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Septoplasty is an ENT procedure that involves the correction of a curved nasal septum that divides the nasal cavity into two parts. It should run correctly along the center of the nose, but its perfectly symmetrical position is rather rare. In some people, however, the nasal cavity becomes severely narrowed due to the fact that it is overlapped by a significantly curved nasal septum. One of the effects of this is that it becomes difficult to breathe, as the air flow is significantly restricted. Modeling of the nasal septum is carried out in order to improve the patient’s quality of life.
Septoplasty – indications for surgery
In some people, the curvature of the nasal septum is so severe that it requires septoplasty. The indications for this procedure are: difficulty breathing, frequent inflammation of the paranasal sinuses, lacrimal ducts and nosebleeds, impaired nasal patency affecting the sense of smell and speech (so-called speaking through the nose), nasal septum fractures, symptoms of apnea and snoring, preparation for endoscopy of the paranasal sinuses. If there are also significant changes in the mucous membranes caused by allergic factors, septoplasty is performed in conjunction with conchoplasty, i.e. the reduction of nasal turbinates.
Septoplasty – contraindications to the procedure
Unfortunately, not everyone qualifies for the correction of a deviated nasal septum. Contraindications include blood clotting disorder, bacterial, fungal or viral infections, acute inflammation of the paranasal sinuses and the nasal mucosa, and its increased atrophic changes. Moreover, septoplasty should not undergo septoplasty by a person whose general condition has been described as bad (for example because of severe systemic diseases).
Do you want to undergo septoplasty? Compare the offers of facilities that perform endoscopic surgery of the nasal septum.
Septoplasty – how is the procedure performed?
Before qualifying the patient for septoplasty, the doctor should conduct a detailed medical history. Then, a thorough general examination is performed along with the assessment of the state of the nasal cavity and a number of laboratory tests, including blood count and blood group, ionogram, INR (prothrombin coefficient determining blood clotting) and APTT (coalin-kephalin time). It is also advisable to consult an anesthesiologist before possible general anesthesia.
Correction of a deviated nasal septum can be done in several ways. Currently, the most frequently used surgical method is endoscopic septoplasty as part of the so-called one-day surgery. During septoplasty, it is possible to completely remove, model or remove and correct the deformed cartilage and bone structures. In most cases, intranasal surgery is performed under general anesthesia, less often local anesthesia is used. The procedure begins with induction of general anesthesia and contraction of the patient’s nasal mucosa. With the help of surgical instruments, incisions are made that separate the mucosa from the peritoneum, which allows you to view the nasal septum and remove its curved fragment. Then this fragment is pressed by a special machine and inserted in the place of the resulting defect, and absorbable or non-absorbable sutures are placed on the cuts (removed by the doctor one week after the procedure).
Correction of a deviated septum usually takes 40 to 90 minutes, and the patient is released home within 24 hours of the procedure. A tamponade inserted into the nose is removed 48 hours after septoplasty. If stabilizing plates have been used, they are removed after 7 or 10 days. During the full recovery after septoplasty, which lasts from 3 to 4 weeks, no vigorous physical activity can be undertaken. Discomfort associated with blocked nose and its swelling and runny nose appear in the first two weeks after the procedure. Follow the doctor’s instructions, take the prescribed medications and, above all, take care of the hygiene of the nasal cavity, e.g. by using physiological saline spray. The effects of a properly performed septoplasty are felt after the convalescence period. If you experience side effects such as high fever, vomiting, nosebleeds for several days or change of nose shape, you should immediately consult a doctor.
How much does septoplasty cost?
Septoplasty – possible complications after the procedure
There is a potential risk of numerous complications after septoplasty. To a large extent, it all depends on the experience and skills of the doctor performing the procedure. Complications, however, are relatively rare. These include epistaxis, nasal septum perforation, tissue swelling, nasal bridge collapse, temporary or permanent loss of smell, adhesions, infections of the operated site and surrounding tissues, pain, postoperative hematomas, and complications of general anesthesia.