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PIC

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Septum is a wall in the middle of the nasal cavity that separates the left and the right nasal cavities.  The septum is composed of a center core made of bone and cartilage that is covered by nasal mucosa (lining of the nose).  Deviated septum is quite common.  A common misconception is that a deviated nasal septum is due to nasal injury.  In fact, vast majority of nasal septum deviation results from the nose growing crooked as a person ages, similar to teeth growing crooked.  Often, a person "grows" into a crooked, impeded nose and lives with constant nasal congestion never knowing what unobstructed nasal breathing should be.  Problems of chronic nasal congestion are many and insidious as previously outlined. 

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This procedure is especially technique sensitive and requires a skilled surgeon.  With modern methods and care protocols, post surgical discomfort is far more tolerable than in the past.

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Requisites

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Nasal Septoplasty surgery may be an option for you if deviated nasal septum is noted. 

Following requisites are important prior to undergoing the procedure.

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• Be over the age of 16.

• You are in reasonably good health with no critical unstable medical condition.

• You are able to take 5-7 days off work/school for recovery. 

• You have had an evaluation with a qualified surgeon to determine appropriateness of the procedure. 

• You have discussed the procedure with your surgeon and understand potential risks & benefits of the procedure.

• Be able to stop blood thinning medications prior to the procedure.

 

 

Risks of Septoplasty

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Although every surgery and treatment has risks, good news is that the procedure can be very safely performed for most with exceedingly small risk of serious complications.  Risks include the following.

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• Bleeding and infection.  Universal risk with all surgeries.  Some blood tinged nasal drainage is typical during recovery.  Severe bleeding and infection are rare. 

• Pain.  Some will need prescription pain medications.  Most are off pain medication within 5 days.

• Smell disturbance.  Temporary difficulty smelling is not uncommon due to swelling but resolves quickly.  Permanent disturbance is rare.

• Numbness of upper teeth/lips.  Temporary numbness may occur.  Permanent numbness is rare. 

• Septal perforation.  A hole in the septum may occur but is uncommon with good technique and good healing.  If symptomatic, may need further treatment. 

• Need for further treatment.  Remaining congestion due to allergies or other problems will need continued treatment.  Other unexpected outcome may require additional treatment. 

• General Anesthesia.  Although risk is not zero, modern anesthesia is overwhelmingly safe.  Nausea and other anesthesia related problems may occur and may need further treatment.

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What to expect

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• Surgery is performed under general anesthesia in the operating room.

• Most patients are discharged home the same day to convalesce at home.

• Nasal appearance will not change much if at all.  There is generally no visible bruising or swelling.

• Light physical activity (walking) is encouraged during the recovery period. 

• You should avoid blowing your nose, heavy lifting, strenuous activities, and contact sports.

• Keeping the head of the bed elevated during sleep can help manage secretions..

• You will be using nasal saline spray to keep the nostril area clear of mucus and debris. 

• Followup appointment will be 1 week after surgery.  Nasal splints if placed will be removed at that visit.

• On call physician is available 24-7 for any post surgery emergencies.  On call MD can be contacted 24-7 by calling 206-215-1770.

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