. Can a broken nose be straightened? Obviously yes. The operation is guaranteed to help, but not everyone is ready to accept it. Although there are now a large number of less painful and traumatic options than before.

Nose correction visually

At the moment, a huge number are functioning and you can easily mask the disease. An experienced makeup artist will cope with this problem with a few brush strokes. It is better to seek advice once and then perform this procedure at home than to do it unprofessionally. The above works if the curvature is minimal and does not affect health problems in any way.

The main thing in disguise is the accuracy and thoroughness of shading the foundation. Otherwise, instead of a chiseled nose, you can end up with a visually dirty face with large spots of blush. It will help to reduce the nose and the correct shape of the eyebrows, and a voluminous hairstyle. Another issue is that you will not go to the salon every day. Here, each person decides for himself which correction method to choose.

Can you straighten your nose without surgery?

If the visual masking of the disease is not suitable for the patient, and he is simply not ready for surgical intervention, you can stop at the golden mean. This is a non-surgical correction of the curvature. To do this, use the injection of fillers. The result in most cases exceeds the expectations of skeptics: the asymmetry of the nose is corrected, the tip changes, and the hollows are filled.

How to straighten the nose in this way? Fillers based on hyaluronic acid or collagen are often used. In some situations, doctors recommend using the patient's own adipose tissue. This medical procedure is called lipofilling. Rhinoplasty without surgery is primarily aimed at a slight change in the shape of the nose. That is, it will not work to correct large flaws or reduce the size of the organ. This method is less traumatic than surgery, in addition, general anesthesia is not required. It is noteworthy that the rehabilitation period is quite short, after a week the patient returns to normal life.

Surgical intervention

Changing the shape of the nose is considered a very complex and delicate work. Not every surgeon is able to perform an operation at the highest level. The main difficulty is that the doctor has to work not only with soft tissues, but also with bone and cartilage. The specialist must preserve all the functions of the nose, while changing it externally.

Modern medicine allows the use of methods that are distinguished by minimizing injury. You can not be afraid of scars, because the operation is performed through the internal mucous membranes of the organ. An open type of rhinoplasty is used only if a large-scale intervention is to be performed. How to straighten the nose?

The surgeon first makes a skin incision in the area of the septum, which is located under the nose. Then, with the help of special tools, the form is directly corrected. At the end, sutures are applied if necessary, and after the healing of the wounds, a small scar remains, which is very difficult to notice.

laser therapy

No one forbids straightening the nasal septum with a laser, but this method is effective only for simple deformities in the cartilaginous region. The bottom line is this: the surgeon directs the laser to the curved cartilage, which gives it a new shape. There are many advantages of this type of therapy (no bleeding, quick rehabilitation, reduced pain), but in the presence of complex curvatures, this method is pointless to use.

Where to straighten the nose and how much does it cost? There are many specialized plastic surgery clinics where they can correct absolutely any curvature. On average, an operation to eliminate problems with a septum will cost the patient ninety thousand rubles. Other types of work, such as correcting the curvature of the nose, are even more expensive. The specific method is chosen by the attending physician on an individual basis. In order to avoid unpleasant consequences, it is recommended to visit clinics with a high level of reputation.

Deviations in the shape of the nose from the accepted classical standards can provoke many different inconveniences. The presence of humps is associated with a negative perception of appearance. This can lead to various kinds of problems.

It is a consequence of the deformation of the cartilaginous or bone tissue that makes up its frame. Often, the pathological process is characterized by a curvature of the nasal septum, which leads to respiratory failure. The result of the pathological process is the drying of the nasal mucosa.

The question worries so many people who suffer from a similar problem. This will be discussed in the review.

Feature of the operation

How to straighten the nose - this question worries a lot of people, since this is not only an aesthetic problem, but also causes a lot of inconvenience, as it greatly complicates nasal breathing. The main operation is rhinoseptoplasty.

The peculiarity of treatment is determined by the nature and intensity of the damage. In case of a fracture without displacement, sutures are simply applied, and in case of a complex injury, surgery is required.

Plastic surgery helps to straighten the nasal septum in order to eliminate functional disorders and improve the shape of the nose. The essence of the intervention is the excision of fragments of cartilage and bone, and then the subsequent reconstruction of the shape.

Rhinoseptoplasty allows a person to return full nasal breathing, eliminates risks for the ENT system, and also helps to create an aesthetically attractive image.

