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The nasal septum is the partition inside the nose made of cartilage (gristle) which separates the two nostrils. Usually the septum is straight and upright, and is in the middle of the nose. Inside your nose, the septum is bent over.
You may feel that your nose is blocked or may have headaches and pain in the face. You may have sinus (the space inside any face bone) infections and even ear problems. Straightening out the septum will help you to breathe through your nose more easily, and lessen problems with your sinuses and ears.
Septoplasty
Septoplasty is a surgical procedure that involves changing the position of the septum inside the nose. Although it is not the same as rhinoplasty, which is a cosmetic procedure used to change the size and/or shape of the nose, septoplasty may be performed along with rhinoplasty. Unlike rhinoplasty, which is usually done purely for cosmetic purposes, septoplasty may be performed in order to improve the efficiency of the nose by making it easier to breathe.
A septoplasty procedure involves making changes to the septum, which is the firm yet flexible wall that is located in the center of the nose. For those requiring a septoplasty, however, the septum may be located to the left of the right side of the nose rather than in the middle. Therefore, the job of the surgeon is to re-center the septum so the nose can more efficiently inhale and exhale air. Although it is normal to have a slightly deviated septum - in fact, approximately 80% of people have a septum that is not right in the middle of the noise - having one that is drastically deviated can make proper breathing difficult.
Diagnosis / Preparation
The primary conditions that may suggest a need for septoplasty include:
Nasal air passage obstruction
Nasal septal deformity
Headaches caused by septal spurs
Chronic and uncontrolled nosebleeds
Chronic sinusitis associated with a deviated septum
Obstructive sleep apnea
Polypectomy (polyp removal)
Tumor excision
Turbinate surgery
The Operation
You will have a general anaesthetic and be completely asleep. A small cut will be made in the skin over the septum inside the nose. The surgeon will then straighten out the cartilage and move it back into the middle of the nose. Further back, the septum changes into bone, and this may be crooked. The surgeon will remove small pieces of bone to make it straight again. The cut inside the nose will be closed with stitches which will dissolve on their own and do not need to be removed.
Plastic splints and gauze packing soaked in Vaseline will then put into the nose to keep everything straight and stop any bleeding. Because you will be asleep you will not feel any pain at all during the operation. The nasal packing and splints will be removed on the second morning after your operation by the nurses on the ward. You should be fit to go home later that day.
Risks Associated with Septoplasty
All surgeries carry with them a certain amount of risks. Some risks that are associated with any surgery include:
Bleeding
Bruising
Infection
Negative reaction to anesthesia
Scarring
Swelling
Generally, the risk of visible scarring is quite small with septoplasty because the work is done inside the nose. There are, however, certain risks that are specifically associated with this procedure
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This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient.
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