What is Septoplasty?
Septoplasty is a surgery performed to straighten or reposition the nasal septum to the midline of the nose. The nasal septum is a cartilaginous and bony structure that separates the right and left nostrils.
Anatomy of the Nasal Septum
The nasal septum is an important support structure of the nose composed of a quadrangular cartilage which forms the tip and the lower part of the nose and a bony upper segment. It is covered by a layer of mucosa and has a rich blood supply, which makes the nasal septum a common source for nosebleeds. Deviation of the nasal septum is a common deformity that occurs in nearly 50% of people; however, only about 2% have obstructive symptoms that require treatment.
Indications for Septoplasty
You may be a candidate for septoplasty if you have a significantly deviated nasal septum that is causing chronic problems such as:
- Difficulty breathing through one or both nostrils
- Nosebleeds
- Sinus infections
- Nasal congestion and pressure
Preparation for Septoplasty
Specific instructions will be provided by your surgeon. In general, you should:
- Inform your surgeon about any health conditions, allergies, and medications you are taking.
- Avoid smoking as it will slow down the healing process.
- Follow the eating and drinking restrictions as instructed prior to the surgery.
Septoplasty Procedure
- The procedure can be performed under local or general anesthesia.
- The surgeon will work through incisions made inside the nose to straighten the septum. Occasionally, a small incision may also be made between the nostrils.
- Excess bone and cartilage are removed, and the septum is repositioned to the midline.
- The repositioned nasal septum may be reinforced with strips of cartilage.
- Silicone splints may also be used in each nostril to support the septum.
- The incisions are then closed with sutures.
- Following the procedure, you will be moved to the recovery room for a short period of observation.
Recovery after Septoplasty
- You may require 1-2 hours to recover from the effects of general anesthesia after which you may be discharged home.
- There may be temporary stuffiness, discomfort, and a slight bloody nasal discharge. Your surgeon will provide medications to alleviate symptoms if necessary.
- Avoid blowing your nose and sleep with the head of your bed elevated until your incisions are fully healed.
- Strenuous activity should be avoided for several weeks after surgery.
Risks of Septoplasty
Septoplasty is a very safe procedure which can greatly improve your breathing and quality of life; however, as with any other surgery, there is a minimal risk of complications which include infection, bleeding, delayed healing, change in the shape of the nose, altered sense of smell, and airway obstruction.
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