Septoplasty

Source: Wikipedia, the free encyclopedia.
Septoplasty
Typical flexible splints that may be used in septoplasty. They are held in place in the nose with a stitch through the hole, and are typically removed seven to 10 days after surgery.
ICD-9-CM21.5, 21.88
MedlinePlus003012

Septoplasty (

turbinate on the opposite side enlarges, which is termed compensatory hypertrophy
. Deviations of the septum can lead to nasal obstruction. Most surgeries are completed in 60 minutes or less, while the recovery time could be up to several weeks. Put simply, septoplasty is a surgery that helps repair the passageways in the nose making it easier to breathe. This surgery is usually performed on patients with a deviated septum, recurrent rhinitis, or sinus issues.

Procedure

Pieces removed from nasal cavities during septoplasty

The procedure

Skin grafts
can be placed internally to support the internal structures.

Indications

Apart from in patients with deviated nasal septum causing airway obstruction leading to difficulty with breathing, recurrent rhinitis, or sinusitis, septoplasty is done as an approach to

nosebleed (epistaxis) due to septal spur
.

Contraindications

Septoplasty should not be done in acute nasal or sinus infection. It should also be avoided if the person has untreated diabetes, severe hypertension or bleeding diathesis.[4]

Post-operation

Unless there are unusual complications, there is no swelling or discoloration of the external nose or face with septoplasty alone.

cautery, but is generally handled safely and without compromise of the ultimate surgical result. Septal perforation and septal hematoma are possible, as is a decrease in the sense of smell.[5] Temporary numbness of the front upper teeth after surgery is common.[5]
Sometimes the numbness extends to the upper jaw and the tip of the nose. This almost always resolves within several months.

The nasal tissues should mostly stabilize within 3-6 months post-surgery, although shifting is still possible for up to and over a year afterwards.[6]

A randomised controlled trial found that people who had septoplasty had a greater improvement in their symptoms and quality of life after 6 months than people who managed their nasal airway obstruction with nasal sprays.[7][8]

Complications of septoplasty

  • Nasal septum perforation due to the bilateral trauma of the mucoperichondrial flaps opposite each other.
  • Septal hematoma and septal abscess.
  • Adhesions and synechiae between septal mucosa and lateral nasal wall.
  • septal cartilage
    .
  • Dropped nasal tip due to resection of the caudal margin.

See also

References

  1. ^ "Repair of a Deviated Septum (Septoplasty) - Surgery Overview". WebMD. Retrieved 18 July 2015.
  2. ^ Cf. "Septoplasty". Mediline Plus, U.S National Library of Medicine. Retrieved 29 June 2013.
  3. ^ "Septoplasty". Mediline Plus, U.S National Library of Medicine. Retrieved 29 June 2013.
  4. ^ Dhingra, P.L (2010). Diseases of the ear, nose and throat. New Delhi, India: Elsevier Publications. pp. 429–430.
  5. ^ a b "Septoplasty – Risks". Mayo Clinic. Retrieved 18 July 2015.
  6. ^ "Septoplasty – Results". Mayo Clinic. Retrieved 18 July 2015.
  7. PMID 37852641
    .
  8. doi:10.3310/nihrevidence_62708
    .
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