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Plastic Surgery/facial nerve paralysis/nose collapsing

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Question
I had a blood clot burst on my facial nerve 10 years ago (confirmed with surgery). My nose seems to be collapsing on the paralyzed side. It's not real noticeable just to look at it, but it feels odd and is slightly obstructing my breathing. What can be done? What are my options?
Thanks

Answer
i can understand the situation. There are muscles on the now that work during breathing and especially during exertion in order to keep the nostril open and widen the 'air-intake' ports. This nasalis muscle is now paralyzed and the outer wall of your nostril is collapsing. The obstructed feeling is because of the outer wall of the nostril gradually collapsing.
Treatment wise, one could insert a stabilizer into the outer wall in the form of a thin sheet of a material called MEDPORE. This will act as a stiffener and prevent inward collapse. It may also be necessary to take out some tissue from the inside to ease the airway. This is a job to be done by a plastic surgeon along with an ENT specialist.
Best of luck!

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Mohan Rangaswamy

Expertise

I am a certified plastic surgeon with special interest on aesthetic surgery, practising in Dubai, U.A.E. dealing with patients form diverse nationalities. You can address questions to me on body and facial aesthetic surgery (liposuction, breast surgery, nose corrections, eyelid surgery, fat injections, botox and fillers) as well as reconstructive surgery. I also have experise in the area of peripheral nerve surgery such as carpal tunnel syndrome and other nerve entrapments. I would especially welcome queries from net-surfers from this part of the world.

Experience

I have 17 years experience in reconstructive plastic surgery and over 12 years in aesthetic surgery. After qualifying as a general surgeon, I was fortunate to work in a unit that did complex reconstructive surgery and general surgery as well. This spurred my interest in plastic surgery as a career as the possibilities seemed to be amazing and limitless. This was the era when microsurgery and flaps captured our imagination. I further acquired formal training in Plastic surgery, burns, maxillofacial and hand surgery. this was followed by a training apprenticeship in aesthetic surgery. In my practice as a plastic surgeon, I do more aesthetic work now and am keen on developing minimal invasive surgery. I am a member of the Association of Plastic Surgeons of India, International Society of Aesthetic Plastic Surgeons, Royal college of Physicians and Surgeons, Glasgow, U.K.

Publications
Professional: Plastic and Reconstructive surgery journal, Acta Tropica, European journal of OB & Gyn etc.

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