Crooked Nose (Nasal Deviation)

This invariably results from a nasal injury, when the bones of the nose are broken (fractured) and deviated. Early straightening (reduction) of the displaced bones by outside manipulation within 2 weeks will usually restore a satisfactory symmetrical appearance. Any residual deformity can be corrected by rhinoplasty surgery. A cosmetic rhinoplasty (nose job) may also be considered in people who are dissatisfied with the shape of their natural nose.

Diagnostics

Nasal Rigid / Flexible Endoscopy

Why?

The nostrils are quite small, so even using a very bright halogen headlight and a dilator instrument (speculum) to expand the nostril, it is impossible to see any more than the front part inside the nasal cavity. The introduction of a small sterile rigid endoscope with an angled lens, or a sterile flexible endoscope whose tip can be manually rotated in various directions, allows a very detailed inspection of the whole of the nasal cavity and the site of the sinus openings. Further back the nasopharynx and Eustachian tube openings can also be examined.

How?

Cophenylcaine, a surface local anaesthetic and decongestant, is sprayed into each nostril held open by a dilator speculum. This drug is absorbed very quickly and numbs and shrinks the nasal lining. Although the introduction of an endoscope is an unusual feeling it is not unpleasant. The subsequent examination will take less than 5 minutes.