Key Interventions

To understand how to straighten your nose, you need to know what methods of operation exist. The development of modern technologies has made it possible to correct the existing deformity using a laser and using an endoscope. There are many varieties of classical septoplasty, namely:

redressing;
circular resection;
gentle intervention.

All these types of operations differ in the amount of cartilage left. Straightening of the nasal septum with a laser is one of the most modern and safest methods. A similar intervention is carried out in a polyclinic. In this case, the laser heats the cartilaginous tissue of the nasal septum, as a result of which it becomes soft and plastic. Then the cartilage is given the required shape and fixed.

This is a low-traumatic and bloodless intervention, which can only help with the curvature of the cartilaginous part. For many people, it is not suitable, since problems arise precisely with the bone department.

Endoscopic septal alignment is performed under an endoscope, which allows a more thorough examination of the curvature in the deepest parts of the nose.

Indications and contraindications for the operation

It is important to understand how to straighten the nose through surgery and what are the indications for this. A complex correction is required if, as a result of a fracture or injury, signs such as:

pronounced aesthetic defect;
chronic sinusitis or frequent rhinitis;
heavy nasal breathing;
snore;
spontaneous nosebleeds.

The operation is a complex, phased intervention on cartilaginous and bone tissues, therefore, general anesthesia is used.

However, it is worth noting that there are certain contraindications. If you need to straighten your nose, the operation is not prescribed if:

diseases of the heart and blood vessels;
asthma;
blood clotting disorders;
liver disease;
malignant neoplasms;
diabetes
allergies to painkillers.

It is very important to take into account possible contraindications in order to prevent the occurrence of complications.

Preparing for the operation

It is possible to straighten the nasal septum with the help of an operation, however, before this, serious preoperative preparation is required, namely, it is necessary to undergo such studies as:

radiograph;
tomography;
urine and blood tests;
blood chemistry;
coagulogram;
blood test for group and rhesus;
tests for syphilis and hepatitis;
fluorography.

If the patient has concomitant diseases, then the specialist should give his recommendations on the possibility of performing the operation. Analyzes and studies should be prescribed only by a specialist.

Operation

The nasal septum can be straightened with a special operation - septoplasty. It is carried out in the department of otorhinolaryngology. On the night before the intervention, it is forbidden to eat food, it is only allowed to drink some water. Septoplasty is performed under local or general anesthesia. If the patient has chosen local anesthesia, then 1 hour before the intervention, he is given sedatives.

Initially, the doctor anesthetizes the nasal cavity with an anesthetic solution. Then it is injected with a syringe into the mucous membrane. Then an incision is made from the most curved side, and the doctor begins to slowly exfoliate the mucosa and perichondrium, continuing anesthesia as needed.

Then the cartilaginous part is removed, after which the doctor knocks down the spike with a hammer or chisel, which provoked the curvature. The incision is sutured, and gauze tampons are placed in the nostrils, fixing the septum in the desired position, as well as to eliminate bleeding.

The intervention itself lasts for 1 hour - depending on the type of anesthesia and the characteristics of the nasal septum.

Rehabilitation and recovery period

Many are interested in how much it costs to straighten the nose after a fracture and how exactly rehabilitation is carried out. The cost of treatment largely depends on the scale of the tasks, as well as the drugs used. Estimated price is 95-250 thousand rubles.

The length of the recovery period after the operation depends on factors such as:

carrying out the scope of the intervention;
surgical access;
individual characteristics of the patient;
provided postoperative care.

With open access, an external skin incision is made at the base of the nose. This greatly simplifies the course of the operation, and also allows a more accurate assessment of the required corrective actions.

With a standard classical intervention, the recovery period will be longer than with an endonasal approach. For a longer time, edema will persist in patients with a thick layer of skin.

In the postoperative period, it is imperative to follow certain recommendations. It is forbidden to remove tampons from the nose on your own, despite the fact that it will be somewhat difficult to breathe through the mouth. The first few days you need to limit yourself in nutrition and exclude all solid foods.

After the operation, a course of antibiotics is prescribed to help prevent the development of an inflammatory reaction. In the first 3 days, it is recommended to take painkillers and hemostatic agents. Keep in mind that normal breathing is restored within a few weeks.

