An Overview of Post-Rhinectomy Nasal Prosthesis

Rhinectomy, is the surgical removal of the nose, both partial or in entirety depending on the case. Our nose is the central feature of our face and is attributed not only to visual delight but acts as an anchor for our smell and taste as also its connection with eyes, ears and other parts of the face.

We understand that nasal deformities not only affect our physical appearance but might cause psychological repercussions. A nasal reconstruction might be a cause of a congenital defect or a traumatic injury or even some disease of the nose.

Post surgery you might have some questions and clarifications needed and we are here to help as much as we can. For patients who are missing all or parts of their nose, nasal prosthesis can be a saving grace.

This can work as a long-term option or a temporary option before corrective surgery. Some nasal defects might extend on to the cheeks, mouth or other parts of the face. In such cases, we take the help of maxillofacial surgeons for more extensive prosthesis options.

We are aware that any surgery, including total rhinectomy can harm your self-confidence. But be rest assured that a prosthetic nose can be a life altering anatomical necessity.

Some of our patients experience an open cavity and underlying structures like that of mucosa and the sinuses. We ensure that the prosthetic nose can very carefully cover up so that these internal parts are not visible or affected by various germs.

Prothesis requires some time for the wound to heal completely. Although it is challenging to effectively bandage the area, we try our best with evolved bandaging strategies to give you relief if you do not want to go for prosthesis immediately.

Our patients sometimes complain about other disruptions upon nose removal like changes in taste and smell, dryness and congestion. There are therapies and treatments available for such concerns and you can ask your physician directly.

Prosthetic Restoration of the Nose

After nose removal it might take a prolonged time depending on the treatment you are undergoing. Do not worry, we try to make the process as relaxing as possible especially after prosthetic surgery.

Some of our patients who are undergoing radiation treatment might require a temporary or interim prosthesis. In such scenarios we attach the prosthesis to the glasses for easy removal without irritation to the skin tissue.

Every prosthesis is customized using soft silicone to fit the patient’s nose opening. It is made to fit the exact size of the nasal opening. Our cranofacial experts develop each nose prosthetic so that the match the individual’s skin colour and texture.

Initial Consultation

We start by meeting the patient before their rhinectomy so that it gives us an idea about pre-surgery nasal placement. We also assess the patient’s diagnosis, medical history and specific needs and concerns. Then we discuss the artificial nose treatment options and share similar examples for the patient to be satisfied and content with our treatment plan.

Moulage

A gentle impression is taken of the nose. This a completely painless and quick process and takes about 20 minutes from start to finish.

Sculpting and Color

This is a collaborative process where a wax mould is fitted onto the patient’s nose for proper positioning, size, shape and fit. Feedback is gathered from both patient and family members for recreating the shape and the profile. To match the patient’s skin, pigment is mixed with silicone and set aside in different colours.

Coloring and Delivery

Fit is verified and external colouring is applied to make it perfect. Wear and care instructions are given properly so that the patient can do it on his own and wear the prosthesis with comfort and ease.

Tips for Successful Prosthesis

  • We recommend that all prosthetic nose wearers can wear glasses to keep the positioning proper.
  • Although the prosthetic nose should be removed during the night while sleeping, some of our patients feel comfortable wearing them as it prevents the nose from drying out. In such cases they should at least clean their prosthesis once daily.
  • The typical lifespan of a nasal prosthesis is 1-3 years and patients should come for regular follow up appointments. This is done so that we can inspect any wear and tear that might necessitate any replacements or repairs.

If you need any help with nasal prosthesis, feel free to contact our team anytime. We are here to understand and help you through the entire process, especially after rhinectomy.