{"id":1664,"date":"2026-09-10T14:42:11","date_gmt":"2026-09-10T11:42:11","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1664"},"modified":"2026-09-10T14:44:18","modified_gmt":"2026-09-10T11:44:18","slug":"example-of-post-traumatic-nasal-reconstruction","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/","title":{"rendered":"Example of Post-Traumatic Nasal Reconstruction"},"content":{"rendered":"<p>After facial trauma, the problem is not limited to crookedness of the nasal bridge. Following an impact, the nasal framework may collapse, tip support may decrease, or the septum may become severely deviated. In addition to changes in external appearance, this may lead to complaints such as difficulty breathing through the nose, obstruction during exertion, reduced sleep quality, and recurrent crusting. A post-traumatic nasal reconstruction example therefore describes more than an aesthetic correction; it explains the process of rebuilding the supporting structures of the nose and the airway together.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130ndex<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#How_is_a_post-traumatic_nasal_reconstruction_example_evaluated\" >How is a post-traumatic nasal reconstruction example evaluated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#Why_can_the_problem_become_more_noticeable_years_later\" >Why can the problem become more noticeable years later?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#Surgical_plan_More_than_correcting_the_shape\" >Surgical plan: More than correcting the shape<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#Preserving_the_airway\" >Preserving the airway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#How_is_a_natural_appearance_targeted\" >How is a natural appearance targeted?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#What_should_the_patient_expect_after_surgery\" >What should the patient expect after surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#Is_every_traumatic_deformity_operated_on_immediately\" >Is every traumatic deformity operated on immediately?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/example-of-post-traumatic-nasal-reconstruction\/#Which_questions_should_be_asked_when_making_a_decision\" >Which questions should be asked when making a decision?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"How_is_a_post-traumatic_nasal_reconstruction_example_evaluated\"><\/span>How is a post-traumatic nasal reconstruction example evaluated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The following scenario is a representative example created to explain the treatment approach. A patient in their thirties describes collapse of the nasal bridge, deviation of the nasal tip to the left, and especially significant breathing difficulty on the right side after a motorcycle accident that occurred years ago. After the initial swelling subsided, the deformity became more visible, and the obstruction also increased over time.<\/p>\n<p>During examination, not only the externally visible crookedness is evaluated. The position of the nasal bones, the degree of deviation of the septum from the midline, the narrow airway regions called the internal and external nasal valves, the nasal tip cartilages, and skin quality are examined together. Endoscopic evaluation helps determine at which level the narrowing inside the nose occurs. When necessary, computed tomography may show accompanying sinus problems, old fracture lines, or more extensive bony deformities.<\/p>\n<p>This evaluation forms the basis of the surgical plan. Two traumatic nasal deformities with a similar appearance may not be corrected with the same method because the underlying problems may be different. For example, while collapse of the nasal bridge may result from bone loss in one patient, the main problem in another patient may be weakness of septal support.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_can_the_problem_become_more_noticeable_years_later\"><\/span>Why can the problem become more noticeable years later?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>During the first days after trauma, swelling, bruising, and tenderness may mask the true deformity. When fractured bones do not heal in the correct position or cartilage structures shift, the crookedness becomes more clearly visible as healing is completed. Especially if the septal support carrying the nasal tip has been damaged, gravity and the negative pressure created during breathing may cause the nasal tip to droop or the valve area to collapse over time.<\/p>\n<p>Persistent deformity may also be seen in patients previously treated with closed reduction, meaning that the fractured bones were repositioned during the early period. This does not necessarily mean that the first intervention was performed incorrectly. The severity of the trauma, the fragmented nature of the fractures, cartilage damage, and the way healing occurs affect the outcome. However, if persistent obstruction or deformity is present, reconstructive rhinoplasty may offer a more comprehensive solution.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Surgical_plan_More_than_correcting_the_shape\"><\/span>Surgical plan: More than correcting the shape<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the representative example, the aim is to straighten the crooked nasal axis, provide controlled support to the collapsed bridge area, and create sufficient airway width to allow the patient to breathe comfortably. These goals cannot be considered separately. Simply raising the nasal bridge aesthetically is not sufficient if internal valve narrowing continues. Similarly, correcting the septum does not always eliminate significant crookedness of the external framework.<\/p>\n<p>During surgery, <a href=\"https:\/\/www.gedizserin.com\/en\/does-the-shape-of-the-nose-change-with-deviation-surgery-used-in-the-treatment-of-nasal-congestion\/\">septal deviation<\/a> is corrected and cartilage tissues that can be preserved are carefully evaluated. If sufficient and strong cartilage cannot be obtained from the septum because of trauma, ear or rib cartilage may be considered for nasal reconstruction. Which source is appropriate depends on the amount of support required, the existing deformity, and previous surgeries.<\/p>\n<p>Ear cartilage may be useful in certain areas because of its softer and more curved structure. Rib cartilage may provide stronger structural support in complex cases with advanced collapse, severe support loss, or insufficient septal cartilage because of <a href=\"https:\/\/www.gedizserin.com\/en\/revision-rhinoplasty-the-art-of-experience-realism-and-harmony\/\">previous surgeries<\/a>. On the other hand, there is a separate healing process in the area from which additional cartilage is taken. This choice is made not simply to use more tissue, but when the nose requires a framework that can remain stable in the long term.