Modern medicine has specialized technologies that allow the patient to avoid discomfort after septoplasty and breathe through the nose.
Author:
- Gadzhiev Kamran Rafikovich
otolaryngologist, rhinosurgeon
4.33 (Votes: 30)
- Nose pain
The most common pathology of the ENT organs is a deviated nasal septum. No one thinks that even the slightest curvature can cause serious diseases, such as sinusitis, nasal polyps. Why is this happening? When the ENT organs are healthy, only clean and warm air enters the lower respiratory tract, since it is warmed and disinfected in the nasal cavity. With a deviated nasal septum, these functions are disrupted due to the fact that the air stream hits the curvature of the septum.
Correction of a deviated nasal septum is called septoplasty. This operation helps the patient return to normal and natural breathing. But, unfortunately, many patients try to avoid it and continue to live with a deviated septum, which leads to complications in the future. What worries people before surgery:
- How to breathe through your nose after surgery?
- will tampons be placed in the nose?
- How long will I need to stay in the hospital after the operation?
These questions stop the patient from making the decision to undergo surgery.
What it is?
Septoplasty is an operation to correct defects and deformations of the osteochondral wall (nasal septum), dividing the nasal cavity into the left and right parts. When the nasal septum is deviated, it moves to one side (usually to the left). Because of this, nasal breathing and the release of mucus from the sinuses are disrupted.
In what cases is septoplasty necessary?
“The main indications for septoplasty of the nasal septum are difficulty breathing through the nose and frequent nasal congestion, increased tendency to inflammatory diseases of the nose and sinuses (rhinitis, sinusitis, sinusitis), nosebleeds, headaches.”
Shcherbinin Viktor Sergeevich
expert
Hospital 83 of the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia, plastic surgeon
Possible causes of a deviated nasal septum:
- physiological - sometimes a deviated septum occurs during fetal development or is caused by a hereditary predisposition
- traumatic - injuries to the face and skull can cause displacement of the nasal septum;
- The natural aging process can affect the curvature of the septum, in some cases this can lead to nasal obstruction.
Moreover, in infants such trauma can occur during childbirth. Children and adults can suffer injuries that affect the curvature of the septum as a result of an accident. For example, during sports, rough games.
Important!
Deterioration of nasal breathing due to nasal curvature contributes to chronic inflammation of the paranasal sinuses, middle ear, bronchi and lungs, and impedes the outflow of venous blood from the brain. It is important to perform reconstructive surgery as early as possible in order to prevent the development of infectious complications and oxygen starvation of the body (hypoxia).
Figure 1. Normal and deviated nasal septum. Source: rob3000 / Depositphotos
Cautions and possible complications after surgery
Carrying out such an operation, of course, affects the body, so you need to facilitate the course of the plastic surgery itself and the postoperative period, and for this you need to avoid any stress even before the start of treatment. It is also very important to deliberately agree to septoplasty, discuss all questions about the upcoming operation with the doctor in advance and be optimistic!
To avoid complications, of course, you must first undergo a full examination before the operation and follow all the recommendations and prescriptions of your attending physician after the procedure. First of all, the doctor must exclude any contraindications. If you smoke, you will have to give it up, because smoking complicates the operation, the removal of anesthesia from the body and the healing of the wound.
Also, it is not advisable for girls to undergo plastic surgery on the eve of and during menstruation, but only 7-10 days after its end.
If the patient is taking medications that affect the blood clotting process (aspirin, ketanov, diclofenac, etc.), he must consult with his doctor - these medications must be stopped 2 weeks before surgery and for 2 weeks after it.
I would also like to note that it is necessary to refrain from eating at night on the eve of the operating day. And without fail, all patients must undergo rehabilitation after septoplasty - this will help to get rid of possible blueness and pain much faster and return to the usual rhythm of life as soon as possible.
How is it different from rhinoplasty?
Rhinoplasty - correction of the external structures of the nose - tip, wings, back; It is performed, most often, for aesthetic reasons. Septoplasty is the correction of the internal structures of the nose according to functional indications - restoring or improving nasal breathing.
