Our Summary

This research paper is about a common condition called septal deviation, which affects the part of your nose that separates your nostrils. Most people have some degree of this, and in severe cases, surgery may be required. There are two types of surgery: open and endoscopic. The researchers wanted to find out which method is better. They searched various databases for studies that compared these two types of surgeries.

They found 14 studies that fit their criteria. After analyzing the information, they found that the endoscopic method (which involves inserting a small camera into the nose) was more effective in relieving symptoms such as nasal obstruction and headaches. Plus, it had fewer complications.

However, they warn that the studies they analyzed weren’t of the best quality, so their findings should be viewed cautiously. In simpler terms, while this study suggests that the endoscopic method may be better, more high-quality research is needed to definitively prove this.

FAQs

  1. What is septal deviation and when is surgery required?
  2. What are the differences between open and endoscopic septoplasty?
  3. What were the findings of the research regarding the effectiveness and complications of open and endoscopic surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about septoplasty is to follow post-operative care instructions carefully, including keeping the nasal passages clean and avoiding activities that could potentially disrupt the healing process. It’s also important to attend follow-up appointments with your surgeon to monitor progress and address any concerns or complications that may arise. Additionally, be patient with the recovery process as it may take some time for full results to be realized.

Suitable For

Patients who are typically recommended for septoplasty are those who have severe symptoms of nasal obstruction, difficulty breathing, chronic sinus infections, headaches, and snoring due to a deviated septum. These symptoms can significantly impact a person’s quality of life and may not be effectively managed with conservative treatments such as nasal sprays or medications. In such cases, septoplasty may be recommended to correct the structural issues in the nose and improve airflow.

It is important for patients to undergo a thorough evaluation by an otolaryngologist (ear, nose, and throat specialist) to determine if septoplasty is the best course of treatment for their specific condition. The decision to undergo surgery should be based on the severity of symptoms, the impact on daily life, and the potential risks and benefits of the procedure.

Timeline

Before septoplasty:

  • Patient may experience symptoms such as nasal congestion, difficulty breathing through the nose, frequent nosebleeds, and facial pain or pressure
  • Patient may visit an ENT specialist who will conduct a physical examination and may order imaging tests such as a CT scan to diagnose septal deviation
  • ENT specialist may recommend septoplasty if conservative treatments such as nasal sprays or decongestants are not effective

After septoplasty:

  • Patient will undergo either open or endoscopic septoplasty surgery, which typically takes about 1-2 hours under general anesthesia
  • Patient may experience mild to moderate pain, swelling, and bruising in the days following surgery
  • Patient will need to follow post-operative instructions such as avoiding strenuous activities, keeping the head elevated, and using saline nasal sprays to keep the nasal passages moist
  • Patient will have follow-up appointments with the ENT specialist to monitor healing and address any concerns
  • Patient may experience improved breathing, reduced symptoms, and overall better quality of life after recovery from septoplasty.

What to Ask Your Doctor

Here are some questions a patient should ask their doctor about septoplasty:

  1. What is septoplasty and why is it recommended for me?
  2. What are the risks and potential complications associated with septoplasty?
  3. How long is the recovery period after septoplasty?
  4. Will septoplasty completely correct my nasal obstruction or will I still experience some symptoms?
  5. What type of septoplasty procedure will be performed on me (open or endoscopic) and why?
  6. What are the success rates for septoplasty in relieving nasal obstruction and other symptoms?
  7. How experienced are you in performing septoplasty procedures?
  8. Are there any non-surgical alternatives to treating my condition?
  9. How should I prepare for septoplasty surgery?
  10. What can I expect during the post-operative care and follow-up appointments?

Reference

Authors: Hong CJ, Monteiro E, Badhiwala J, Lee J, de Almeida JR, Vescan A, Witterick IJ. Journal: Am J Rhinol Allergy. 2016 Nov 1;30(6):436-442. doi: 10.2500/ajra.2016.30.4366. PMID: 28124656