Septoplasty

What is septoplasty?

  • The septum is the wall of bone and cartilage that divides your nose into two separate nostrils.
  • A deviated septum occurs when your septum is moved to one side of your nose.
  • Some people are born with a deviated septum, but it can also be caused by an injury to your nose.
  • Most people with a deviated septum have one nasal passage that’s much smaller than the other. This can cause difficulty breathing.
  • Other symptoms of a deviated septum may include frequent nosebleeds and facial pain.
  • Surgery is the only way to fix a deviated septum.
  • Septoplasty is a surgical procedure to correct a deviated septum.
  • Septoplasty straightens the septum, allowing for better airflow through your nose.

Septoplasty procedure

  • A septoplasty takes anywhere from 30 to 90 minutes to complete, depending on the complexity of the condition.
  • You’ll be under either local or general anesthesia, depending on what you and your doctor decide is best for you.
  • In a typical procedure, the surgeon makes an incision on one side of your nose to access the septum.
  • The next lift up the mucous membrane, which is the protective covering of the septum.
  • Any barriers, such as extra pieces of bone or cartilage, are removed.
  • The last step is the repositioning of the mucous membrane.
  • You may need stitches to hold the septum and membrane in place.
  • However, packing the nose with cotton is sometimes enough to keep them in position.

After the procedure:-

To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery. Depending on the extent of your surgery, you may not need to do all of these:

  • Elevate your head when you’re sleeping.
  • Don’t blow your nose for several weeks.
  • Wear clothes that fasten in the front; don’t pull clothing, such as shirts or sweaters, over your head.
  • Avoid strenuous activities, such as aerobics and jogging, for up to five weeks to avoid potentially causing a nosebleed.

Risks:-

Some people will need a second surgery if they’re unsatisfied with the results. Other risks associated with a septoplasty are rare, but they can include:

  • bleeding
  • scarring
  • perforation of your septum, which happens when a hole forms in your septum
  • an altered nose shapes
  • discoloration of your nose
  • a decreased sense of smell

Excessive bleeding and infection are possible risks of any surgery. Keeping your nose clean and washing your hands frequently can reduce these risks.

Food and Medication:-

Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon.

FAQ’S:-

How much pain will I have?

Most patients either take only Acetaminophen (Tylenol) or nothing at all. However, in the small chance that you do have pain, a prescription for narcotics will be given to you after the operation. On average, if you do have pain, it will last 3-5 days.

Can I blow my nose after surgery?

Yes, very gently, after irrigating with nasal saline. Ignore what the hospital tells you.

Will my face be swollen or black and blue? 

No, not from simple septoplasty and turbinoplasty. Usually, only if the nasal bones are broken for rhinoplasty or after nasal trauma will you have black and blue eyes.

Will the operation change the shape or appearance of my nose or face?

Not with septoplasty and/or turbinoplasty alone. Procedure for nostril stiffening or external cosmetic procedures may change the nose, so this possibility must be discussed with your surgeon.

When can I go back to work?

Most people can go back to work about 3 to 5 days after the procedure.

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