Reoccurring Nasal fissure that has actually deformed the nostril shape

Posted by angelak43 @angelak43, Jun 13, 2021

!!!!! Attention !!!!!! I’ve seen numerous doctors that are unsure why I have a painful nostril fissure that will not heal. It stings like a paper cut and has literally deformed the shape of my nostril because it has gone on so long undiagnosed. I’m praying this post will reach the right eyes who can lead me down the right path. My labs look normal. I do have reoccurring anal fissures too! Currently I’m doing treatment for candida in my gut. There is a perfectly round Blister in my throat that my ENT calls a tonsil cyst. The right tonsil has lightened in color. The nasal camera showed Edema a redness and pain in and around my vocal cords for many months. My ENT said that could be from LPR reflux. The doctor now recommends tonsillectomy; but that doesn’t explain why I have a strange blister/cyst in my throat that changes it’s form, and he also can’t explain the nasal fissure that will NOT heal! Someone please help!!

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Hi, Angela, one of the problems that may extend or cause this issue to be chronic is that once that rupture in the contour of the nostril is there, it reopens very easily - goes from being healed to ruptured again - is that your experience? I have been told that once the crack is there, the divot - as I call it - epithelializes - the skin grown over the wound rather than the two sides of the wound pulling together and mending. i have considered going to a plastic surgeon to have the epithelium removed and the crack stitched shut. what has stopped me from doing this is not having a sound diagnosis, and having the surgery when the underlying condition could cause it to happen all over again has seemed pointless. i am incline to think that the growth of skin over the wound might have been furthered by over-care of the wound, constant cleaning and ointments rather than leaving it to heal as nature would have intended, but this is our FACE and we're not inclined to ignore things staring at us in the mirror, and cleaning is always good, right? maybe not so much. what do you think? whether the initial break was caused by over-dry skin or - in my case - getting clipped by the razor sharp fingernails of a nursing infant - once it's there the problem is compounded and chronic. thoughts?

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@penny88keys

Hi, Angela, one of the problems that may extend or cause this issue to be chronic is that once that rupture in the contour of the nostril is there, it reopens very easily - goes from being healed to ruptured again - is that your experience? I have been told that once the crack is there, the divot - as I call it - epithelializes - the skin grown over the wound rather than the two sides of the wound pulling together and mending. i have considered going to a plastic surgeon to have the epithelium removed and the crack stitched shut. what has stopped me from doing this is not having a sound diagnosis, and having the surgery when the underlying condition could cause it to happen all over again has seemed pointless. i am incline to think that the growth of skin over the wound might have been furthered by over-care of the wound, constant cleaning and ointments rather than leaving it to heal as nature would have intended, but this is our FACE and we're not inclined to ignore things staring at us in the mirror, and cleaning is always good, right? maybe not so much. what do you think? whether the initial break was caused by over-dry skin or - in my case - getting clipped by the razor sharp fingernails of a nursing infant - once it's there the problem is compounded and chronic. thoughts?

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i would like to forward my photo to the plastic surgery department to ask whether this can be repaired without looking even worse.

REPLY

Something has come up in this discussion that I would like to expand upon. This condition is demoralizing because it is on your face, and makes a person look especially unclean because of the taboos around touching or cleaning the nose. It can cause real depression in the patient, and affect them socially because it is difficult to mask the appearance of the condition.
For these reasons, it is important that many of us understand that this condition is not necessarily a chronic infection. Once the tear in the nostril exists, it easily becomes re-inflamed and problematic. This does not mean that it is an infection every time. Using an antibiotic cream as prophylaxis is recommended. This does not mean you have an infection.
This understanding of the condition does nothing to help the social restrictions caused by an episode, but it does help the patient mentally. "I am not unclean; I have a pre-existing structural problem that chronically inflames."
For this reason, the consideration of minor plastic surgery to close the tear may be warranted in some cases where a recurring pathogen is not at the heart of the problem.

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