The bridge of the nose is made of bone but the rest of the nose is a flexible tissue called cartilage. A rhinoplasty is an operation to reshape the bone and cartilage in the nose. An open tip rhinoplasty is one where incisions are made to access inside the nostrils. Nose re-shaping is common in children with craniofacial conditions as their nose may be ‘beaked’ or skewed to one side. Some children may have a bifid (split) nose. This page from Great Ormond Street Hospital (GOSH) explains the open tip rhinoplasty operation for children with craniofacial disorders. It explains how to prepare your child for surgery as well as what to expect in hospital afterwards.
Children with the following conditions may benefit functionally from this operation:
- Cranio-fronto-nasal dysplasia
- Freeman Sheldon syndrome
- Fronto-nasal dysplasia
- Midfacial cleft
- Apert syndrome
- Crouzon syndrome
- Pfeiffer syndrome
- Saethre-Chotzen syndrome
- Unicoronal craniosynostosis
It may be the only form of treatment needed or it may be just one of a series of operations carried out throughout childhood and adolescence.
Getting ready for the operation
The night before surgery
On the day of surgery
What anaesthetic is given?
What does the operation involve?
Are there any risks?
Are there any alternatives?
What happens afterwards?
Follow up appointment
What is the outlook for children who have had an open tip rhinoplasty?
Please note this is a generic GOSH information sheet. If you have specific questions about how this relates to your child, please ask your doctor. Please note this information may not necessarily reflect treatment at other hospitals.