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Preserving_the_airway\"><\/span>Preserving the airway<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>One of the common problems in traumatic deformities is internal nasal valve narrowing. This region is one of the narrowest airflow points of the nose. Septal deviation, weakening of the upper lateral cartilages, or collapse of the nasal bridge may narrow this area. In necessary cases, the surgeon may plan to open this region with spreader grafts or supportive cartilage techniques.<\/p>\n<p>Inward pulling of the nasal wings while breathing may suggest external valve insufficiency. In such a situation, nasal tip and alar support are rearranged. The goal is to create a nasal structure that looks natural at rest but does not collapse during deep breathing.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_is_a_natural_appearance_targeted\"><\/span>How is a natural appearance targeted?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In post-traumatic reconstruction, a natural result does not mean perfectly flawless symmetry. The human face is not completely symmetrical in the first place; the aim is to create a balanced nose that is harmonious with facial proportions, is not artificially narrowed, and does not give a surgical appearance when viewed from the outside.<\/p>\n<p>Skin thickness, facial bone structure, old scar tissue, and asymmetry caused by trauma affect the result. Small irregularities may be more visible under thin skin. With thick skin, the shape may take longer to settle. Therefore, although digital imaging or example photographs may help during consultation, they are not guarantees of the surgical result.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_should_the_patient_expect_after_surgery\"><\/span>What should the patient expect after surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the early postoperative period, swelling, bruising, and nasal obstruction may be expected. A protective splint may be placed over the nose; support materials inside the nose vary according to the procedure performed. During the first days, keeping the head elevated, <a href=\"https:\/\/www.gedizserin.com\/en\/what-should-we-pay-attention-to-after-rhinoplasty-surgery\/\">avoiding heavy exercise<\/a>, and following the prescribed care recommendations support healing.<\/p>\n<p>If the bony structures have been treated, careful protection from impacts is required during the first weeks. The use of glasses, sports, sun exposure, and travel plans should be evaluated individually. The first change in the external appearance of the nose is noticed after the splint is removed; however, this early appearance is not the final result. Especially at the nasal tip and in thick-skinned areas, it may take months for swelling to decrease.<\/p>\n<p>Improvement in breathing may also be gradual. Postoperative swelling and crusting may create a temporary feeling of obstruction during the early period. During regular follow-up visits, healing inside the nose is monitored and the necessary cleaning and care are planned. In reconstruction surgery, this follow-up process between the patient and surgeon is as valuable as the operation itself.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_every_traumatic_deformity_operated_on_immediately\"><\/span>Is every traumatic deformity operated on immediately?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The timing of evaluation is different in newly developed nasal fractures. Symptoms such as significant deformity, inability to breathe, ongoing bleeding, severe pain, changes in vision around the eyes, or clear fluid discharge require urgent medical evaluation. In the early period, some fractures may be corrected with more limited methods depending on the degree of swelling and the structure of the fracture.<\/p>\n<p>On the other hand, if months or years have passed since the trauma and the bone-cartilage structures have healed in an incorrect position, planned reconstruction may be the more appropriate approach. In this situation, waiting does not always mean neglect. Allowing the tissues to become stable enables the surgeon to analyze the deformity more accurately and establish a more predictable plan.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_questions_should_be_asked_when_making_a_decision\"><\/span>Which questions should be asked when making a decision?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The patient should receive answers not only to the question \u201cWill my nose look straight?\u201d but also to questions such as \u201cWhich structure is causing the problem in my airway?\u201d, \u201cWill additional cartilage be required?\u201d, and \u201cHow do previous trauma or surgeries affect the plan?\u201d In addition, the healing period, possible asymmetries, the need for additional procedures, and the anatomical limits of expectations should be discussed clearly.<\/p>\n<p>In complex post-traumatic cases, detailed examination, experienced surgical planning, and safe hospital infrastructure are decisive. As in Prof. Dr. Gediz Murat Serin\u2019s practice, evaluating functional and aesthetic goals within the same plan provides a more meaningful approach, especially in noses that have not been corrected previously or have advanced structural loss.<\/p>\n<p>The effects left by nasal trauma are different in every patient. A comprehensive evaluation performed at the right time is the first step toward addressing not only the change seen in the mirror, but also the expectation of comfortable breathing in daily life with a realistic and personalized plan.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>After facial trauma, the problem is not limited to crookedness of the nasal bridge. Following an impact, the nasal framework may collapse, tip support may decrease, or the septum may become severely deviated. In addition to changes in external appearance, this may lead to complaints such as difficulty breathing through the nose, obstruction during exertion, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1665,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1664","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1664","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/comments?post=1664"}],"version-history":[{"count":3,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1664\/revisions"}],"predecessor-version":[{"id":1668,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1664\/revisions\/1668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1665"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1664"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1664"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}