How to avoid complications

It is very important to know where you can straighten your nose, since the likelihood of complications largely depends on the correct choice of clinic. Experts recommend choosing specialized clinics for plastic surgery, and you also need to first read the reviews of patients.

After septoplasty, various complications can occur, in particular, such as:

bleeding;
infection and inflammation;
the formation of adhesions;
scarring;
hematoma;
perforation of the septum.

Each of these complications requires the adoption of certain measures, namely:

when bleeding, hemostatic agents are introduced;
adhesions are dissected with a scalpel;
with an infection, antibiotics are indicated;
a hematoma puncture is performed with a pressure bandage applied.

It is impossible to avoid the occurrence of complications, it is only possible to reduce the likelihood of complications by strictly observing all the doctor's instructions on the regimen and care of the postoperative cavity.

Many are dissatisfied with the shape of their nose, but do not dare to go under the knife of a plastic surgeon for correction. That is why they are interested in how to straighten the nose without surgery and what methods of non-surgical correction exist. Fillers have gained great popularity due to minimal complications, low injuries, and a high degree of effectiveness.

There are several types of fillers, therefore, you can choose the required option depending on the indications and the expected result. These are special preparations for injection, which are used by cosmetologists as fillers to correct various defects. With the help of such tools, you can smooth out the hump, correct asymmetry, remove bumps and hollows of the nose. There are several types of fillers, namely:

biodegradable;
bioindegradable;
autologous.

Biodegradable are introduced for a short period of time, over time they are smoothed out and gradually removed from the body. These include fillers based on hyaluronic acid and collagen. They are able to maintain the shape of the nose for 2 years. These fillers have practically no contraindications and have a beneficial effect on the skin.

Bioindegradable fillers do not decompose in the human body, as they do not react with it. These drugs are based on synthetic gels, the most famous of which is silicone. Fillers of this group maintain the desired shape of the nose much longer without surgery, but have some contraindications, as they can provoke tissue fibrosis.

Autologous fillers are characterized by the fact that the drugs used are based on a person's own adipose tissue. The period of correction largely depends on the characteristics of the person himself, and the risk of rejection is minimal.

All these types of non-surgical nose correction are performed strictly on an outpatient basis using local anesthesia. The procedure takes approximately 40 minutes. Almost immediately, a person can go home. The recovery period is approximately 1-2 days. Despite the seeming simplicity and safety of the correction, these procedures have a number of contraindications, which is why it is imperative to consult with specialists before performing them.

Changing the nose with hormones

This method is based on the fact that excess soft tissues are dissolved with the help of specially selected hormonal agents. This allows you to straighten the crooked nose very quickly and effectively and prevent complications.

Glucocorticosteroids are used as the active substance. It is a synthetic analogue of the hormones of the adrenal cortex. It is worth remembering that injections are carried out for several weeks. At the same time, it is important to strictly observe the period of their administration and dosage of the drug, since otherwise there may be a reverse effect.

If you strictly follow all the doctor's instructions, you can achieve a very good result and eliminate existing nose defects.

Splint application

If a nose fracture occurs, only a doctor can determine how to straighten it, since it all depends on the degree of complexity of the damage. Quite often, a rhinocorrector is used. Such a device is a structure made of plastic and plaster. It creates pressure on a certain area of the nose, thereby changing its position.

Now there are quite comfortable splints made in the form of clips that can be put on and taken off. This is a rather lengthy way to change the shape of the nose. To achieve a sustainable result, they will have to be worn for at least 6 months. It is also worth remembering that there are a number of contraindications for the use of these funds.

Application of threads

Such devices help to correct the shape of the nose. The essence of the procedure is that with the help of a special needle, the surgeon makes small punctures and threads a special thread through them. After that, it is fixed. Among the main advantages of such a correction, it is necessary to highlight:

minimal risk of injury;
prevention of complications;
painlessness;
anesthesia is local.

When carrying out such a procedure, the tissues of the nose are not affected in large quantities. You can not be afraid that a significant amount of tissue will be removed, as in the case of an operation. It is worth noting that there is a possibility of the formation of keloid scars.

Conducting exercises

How to straighten a broken nose at home without injections and operations - this question worries a lot of people. It is worth noting that this can only be done if the injury is not very serious. In any case, it is recommended to first see a doctor who will determine the nature of the damage and the possibility of non-surgical correction.

