Septoplasty

Septoplasty is a surgical procedure used to correct a deviated nasal septum. The nasal septum is the structure made of bone and cartilage that separates the two sides of the nose.

When the septum is significantly deviated, it may narrow one or both nasal passages and contribute to persistent difficulty breathing through the nose.

At Garv Diagnostic Centre & Hospital, Dr. Vaibhav Kuchhal, ENT Specialist, evaluates patients with nasal obstruction and other symptoms that may be associated with a deviated septum. If septoplasty is considered appropriate, the procedure, preparation, possible risks, and expected recovery are discussed based on the patient's individual condition.

What Is Septoplasty?

Septoplasty is an operation performed to straighten or reposition parts of a deviated nasal septum.

A deviated septum can be present from birth or may develop following an injury to the nose. Mild deviation may not cause noticeable symptoms, while a more significant deviation can sometimes interfere with nasal airflow.

The aim of septoplasty is to improve the nasal airway by addressing the parts of the septum that are contributing to obstruction. The procedure does not necessarily change the external appearance of the nose.

When Is Septoplasty Recommended?

Septoplasty may be considered when a deviated septum contributes to significant or persistent symptoms.

Possible symptoms include:

• Difficulty breathing through one or both sides of the nose
• Persistent nasal blockage
• Nasal congestion
• Difficulty breathing during exercise
• Mouth breathing due to nasal obstruction
• Sleep disturbance related to nasal blockage
• Recurrent nasal symptoms associated with structural obstruction

The presence of a deviated septum does not automatically mean surgery is required. An ENT specialist first determines whether the deviation is contributing to the patient's symptoms.

How Is a Deviated Septum Diagnosed?

The ENT specialist begins by discussing the patient's symptoms, medical history, previous nasal injuries, and any treatments already attempted.

The examination may include an assessment of:

• The external nose
• Nasal passages
• Nasal airflow
• Septal position
• Turbinates
• Other structures that may contribute to nasal obstruction

Nasal endoscopy may be recommended when a more detailed examination is required. Imaging may also be considered in selected cases.

This assessment helps determine whether the symptoms are caused by a deviated septum or another nasal condition.

How Is Septoplasty Performed?

Septoplasty is generally performed under general anaesthesia, although the anaesthesia approach depends on the specific circumstances of the procedure.

During surgery:

1. Anaesthesia is administered.
2. The surgeon accesses the nasal septum through an incision inside the nose.
3. The lining covering the septum is carefully lifted.
4. Deviated portions of cartilage or bone are repositioned, reshaped, or removed as required.
5. The remaining septal structures are positioned to improve the nasal airway.
6. The nasal lining is returned to its appropriate position.
7. The surgical site is closed using appropriate techniques.

The exact surgical technique varies depending on the severity and location of the deviation.

What Happens After Septoplasty?

After surgery, the patient is monitored during recovery from anaesthesia. Nasal congestion and a feeling of blockage are common during the early recovery period.

Temporary symptoms may include:

• Nasal congestion
• Mild nasal or facial discomfort
• Swelling
• Small amounts of nasal discharge or bleeding
• Headache or pressure
• Temporary reduction in the sense of smell
• Tiredness

The doctor will provide instructions regarding medications, nasal care, activity, and follow-up.

Recovery After Septoplasty

Recovery varies between patients. Nasal congestion may persist during the early healing period as swelling gradually settles.

Patients should follow the post-operative instructions provided by their ENT specialist. These may include avoiding strenuous physical activity for a specified period and following specific nasal care instructions.

The nasal tissues continue to heal after the initial recovery period, so improvement in nasal breathing may occur gradually rather than immediately.

Follow-up appointments allow the ENT specialist to assess healing and address any concerns during recovery.

Possible Risks and Complications

As with any surgical procedure, septoplasty has potential risks. These may include:

• Bleeding
• Infection
• Nasal swelling or congestion
• Pain or discomfort
• Temporary reduction in smell
• Septal perforation
• Changes in nasal sensation
• Persistence of nasal obstruction
• Alteration in the external shape of the nose in uncommon cases
• Anaesthesia-related complications
• Need for further treatment

The risks vary according to the patient's condition and the surgical technique used. Your ENT specialist will explain the potential complications before surgery.

What Should You Know Before Septoplasty?

Before the procedure, inform your doctor about your medical conditions, medications, allergies, previous nasal injuries, previous surgeries, and any history of bleeding problems.

The surgical team will provide instructions regarding:

• Fasting before surgery
• Medications
• Pre-operative investigations
• Nasal care
• Activity restrictions
• Arrangements for transportation and post-operative support

Following these instructions carefully can help with preparation and recovery.

Does Septoplasty Change the Shape of the Nose?

Septoplasty is primarily performed to improve the internal structure of the nose and nasal airflow. It is not generally intended to change the external appearance of the nose.

However, the internal structure of the nose can influence its external shape, and changes may occur in uncommon circumstances. If a patient also requires correction of the external nasal structure, a different or combined surgical approach may be considered.

When Should You Seek an ENT Evaluation?

Consider an ENT consultation if you experience persistent nasal blockage or difficulty breathing through your nose, particularly when symptoms continue despite appropriate medical treatment.

An evaluation may be especially useful if nasal obstruction is affecting:

• Sleep
• Exercise
• Daily activities
• Breathing comfort
• Overall quality of life

A specialist assessment can determine whether a deviated septum is contributing to the symptoms and whether septoplasty may be appropriate.

Consult an ENT Specialist at Garv Diagnostic Centre & Hospital

Persistent nasal obstruction can have several causes, and a deviated septum is only one possible factor. A detailed ENT evaluation can help identify the underlying problem and determine the appropriate treatment.

Dr. Vaibhav Kuchhal, ENT Specialist at Garv Diagnostic Centre & Hospital, can assess your nasal symptoms and discuss whether septoplasty or another treatment approach may be suitable.

Contact Garv Diagnostic Centre & Hospital to schedule an ENT consultation and discuss your nasal breathing concerns.

Frequently Asked Questions

Q: Is septoplasty painful?

A: The procedure is performed under anaesthesia, so you should not feel pain during surgery. Some nasal discomfort, congestion, or pressure may occur during recovery.

Q: How long does it take to recover from septoplasty?

A: Recovery varies between patients. Nasal congestion and swelling may continue during the initial healing period, while internal healing can take longer. Your doctor will provide individualised recovery instructions.

Q: Will septoplasty improve my breathing?

A: If a deviated septum is a significant cause of your nasal obstruction, correcting it may improve nasal airflow. However, other conditions can also contribute to nasal blockage, so the expected benefit varies between patients.

Q: Does septoplasty change the appearance of the nose?

A: Septoplasty primarily addresses the internal nasal septum and is not generally intended to change the external appearance of the nose. If external structural correction is required, another procedure may be considered.

Q: Can a deviated septum be treated without surgery?

A: Some symptoms associated with nasal obstruction may be managed with medication or other non-surgical measures. However, these treatments do not straighten a structurally deviated septum. Your ENT specialist can advise whether conservative treatment or surgery is appropriate.