Nose job

I don't have any experience with it or much knowledge to pass on about it other than probably to get a doctor affiliated with a children's hospital and not someone with clientele that are mostly adults. Those are some itty bitty body parts to be working on.

I'm no help, except trying to remember your access to UT med care...

Ouch! - poor little kidlet. Pediatric corrective surgery is different from adult plastic surgery. Little noses still have to grow. You will need to see a specialist, but I don't think it's a major operation. Your pediatrician should be able to give you a referral. Good luck.

That was my first thought Butterfly....

was to contact the childrens hospital.
But when I told the doctor this, he said that unless she is treated there, the hospital can give no referrances or referrals.

So what I am going to do is just contact a regular plastic surgeon, explain the situation, and see if they know of someone who works with kids, or at least has some experience.

She cant breathe out that side of her nose, it has closed itself off. So I dont know if this is something that can be done immediatly, or has to wait a while?

Has a doctor looked at her and diagnosed the cartilage problem? I don't think it is something that should be postponed, especially if it effects her breathing.

We are very lucky to have the insurance we have

they WILL cover this, I found out.

But, selectively.

So I have to be careful who I pick and what they choose to do. I just dont know what to expect, or what types of questions beyond the normal ones, to ask

Is there swelling on that side? in most cases where plastic surgery's part of a treatment process, they've got to wait for swelling to go down to determine what can be done/needs to be done.

mrs hamburger had corrective plastic surgery done on her eyelids not too long ago. She had a marvellously fast recovery - I can only imagine the recovery time would be even faster for a child.

Great goddess shewolf. I'm starting to be nervous about opening your threads. A bit too much excitement!

We just got back from the ER about 2 hours ago.

Ian is giving her a bath now, and I am looking up surgeons in town to call.

They did diagnose it as a cartilage break, and you can see on h er X-rays ( wich I have a copy of) the little spot that is hanging cock-eyed off the end of her nose

Is there a UT hospital?

well, I'll be quiet, don't know enough.

Check this out, momma Shewolf

http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10447.html

UT doesnt have a hospital like UNM does.

I almost wish it did.

owwwwww, poor bean ouch, ouch, ouch. There is NO pain like the pain from a broken nose <wincing, sucking in breath, and grimacing>

M broke her nose when she was about bean's age. We had to wait for the swelling to go down before the plastic surgeon could determine what he would recommend. She ended up not needing surgery ~ I hope bean has the same outcome.

Yes it is swelled up, but not too bad. It is mostly the soft spot right next to the bone of the eye socket.
The cartilage wont swell, but the skin does.



I know the feeling, but I am glad that the only excitement 'round here are cuts and bruises.

but since it isnt the bone that is broken, im still wondering if there needs to be a wait time??


At 8, I am going to start calling some local surgeons and see what I can find out.

Im looking through a list now. Im hoping I can get her seen quickly.

She didnt sleep to well last night.. understandable of course.

But her nose is not bleeding any more , and so far she has minimal bruising.

Poor Bean, hope all goes well.

Hoping everything developped to the very best!

(I've asked our neighbour, who's the deputy director of our local children hospital. They've a children surgical ward there as well: any surgeon could fix that, ambulant, he thinks.)

How's it going, shewolf?

Missed the thread. Sorry to hear about Bean's trouble.

You need to put one of those hangy things on the sliding glass door....

Well, it is always nice to get a second opinion ..

We did find a doctor who not only had experience, but was willing to actually work on her if need be.

Ian takes her in to the doctor Wednesday morning.
This doctor he says was really nice, and he really enjoyed him and he talked to and with Jillian really well.

And he says that this doctor thinks the ER doctor was REALLLY high on something when he told us that her nose was actually separated..

uhh.. yeah. THATS what he said..


He showed Ian on the xrays where he could not only NOT see cartilage, but also explained how impossible it is to tell if it would be broken, or separated from the bone with a simple xray.
Not only that, if she had actually separated it completely, the tip of her nose would be black and blue and absolutely 'floppy'

The floppy piece that shows on her nose now, he said is more then likely a small tear , and just a swelling from the tear and not the result of an actual separation.

The force it would take to break that piece her nose off, would not be achieved by a simple jump onto the couch. And IF IT WAS, he says she would most surely have a broken nose bone as well.

He said that her cartilage is defiantly torn, but not broken.

That tear is a common injury in many people and heals on its own, with minimal change in nose structure. THe only big issue with a tear is that, if it happens close to the inside of the nasal passage, the scar tissue that would form in the tear could cause a small blockage in the nasal passage. Most people with that have absolutly no problems breathing, and hardly notice it on a regular basis.

He thinks Jillian MIGHT have that now.. but .. the swelling in her nose, and on the inside is just too fresh to be able to tell anything. It could very well just be a hematoma , and it might reabsorb itself with no issue.

But, a plastic surgeon can not fix that anyway.. And yet again, he started talking about the ER doc being weird..

Jillian would have to go to an ENT if there was a problem.
He said if in a few days the lump inside her nose is not gone, then it probally means she did damage her nose on the inside as well and not just on the bridge.
If in 2 weeks it is still there, an ENT would be a better bet to tell us what to do to help her.

(sigh)


my child will not survive to see 5.
she wont
she wont

and neither will I..