Answering the question of how to straighten your nose at home, we can definitely say that this can only be done with the help of special exercises. Such a technique is really able to give accuracy to the nose and veil the existing shortcomings.

Exercise should be done several times a day. The more often they are done, the faster you can achieve the desired result. To straighten the nose after a fracture, you need to place your fingers on both sides of the tip and turn it in the direction you want to correct. After that, you need to pull the lower lip. After a few seconds, you can relax.

Knowing how to straighten your nose at home with the help of special exercises, you can achieve a very good result, but it is worth remembering that the effect may be short-lived. That is why you need to deal with it even when the situation is completely corrected, since everything can quickly return to its original state.

Can you straighten your nose with yoga? This question worries many, since not everyone wants to immediately resort to radical methods. Yoga uses the technique of inhalation and exhalation. Repeat breathing exercises regularly several times a day. It will take a lot of time to see the desired result, however, it is really impressive.

Correction of the nose with makeup

If there is no desire and opportunity to perform an operation, inject injections, use special devices or perform a set of exercises, then you can try to visually straighten your nose at home with the help of cosmetics.

To achieve the desired result, a play of chiaroscuro is used, with the help of which the required surfaces are highlighted and imperfections are smoothed out. In addition, you need to make an appropriate emphasis on other parts of the face.

The human body is symmetrical, its right and left halves (if you do not take the internal structure) can be reflected in a mirror passing in the sagittal plane.

Therefore, all structures that meet in the middle line experience "increased responsibility."
This is clearly seen in the example of the nasal septum. It can experience deformation during fetal development, as well as be affected by injuries and various diseases.

Therefore, a disease such as deformity of the nasal septum is quite common in people of different races, nationalities and ages.

It, in turn, is capable of causing various problems not only with nasal breathing, but also many other disorders.

What causes deformity of the nasal septum? What if the "nose is crooked" so to speak? Can this bone defect of the nasal septum be cured without surgery, or is surgery always necessary to correct it?

What is the nasal septum

In the beginning, some information from the anatomy. The nasal septum, as it is easy to imagine, divides the nasal cavity in a vertical plane into right and left symmetrical halves. Air enters them from the left and right nostrils, respectively, so inside the nasal cavity the inhaled air is divided into two isolated streams and sent further. What is a nasal septum? - this is simply the inner, median (or medial) wall of the nasal cavity.

It consists of the following strong and elastic formations:

The upper jaw, which on its palatine process has a crest of the nasal septum;
Plates of the ethmoid bone;
The vomer is an unpaired bone that forms the basis of the septum.

These are bones, but the septum also contains an elastic element - the nasal cartilage in the form of an irregular quadrangle, which continues the septum in the anterior sections and takes part in the formation of the movable part of the back of the nose, below the bridge of the nose.

This is the supporting structure of the nasal septum. It must be remembered that there is a mucous membrane outside, richly supplied with blood vessels, to warm the incoming cold air. On the surface of the mucous membrane there are glands that produce a secret. The mucous and deeper layers of the septum are innervated by various sensory and secretory parasympathetic branches of the cranial nerves.

The main function of the partition is to work with air flows and their correct distribution, cleaning, moisturizing and warming.

Since the hardness of the nasal septum increases from the surface of the cartilage into the depths of the skull, curvature is much more common in the front, and in the posterior sections of the septum, deformation is almost always absent.

The curvature is different: in the vertical plane it can be convex, (one-sided), or S - shaped. Structurally, the curvature can be a significant deformity, like a spike or ridge. Sometimes bony thorn in the nose or the crest "cuts" into the lateral wall of the corresponding turbinate.

There are frequent cases of complex curvature, when the wall is not just changed, but "twisted" in several planes. In the event that the deformation captures the anterior sections and elastic cartilage, then its dislocations are possible, and even its partial or complete separation from the bones. Of course, this happens in depth, and on the outside, the mucous membrane “masks” internal disturbances.

The degree and type of curvature "give the key" to the complications, symptoms and type of treatment tactics.

How to determine type of curvature? For this, it is not enough to collect complaints, you need rhinoscopy (anterior and posterior), which is carried out by an ENT doctor at an outpatient appointment in a clinic. Comprehensive information can be given by magnetic resonance imaging with the construction of a three-dimensional image of the entire nasal cavity.

What are the shapes of the nose?

