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In severe cases of nasal injury Rhinoplasty or Nasasandhan vidhi can be done.
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- Collect alcohol, milk, water, and vinegar and earthenware powder.
- The hair of the patient, either female or male, should be tied.
- Patient should be fed with a light diet.
- Reliable assistants should hold the patient properly.
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Operative Technique
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- A tree leaf of the size of the nose should be taken and placed on the
cheek. A flap should be raised of the same size from the sides of the cheek maintaining its continuity. It should then be approximated to the front part of the nose after making the nose raw.
- The blood coming out should be examined and its normalcy or otherwise ascertained; when it is found to be vitiated by vata, it should be washed with
vinegar and lukewarm water; when it is vitiated by pitta it should be washed with cold water and milk; when it is vitiated by Kapha it should be washed with alcohol and lukewarm water.
- After adequate haemostasis, suturing should be done.
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Post Operative Care
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- Having examined the nose, which has been properly sutured and correctly shaped, the same should be fixed by two tubes and elevated.
- Then, the powder of red sandalwood, madhuka and rasanjana should be sprinkled on the nose after elevating it.
- It should be dressed properly with white cotton and should be soaked repeatedly with seasmum oil; ghrta should be administered to the patient after the previous meal has been properly digested and a purgative should be prescribed as instructed.
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Final appearances
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When the graft has properly taken
place, base of the same should be snapped. The short graft should be elongated and the long graft should be made uniform.
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Stages of Surgery
