Q. I’ve had a crooked nose since I was young... is surgery possible?

Q. When I was in elementary school, I was hit hard on the nose by a soccer ball, and after that my nose became crooked.

It has remained crooked as I grew up, and my rhinitis is so severe that I want to correct the crooked nose.

I’m wondering whether surgery is possible and whether it could help.

A.

This appears to be a case of a patient with a crooked nose accompanied by rhinitis.

There is a possibility that trauma during growth (a history of being hit by a soccer ball) caused a nasal bone fracture and septal fracture, leading to the crooked nose, or that it worsened an existing crooked nose.

Based on the condition you described, there is a high possibility of concomitant septal deviation (crookedness inside the nose),

and it seems likely that septoplasty would be needed not only for cosmetic purposes but also for functional reasons.

In general, cosmetic crooked-nose correction surgery and functional nasal surgery for a crooked nose are performed as follows.

1. If there is septal deviation -> Septoplasty

2. If there is nasal valve stenosis -> Nasal valve reconstruction surgery

3. If there is rhinitis -> Rhinitis surgery

4. Correction surgery for a crooked nose -> Septoplasty, nasal valve reconstruction, osteotomy, etc.

In addition, a crooked nose and/or septal deviation that has developed over a long period of time

has limited improvement that can be achieved without surgery (for example, injection-based correction).

For an accurate diagnosis, it is best to visit a hospital and receive a comprehensive evaluation including nasal endoscopy, examination and consultation with a specialist, and symptom assessment.