Septoplasty: Treatment, Procedure & Recovery

What is Septoplasty?

Septoplasty is a surgical procedure to correct a deviated septum, which is the displacement of the bone and cartilage that divides the two nostrils. A deviated septum can cause breathing difficulties, nasal congestion, frequent nosebleeds, and sinus infections.

Treatment

Septoplasty is recommended when medical treatments such as decongestants, antihistamines, or nasal sprays fail to alleviate the symptoms associated with a deviated septum. It is primarily performed to improve airflow through the nasal passages, enhance breathing, and reduce related symptoms.

Procedure

• Anesthesia: The patient is given local or general anesthesia to ensure comfort during the procedure.
• Incision: A small incision is made inside the nostril to access the septum.
• Reshaping the Septum: The surgeon lifts the mucous membrane, which covers the septum, then reshapes or removes the deviated portions of bone and cartilage.
• Repositioning: The remaining septal cartilage and bone are repositioned to the center of the nasal cavity.
• Closing the Incision: The mucous membrane is placed back over the septum, and the incision is closed with sutures.
• Stabilization: Splints or soft packing may be placed inside the nostrils to support the septum and reduce bleeding.

Recovery

• Initial Recovery: Patients can usually go home the same day or after an overnight stay. Mild to moderate discomfort, swelling, and nasal congestion are common.
• Follow-Up Care: Patients are typically advised to rest and avoid strenuous activities for a few weeks. Nasal sprays or saline rinses may be prescribed to keep the nasal passages moist and prevent infection.
• Activity Restrictions: Patients should avoid blowing their nose, heavy lifting, and activities that could impact the nose for several weeks.
• Monitoring: Regular follow-up visits with the surgeon are necessary to monitor healing and remove any splints or packing.
• Complete Healing: Full recovery typically takes 3 to 6 months, with gradual improvement in breathing and other symptoms.

Risks and Complications

• Bleeding
• Infection
• Adverse reaction to anesthesia
• Persistent symptoms or the need for additional surgery
• Septal perforation (a hole in the septum)
• Changes in the shape of the nose

Benefits

• Improved airflow through the nasal passages
• Enhanced breathing
• Reduced nasal congestion and sinus infections
• Better sleep quality
• Improved sense of smell

Septoplasty is a commonly performed and generally safe procedure that can significantly improve the quality of life for individuals with a deviated septum.