Khushveer Choudhary

Nasal Deformity कारण, लक्षण और इलाज

Nasal Deformity (नाक का विकार) एक ऐसी स्थिति है जिसमें नाक का आकार, संरचना या alignment सामान्य नहीं रहता

  • यह congenital (जन्मजात) या acquired (जन्म के बाद) हो सकता है।
  • Nasal deformity aesthetic और functional दोनों तरह की समस्याएं पैदा कर सकती है।
  • Functional problems में शामिल हैं breathing difficulty, chronic sinusitis और nasal obstruction

Nasal Deformity क्या है  (What is Nasal Deformity)

  • Abnormal structure or shape of nasal bones, cartilage, or soft tissues
  • Can be cosmetic (appearance) or functional (breathing)
  • Common types:
    1. Deviated Nasal Septum (septum crooked)
    1. Saddle Nose Deformity (bridge collapsed)
    1. Crooked Nose (nasal asymmetry)
    1. Over-projected / Under-projected Nose (tip prominence altered)

Nasal Deformity कारण (Causes of Nasal Deformity)

1. Congenital / Birth-related Causes

  • Cleft lip/palate associated deformities
  • Genetic syndromes affecting facial structure

2. Trauma / Injury

  • Road accidents, falls, sports injuries
  • Fractures of nasal bones or cartilage

3. Infection / Disease

  • Chronic sinus infections causing structural changes
  • Tuberculosis or leprosy (rare)

4. Surgical / Iatrogenic Causes

  • Previous nasal surgeries (rhinoplasty)
  • Over-resection or improper healing

5. Degenerative Conditions

  • Autoimmune disorders like Wegener’s granulomatosis causing saddle nose

Nasal Deformity लक्षण (Symptoms of Nasal Deformity)

  • Visible asymmetry or abnormal shape of nose
  • Difficulty in breathing through one or both nostrils
  • Frequent sinus infections
  • Snoring or sleep disturbances
  • Cosmetic concerns affecting self-esteem
  • Rarely, epistaxis (nosebleed) if septum is injured

Symptoms vary according to type and severity of deformity।

Nasal Deformity कैसे पहचाने (Diagnosis of Nasal Deformity)

  1. Physical Examination – external shape, nostril symmetry, tip projection
  2. Anterior Rhinoscopy / Endoscopy – septum, turbinates, nasal cavity assessment
  3. Imaging (CT scan / X-ray) – bone and cartilage structure
  4. Functional Assessment – airflow and breathing evaluation
  5. Patient History – trauma, previous surgery, congenital issues

Proper diagnosis differentiates pure cosmetic vs functional deformity

Nasal Deformity इलाज (Treatment of Nasal Deformity)

1. Non-surgical Management

  • Mild breathing difficulty: nasal sprays, decongestants
  • Physiotherapy for nasal obstruction in selected cases

2. Surgical Treatment (Rhinoplasty / Septoplasty)

  • Septoplasty – correct deviated septum
  • Rhinoplasty / Reconstruction – cosmetic correction
  • Autologous cartilage / bone grafting for severe deformities
  • Functional and aesthetic surgery can be combined

3. Postoperative Care

  • Nasal splints, taping, and swelling management
  • Avoid trauma and strenuous activity for 4–6 weeks

4. Supportive Measures

  • Humidified air and saline nasal irrigation
  • Pain management and antibiotics if required

Surgery often gives best aesthetic and functional outcomes, especially in significant deformities।

रोकथाम (Prevention)

  • Avoid facial trauma; use helmets in sports and riding
  • Timely treatment of sinus infections
  • Careful surgical planning and experienced surgeon in rhinoplasty
  • Manage systemic diseases affecting cartilage (e.g., autoimmune disorders)

सावधानियाँ (Precautions)

  • Avoid nose picking or blowing forcefully after surgery
  • Adhere to follow-up schedule for splints and sutures removal
  • Avoid smoking – delays healing
  • Monitor for postoperative infection, bleeding, or asymmetry

FAQs (अक्सर पूछे जाने वाले प्रश्न)

Q1. क्या nasal deformity cosmetic surgery से ठीक हो सकती है?

हाँ, rhinoplasty और septorhinoplasty से appearance और breathing दोनों सुधारे जा सकते हैं

Q2. क्या congenital nasal deformity adulthood में surgery से ठीक होती है?

हाँ, surgery adulthood में भी possible है, लेकिन growth complete होना जरूरी है।

Q3. क्या nasal trauma के तुरंत बाद surgery करनी चाहिए?

Usually swelling और hematoma settle होने के बाद surgery advised है।

Q4. क्या nasal deformity breathing problems cause कर सकती है?

हाँ, especially deviated septum या collapsed nostrils में।

निष्कर्ष (Conclusion)

Nasal Deformity (नाक का विकार) एक common condition है जो cosmetic और functional issues दोनों पैदा कर सकती है।
Accurate diagnosis, timely surgical intervention (rhinoplasty/septoplasty), और supportive care से nasal function और appearance दोनों सुधारे जा सकते हैं।
अगर किसी को breathing difficulty, facial asymmetry या cosmetic concern हो, तो ENT specialist / plastic surgeon से consultation जरूरी है।


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