Post-Surgery Changes in Nasal Structure and Scarring - Otolaryngology

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Hello, doctor: A few years ago, I underwent surgery due to severe nasal congestion.
After recovery, will there be any scarring or changes in the structure of my nose? Recently, I visited an otolaryngologist due to discomfort, and after examining my nose, the doctor immediately asked if I had undergone nasal surgery.
I was quite surprised! The doctor could tell just by looking that I had surgery.
Thank you for your response.

Ai Mi, 20~29 year old female. Ask Date: 2008/04/17

Dr. Hu Kexin reply Otolaryngology


Hello: After some nasal obstruction surgeries, otolaryngologists can easily identify the changes.
It's mostly not due to scars, but rather the alterations in anatomy.
Because otolaryngologists are professionally trained, they can tell at a glance if you have undergone surgery, so there's no need to be too surprised! Dr.
Huxin.

Reply Date: 2008/04/17

More Info


Understanding post-surgery changes in nasal structure and scarring is a crucial aspect of recovery for patients who have undergone nasal procedures. When a patient undergoes surgery for issues like severe nasal obstruction, the surgical intervention can indeed lead to changes in the nasal anatomy and potential scarring.
Firstly, it is important to understand that the nasal cavity is a complex structure composed of various tissues, including cartilage, bone, and mucosal lining. Surgical procedures, whether they involve correcting a deviated septum, reducing turbinate size, or other interventions, can alter these structures. The changes may not always be visible externally, but they can significantly affect the internal architecture of the nose.

Scarring is a natural part of the healing process. After surgery, the body initiates a healing response, which includes the formation of scar tissue. This scar tissue can sometimes lead to changes in the nasal passages, potentially affecting airflow and function. While some patients may experience minimal scarring, others may develop more significant scar tissue that could lead to complications such as nasal obstruction or altered nasal airflow.
In your case, the fact that your ENT doctor could immediately identify that you had undergone previous nasal surgery suggests that there are indeed observable changes in your nasal structure. This could be due to the presence of scar tissue or alterations in the anatomy that are characteristic of previous surgical interventions.
Moreover, the healing process can vary significantly from person to person. Factors such as the extent of the surgery, individual healing responses, and pre-existing conditions (like chronic sinusitis or allergies) can all influence the outcome. For instance, if there was significant swelling or inflammation post-surgery, this might have contributed to your current discomfort or nasal symptoms.

It is also worth noting that some patients may experience a recurrence of symptoms similar to those that led to surgery initially. This could be due to the formation of new issues, such as scar tissue causing obstruction or the development of other nasal conditions, rather than a direct result of the original surgery.
If you are experiencing discomfort or changes in your nasal function, it is advisable to follow up with your ENT specialist. They can perform a thorough examination, possibly using endoscopy, to assess the internal structures of your nose and determine if any interventions are necessary.
In conclusion, while surgical interventions can lead to changes in nasal structure and potential scarring, the extent and impact of these changes can vary widely among individuals. Regular follow-up with your healthcare provider is essential to monitor your recovery and address any ongoing concerns. Understanding these aspects can help you manage your expectations and seek appropriate care if needed.

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