Do you struggle to breathe? Let’s talk about Septoplasty: Correcting a Deviated Septum

Do you often feel like your nose is blocked, particularly when trying to breathe through one side? You might be tempted to dismiss it as a typical cold, but if this discomfort is constant, the cause may be a physical misalignment inside your nose. Today, we are discussing 'Septoplasty,' a routine and safe surgical procedure that offers a definitive solution to this problem.

What is a Septoplasty?

Let’s start with the basics. The wall that divides your two nostrils is called the 'septum.' It is composed of a firm but flexible material known as cartilage, along with thin bone.

For some, this wall is crooked from birth, while for others, it may shift due to an injury or a fall. We call this condition a 'deviated septum.'

When the septum is misaligned, one or both nasal passages become narrowed, obstructing airflow. Septoplasty (Septoplasty) is the surgical procedure used to straighten this wall, effectively improving your breathing capacity.

Why might you need this surgery?

The primary reason is the chronic breathing difficulty caused by the obstruction. Beyond that, your doctor may recommend this surgery for several other reasons:

• Removal of Nasal polyps: This surgery may be necessary to gain access to clear nasal growths.
• Chronic sinusitis: A deviated septum can prevent proper drainage of the sinus cavities, leading to recurrent infections.
• Snoring and Obstructive Sleep Apnea: A misaligned septum can be a contributing factor to poor sleep quality.
• Recurrent nosebleeds: In some cases, a deviated septum can lead to persistent bleeding.

How do you prepare for the surgery?

Before the procedure, your surgeon will review your full medical history. It is vital to disclose all medications, supplements, and vitamins you are currently taking.

Specifically, if you take blood-thinning medications like Aspirin or Ibuprofen, your doctor will advise you to stop them several weeks before the surgery to reduce the risk of bleeding. You will also receive clear instructions regarding when to stop eating and drinking before your operation.

What happens during the procedure?

This procedure is straightforward and routine.

You will typically be given general anesthesia by an anesthesiologist, meaning you will be in a deep, painless sleep throughout the duration of the surgery.

The surgeon will work entirely through your nostrils, making a small incision inside to lift the protective lining (mucosa) of the septum. They will then carefully straighten or remove the crooked pieces of bone and cartilage to reshape the wall. Afterward, they will replace the lining and may insert small splints or soft packing to hold the tissues in place, minimize bleeding, and prevent scar tissue. Often, dissolvable stitches are used.

The entire procedure usually takes between 30 to 90 minutes, and you will often be cleared to return home the same day.

Benefits and Potential Risks

Like any surgical intervention, there are benefits, alongside rare potential risks.

Recovering at Home

Following your surgeon’s post-operative instructions is critical for a smooth recovery. While you may feel better after a week, it takes several months for the internal bone and cartilage to fully heal.

Instructions for your care:

• Nasal Care: Avoid blowing your nose for the first week or two. If you need to sneeze, do so with your mouth open. Sleep with your head elevated and on your back.
• Dressings: Keep the gauze provided in place to absorb drainage (usually for the first two days). If you find you are changing the gauze every hour due to heavy bleeding, contact your doctor or visit the nearest emergency department immediately.
• Cleaning: Use a saline rinse as directed by your doctor. If crusting occurs around the nostrils, gently clean the outer edges with a cotton swab dampened with a mix of water and hydrogen peroxide. Never insert the cotton swab into your nose.
• Diet: Avoid spicy foods for the first two weeks, as these may increase nasal secretions and irritation.
• Activity: Plan for a few days of rest. You can typically resume light activities like walking after a week, but avoid strenuous exercise for about a month.

When to Seek Emergency Medical Attention

During your recovery, seek immediate medical care or go to the nearest hospital emergency room if you experience any of the following:

• Uncontrollable or heavy bleeding.
• Confusion or persistent dizziness.
• A fever exceeding 102°F (38.8°C).
• Stiff neck.
• Pain that increases significantly and does not respond to prescribed medication.
• Severe headache.
• Difficulty breathing.

Is Septoplasty the same as Rhinoplasty?

No, they are different procedures.

Rhinoplasty is a cosmetic procedure that changes the external appearance and shape of the nose.

Septoplasty is a functional procedure aimed at correcting the interior of the nose to improve breathing. However, if desired, you can discuss performing both procedures at the same time with your surgeon.

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