Everyone knows that different people have a different structure of the external nose. But not everyone knows that its internal structure varies significantly, and the shape depends not only on the bones, but also on the configuration of elastic cartilage.

Since the nose is a "one-piece anatomical structure", its appearance consists of the shape of the bridge of the nose, wings, tip of the nose, nostril incision and back of the nose. It is these details that make it possible to distinguish a proud Roman profile from a “potato nose”.

The simplest classification of nose shapes includes the following main types:

straight nose (the back is also straight);
snub-nosed (concave back);
aquiline nose (back with a hump).

A separate, rather rare type of nose is "Greek". A feature of this form is the absence of a notch on the bridge of the nose, that is, the back of the nose is a continuation of the forehead.

The nose of the kids is low, and wide, with a “button”. Then, by the age of 10, the shape of the nose acquires a genetic outline with the growth of the skull.

The medial wall of the nasal cavity is also related to the shaping function. : nasal septum removal , especially in the anterior, cartilaginous part, can affect the overall configuration of the nose.

Why is the displacement of the nasal septum

All the variety of causes of the curvature of the nasal septum can be divided into several groups:

physiological causes - that is, associated with the development of the bones of the head, due to heredity;
injuries of the skull and nasal structures;
compensation.

Nose deformity due to physiological reasons, it occurs due to the uneven growth of its various departments. It is similar to the curvature of the trunk of an apple tree, changes occur slowly over many years, and such "surprises" end by adulthood.

Trauma is a common cause of sudden curvature, especially in males due to known causes. After a blow, which usually falls sideways, not only the cartilages are displaced, but with great force the central structures of the nasal cavity are also displaced.

In addition, after an injury, a hemorrhage may form, which may not “dissolve”, but be organized. Such a post-traumatic hematoma of the nasal septum can lead to a significant deformation of the medial wall of the nose over a large area.

Compensatory causes are a diverse group of different diseases that lead to deformity:

catarrhal inflammation of the nasal septum (chronic rhinitis, vasomotor rhinitis);
sinus polyposis, tumors. In the case of pronounced growth, they are able to disrupt the air flow. In order to restore it, a slight curvature of the nasal septum occurs first, and then a more pronounced one;
constant congestion on the one hand;
purulent diseases of the nasal cavity, for example, an abscess of the nasal septum.

It is very important to understand why the nasal septum is shifted in a timely manner for choosing a treatment. Source: website

Symptoms Caused by Curvature

Signs of deformation of the septum are different. But the most typical symptoms are:

it is difficult to breathe through the nose: more often than one nostril;
constant runny nose, nasal congestion;
allergic rhinitis. It is associated with the constant mechanical action of the partition on the adjacent, side wall;
symptoms associated with dry nasal mucosa: pain, redness, swelling;
frequent nosebleeds;
possible night snoring and periods of sleep apnea (temporary stops in breathing);
more frequent cases of SARS and other respiratory infections;
signs of chronic inflammation in the middle ear, larynx and pharynx (otitis media, laryngitis).

Does nature have preferences when choosing the side of the nasal cavity? Is it more common on the left side or on the right side? According to the existing statistics, there is no definite trend. There is some curious detail that may make it clear why most of the queries on the Internet are specifically for left-sided curvature.

Yes, simply because most doctors - otolaryngologists - are right-handed, and with anterior rhinoscopy it is simply more convenient for them to examine the patient's left nostril, which will be on their right, since the patient sits facing them. After all, it is in the right hand that the doctor holds the nasal mirror, and at the same time the wings of the nose are on the left and do not block the picture. That is why the doctor can see smaller and more insignificant changes.

Submucosal resection of the nasal septum

How is the nasal septum straightened? Most often, with this pathology, an operative method of treatment is used. One of the most common operations is the resection of the nasal septum.

This name is given because this operation is organ-preserving: the mucous membrane is preserved, and after the operation it is “put in place”, as a result, the septum simply becomes thinner.
Many patients ask when to have surgery. To understand this, we list the indications for this intervention:

Deviated septum - consequences

The consequences of deformation in each individual case are difficult to predict. As a rule, they depend on a combination of many factors: age, degree of curvature, concomitant diseases. The most clinically significant are the following conditions:

Deterioration of gas exchange in the lungs, as the air in the nasal cavity is moistened, cleaned and warmed. Not fully warmed air can cause spasm of small bronchi, and in the presence of concomitant factors, cause bronchial asthma;
Reduced mucus production leads to a decrease in the amount of immunoglobulins in the nasal cavity, which makes the body susceptible to infections;
Violation of nasal breathing can cause a reflex cough (if you breathe through your mouth all the time, dryness of the larynx and ligaments develops);
Headaches, migraine symptoms, and other manifestations of insufficient oxygenation may occur. If a patient before problems with the nasal septum had, for example, a lung resection for tuberculosis, or he suffered from emphysema, then due to the deformity of the septum, he may begin to experience shortness of breath.