Septoplasty and rhinoplasty: find the differences
“Septoplasty is an operation to correct defects of the nasal septum.
With septoplasty of the nose, unlike rhinoplasty, the internal structures of the nose are corrected. Most often, septoplasty is performed for medical reasons, while the main purpose of rhinoplasty is to correct aesthetic defects of the external structures (wings, dorsum and tip of the nose). Some patients require correction of the shape of the nose and correction of a septal defect, in which case rhinoseptoplasty is performed.” Shcherbinin Viktor Sergeevich
expert
Hospital 83 of the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia, plastic surgeon
First days of rehabilitation
Recovery from septoplasty in the first days is characterized by the greatest difficulties. Although modern medicine does everything to reduce these difficulties to a minimum, the patient will have to come to terms with some nuances. For example, with the forced, albeit temporary, wearing of silicone splints and a plaster cast.
Splints are inserted into the nasal passages. Previously, turundas were used for this, which completely closed the nasal passages and deprived the patient of the ability to breathe through the nose. Modern splints have channels for breathing, so the patient will not feel severe discomfort.
But wearing a plaster cast can bring pleasure to few people. However, this period must be endured. Under no circumstances should the bandage be removed or moved, as this will weaken the fixation and worsen the result. The bandage will be removed after 7-15 days, the splints will be removed even earlier - after 5-10 days. Self-dissolving sutures do not need to be removed.
After 1-2 weeks, the patient gets rid of splints, bandages and stitches.
Indications
In mild cases, when the deformation of the septum does not interfere with the movement of air, surgery is not indicated. Surgical correction is necessary if:
- breathing through the nose is so impaired that the quality of life suffers;
- sinusitis (inflammation of the mucous membranes of the paranasal sinuses) recurs;
- frequent nosebleeds;
- significant cosmetic defect;
- pronounced snoring.
On the left is a deviated septum.
On the right - healed, after surgery. Source: sruilk / Depositphotos Sometimes septoplasty is performed as a stage of a complex operation to correct maxillofacial malformations (cleft palate or cleft lip).
Can septoplasty be performed on children?
“In children and adolescents, septoplasty is performed only in cases of serious nasal breathing problems.
If a deviated septum has been observed since birth, then the operation should not be postponed, since the lack of oxygen received can negatively affect the mental and physiological development of the child. Septoplasty is performed for children from 6 years of age, since at this age the formation of the structure of the nasal septum ends. However, the growth of the nasal septum can continue up to 15-18 years, therefore, for minor defects, it is recommended to undergo surgery after adulthood in order to reduce the risk of secondary deformation of the internal structures of the nose due to physiological changes in the body.” Shcherbinin Viktor Sergeevich
expert
Hospital 83 of the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia, plastic surgeon
At a special price of 19,999 UAH. until 12/31/21
Price includes:
- Plastic surgery
- septoplasty is performed endonasally, without incisions, thanks to endoscopic instruments. - Anesthesia
- modern, safe anesthesia. Our work uses the technique of medicated sleep, thanks to which the operation becomes painless and safe for the patient. - Hospital stay and meals -
a comfortable hospital of European level is at your service. After the operation, you need to spend a day in the clinic.
No additional overpayments.
Make an appointment with Alexander Sergeevich
The curved part of the cartilage and bone is removed. The removed cartilage is remade and installed in place of the defect. Splints (removed after 10-14 days) or tampons (removed after 3-5 days) are inserted into the nose. The patient remains in the hospital for 24 hours. Subsequently, the patient comes for examination 1-3 more times, after removing splints or tampons for postoperative toilet of the nasal cavity.
In the clinic, septoplasty is performed endonasally (i.e. through the nasal cavity), without incisions, thanks to the endoscopic instruments used. Endoscopic septoplasty has undeniable advantages over surgical septoplasty - less tissue trauma, reduced risk of nosebleeds.
If you have any questions about the operation,
please call
