When is septoplasty recommended?
It may be required if:
- Blocking of nose and affecting airflow
- Difficulty in breathing
- Feeling of some obstruction
If I don’t want surgery, is there any alternative?
Always the above mentioned problems do not warrant surgical intervention, there are some alternatives which can be tried
In case of any breathing difficulty because of congestion or due to allergy, then the doctor may prescribe some medications which will relieve the symptoms
But when all the conservative modes of treatment fail to alleviate the breathing difficulty, then you may be advised for septoplasty
What is Septoplasty?
It is a surgical procedure done for relieving the blockage from the nose. When the turbinates of the nose become large in size, they block the nasal parts and sometimes the bone called the septum (between the two nostrils) gets bent also causing a blockage. So, in these conditions, septoplasty is performed.
There are other indications when this procedure is performed. If you are suffering from sinusitis since long and are not getting any relief, or there is a polyp inside the nasal passage, or there is persistent bleeding from the nose, etc.
Though this surgery is very commonly done, the decision to perform this procedure is taken only if the other modalities fail to treat the problem.
Before the procedure
The details regarding ongoing medication, any medication related to other comorbidities, your general physical health are evaluated and advised accordingly. You will be asked to undergo routine investigations, electrocardiogram and an x-ray of the region
The decision for local or general anesthesia will be taken by the surgeon and will be discussed with you. The common instructions as with any other surgery are given and you will be asked to avoid eating or having anything from mouth 8 hours prior to surgery. Instructions on medication use will be given. If you are on any blood thinning medication, you may be asked to stop that few days prior to the surgery
The mucosa lining which is covering the bone and the cartilage is lifted initially and then cartilage and the bone in the nasal septum is made straight. After giving shape to the cartilage and bone, the lining is placed in position.
If the cause of blockage is turbinates, then these are shrunk with radiofrequency reduction and in some cases, a turbinate portion is cut
The success rate of this surgery is very high. The common complaints seen after the surgery are feelings of nausea, dizziness, etc. Some may have pain following the intervention. A nasal packing is kept in both nostrils to stop postoperative bleeding. Till that time the bleeding subsides, you will have to take breath from mouth. Before the discharge the packing is removed.
If you are comfortable and there is no complaint, then you will be discharged the same day after a few hours of surgery.
Medications for pain relief will be given. Instructions to follow at home will also be given
Risks after surgery?
The following complications may be encountered after this procedure:
- Change in vitals
- Change in color
- Damage to the nasal septum
- Rarely, you may experience change in taste or smell, pain or change in the voice
What you should not do after surgery?
You will be instructed to avoid the following:
- Nose blowing for few days
- Alcohol intake
- Cigarette / cigar / bidi smoking
- Crowded places
When to call?
In case of any complication or complaint as mentioned above persists, then immediately contact your surgeon or in case of any other untoward adverse event.