Our Summary

This research paper studies the effectiveness of a specific type of nasal surgery (transseptal suturing septoplasty) in older individuals who are above the age of 65. The study separated the participants into two groups. One group underwent a traditional nasal packing surgery, and the other group underwent the new transseptal suture technique. The researchers evaluated the success of the surgery based on pain levels, cosmetic outcomes, breathing obstruction, and oxygen levels in the blood.

The research included 26 participants. Half of them had traditional nasal packing, and the other half had the new surgical technique. The results showed no significant difference between the two groups when it came to the cosmetic outcome and breathing obstruction. However, the group that underwent traditional nasal packing had much lower oxygen levels in their blood and experienced higher levels of pain.

The conclusion from this research is that the new transseptal suturing septoplasty is a safe and effective surgery for older individuals. It causes less pain and does not affect oxygen levels in the blood, making it a more comfortable option.

FAQs

  1. What is the main difference between traditional nasal packing surgery and transseptal suturing septoplasty?
  2. According to the research, what are the main benefits of transseptal suturing septoplasty for older individuals?
  3. Did the study find any significant differences in cosmetic outcome and breathing obstruction between the two surgical methods?

Doctor’s Tip

A helpful tip a doctor might tell a patient about septoplasty is to discuss with their surgeon the possibility of using the transseptal suturing technique, especially if they are older. This technique may result in less pain and better oxygen levels in the blood compared to traditional nasal packing. It is important to have an open conversation with the surgeon about the best options for the individual’s specific situation.

Suitable For

Patients who are typically recommended septoplasty are those who suffer from a deviated septum, which is a condition where the thin wall between the nasal passages is displaced to one side. This can lead to difficulty breathing, nasal congestion, recurrent sinus infections, snoring, or sleep apnea. Septoplasty is usually recommended for patients who have tried non-surgical treatments such as nasal decongestants, antihistamines, or nasal steroid sprays without success.

Additionally, patients with nasal trauma or injury, nasal polyps, or other structural abnormalities in the nasal passages may also be recommended for septoplasty. The surgery can help improve airflow through the nose, alleviate symptoms such as nasal congestion or difficulty breathing, and improve overall quality of life for these patients.

It is important for patients to consult with an ENT specialist or a surgeon experienced in septoplasty to determine if they are a suitable candidate for the surgery. The decision to undergo septoplasty should be based on individual symptoms, medical history, and the severity of the nasal condition.

Timeline

Timeline of patient experience before and after septoplasty:

Before surgery:

  1. Patient meets with an ENT specialist to discuss symptoms of breathing difficulties, congestion, and nasal obstruction.
  2. ENT specialist performs a physical examination and may recommend a nasal endoscopy or imaging tests to diagnose a deviated septum.
  3. Patient undergoes pre-operative testing, such as blood work and possibly a CT scan.
  4. Patient receives instructions on pre-operative care, including avoiding certain medications like aspirin and arranging for transportation to and from the surgery.

After surgery:

  1. Patient undergoes septoplasty surgery, which typically takes 1-2 hours under general anesthesia.
  2. Patient wakes up in the recovery room and may experience some pain, swelling, and nasal congestion.
  3. Patient may have nasal packing or splints in place to support the septum as it heals.
  4. Patient is discharged home the same day with post-operative care instructions, including pain management and nasal care.
  5. Patient follows up with the ENT specialist for a post-operative visit to monitor healing and remove any packing or splints.
  6. Over the next few weeks, patient gradually experiences improved breathing, reduced congestion, and overall better nasal function.
  7. Patient may need to avoid strenuous activities and follow-up with the ENT specialist for further evaluation and monitoring of the surgical outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about septoplasty include:

  1. What are the potential risks and complications associated with septoplasty?
  2. How long is the recovery process after septoplasty?
  3. Will I need to take time off work or limit my activities during the recovery period?
  4. How long will it take for me to notice improvements in my breathing after the surgery?
  5. Are there any alternative treatments or procedures that could address my nasal obstruction?
  6. Will I need to use any nasal packing or splints after the surgery, and if so, for how long?
  7. What can I expect in terms of pain management after the surgery?
  8. Will I need to follow any specific post-operative care instructions or attend follow-up appointments?
  9. How experienced are you in performing septoplasty procedures, and what is your success rate?
  10. Can you provide me with any information or resources to help me better understand the procedure and what to expect?

Reference

Authors: Eski E, Koycu A, Yilmaz I. Journal: Ear Nose Throat J. 2024 Nov;103(3_suppl):28S-31S. doi: 10.1177/01455613241255994. Epub 2024 May 21. PMID: 38771072