In the event that a deviated septum prevents an obese person with hypertension and atherosclerosis from sleeping, spontaneous cessation of breathing during sleep can lead to a stroke and sudden death, so this disease cannot be underestimated and the consequences are only local.

Treatment without surgery

Of course, the largest number of patients with this pathology do not immediately go to the doctor, but only with the accumulation of complaints and a far advanced process. Then the operation is inevitable.

Only in the event that the deformation has occurred in small volumes, and does not cause significant violations of ventilation, can one “not go under the knife”. It is in such cases that there is a chance to straighten the nose without surgery.

How to align the nasal septum in conservative ways?

In the event that there is a curvature of the nose after an injury, then within a few hours or even a day, you can “put” the septum in place with special elevators. This is done without any cuts.

The second way to fix a crooked nose without surgery is laser septochondrocorrection. It is applicable so far only in the case of anterior deformities, or in the case when a significant part of them falls on the cartilage.

This is possible because the laser is capable of bloodlessly vaporizing cartilage defects, but its power is not enough to do the same with bone tissue. In a sense, this type of treatment can be called a "bloodless" and "non-contact" operation. For most patients, this is perfectly acceptable.

The second name of this operation is laser thermoplastic. It is applied in the event that the elastic cartilage can be put in a normal position. For example, by simply pressing on it with your finger. If the finger is released, the elastic cartilage will come back again.

To fix it and give it rigidity, it is heated with a laser.

The operation on the nasal septum itself is carried out within a matter of minutes, and for anesthesia it is enough to drip a spray of lidocaine so that it does not hurt. After the operation, the patient is inserted into the nose with a tampon to fix the cartilage and is allowed to go home. The tampon is removed the next day. That's all.

We continue to say what to do if the nasal septum is curved. This time - about the methods of treatment, the effectiveness of the operation and its risks.

ARTEM CHEKHOVSKY

doctor with deviated septum

What are the complications

Postoperative bleeding.

If the surgeon removes too much of the septum, a hole may appear between the nostrils.

Loss of smell.

Infection and prolonged healing of the postoperative wound.

Will septoplasty change the shape of the nose?

Septoplasty is done to correct the shape of the nasal septum. The operation usually does not affect the shape of the nose. But there are 2 situations where this can happen.

The surgeon removed too much of the septum. The frame disappears at the nose - it “sags” or leans to one side. This complication of septoplasty occurs in 0.4-3.4% of cases.

The cartilage was twisted too much. Then the surgeon can put the cartilage “in place” during the operation and improve the appearance of the nose.

Left: The cartilage is so curved that it can be seen in the mirror. Right: smooth septum after septoplasty / Photo: nos-zdorov.com

What's with the seam? I don't want a scar on my nose!

Usually, during a septoplasty, the incision is made inside the nasal cavity. The scar in this place is not visible.

In rare cases (severe trauma, combination of septoplasty and rhinoplasty), the incision is made under the tip of the nose. A small scar will remain here, which can be seen if you raise your head high.

Left: nose before septoplasty. Right: nose after septoplasty with a small scar under the tip of the nose / Photo: blizko.ru

What will happen after the operation?

At the end of the septoplasty, the nasal septum needs to be fixed with something. For these purposes, turundas or splints are used.

Turundy- This is gauze that doctors put in the nose after surgery. They put pressure on the nasal mucosa, which prevents bleeding and prevents the septum from “moving out”. Breathing through turundas will not work.

Through the nostril, gauze 50-70 cm long is inserted into the nasal cavity. Her ends remain outside / Image: pikabu.ru

Splints- these are spacers made of silicone or teflon. They squeeze the septum from both sides and prevent it from bending again. In function, it is similar to plaster: splints fix the cartilage and bone while the septum fuses in the middle of the nose. Inside the splints there is a hole through which you can breathe.