Our Summary

This research paper discusses the findings of a study that compared the complications after septoplasty (a surgical procedure to correct a deviated nasal septum) between patients who had their noses packed with material to prevent bleeding and those who had different treatments. The study looked at a variety of adverse events including difficulty breathing, decreased oxygen levels, pain, bleeding, blood clots, sleep problems, infection, nasal crusts, tear overproduction, difficulty swallowing, perforation, sticky nasal tissue, and persistent nasal septum deviation.

The researchers analyzed 47 studies involving 4,087 patients. They found that nasal packing after septoplasty was more likely to cause complications such as breathing difficulties, pain, sleep problems, nasal crusts, tear overproduction, difficulty swallowing, and sticky nasal tissue. However, it did not make a significant difference in preventing decreased oxygen levels, bleeding, blood clots, infection, perforation, and persistent nasal septum deviation.

The paper concludes by suggesting that routine nasal packing after septoplasty should be avoided, and that an alternative method called trans-septal suture (stitching across the septum) may cause fewer post-surgery complications.

FAQs

  1. What complications were found to be more likely with nasal packing after septoplasty?
  2. What alternative method to nasal packing does the paper suggest?
  3. Did nasal packing make a significant difference in preventing certain complications, according to the study?

Doctor’s Tip

A helpful tip a doctor might tell a patient about septoplasty is to discuss the option of avoiding routine nasal packing after the procedure to reduce the risk of complications such as breathing difficulties, pain, and nasal crusts. Instead, consider alternative methods like trans-septal suture to potentially minimize post-surgery issues. It’s important to have a thorough discussion with your surgeon about the best approach for your individual case.

Suitable For

Patients who are typically recommended septoplasty are those who have a deviated nasal septum, which can cause symptoms such as difficulty breathing, nasal congestion, snoring, and recurring sinus infections. Septoplasty is often recommended for patients who have tried other non-surgical treatments such as nasal sprays, decongestants, and allergy medications without success. Additionally, patients with nasal trauma, nasal obstruction, or a crooked nose may also benefit from septoplasty. It is important for patients to consult with an ENT specialist to determine if they are a suitable candidate for septoplasty based on their specific symptoms and medical history.

Timeline

Before septoplasty:

  • Patient experiences symptoms of a deviated nasal septum, such as difficulty breathing, nasal congestion, frequent nosebleeds, and facial pain.
  • Patient consults with an ENT specialist who recommends septoplasty as a treatment option.
  • Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery.

After septoplasty:

  • Patient undergoes septoplasty surgery, which typically lasts around 1-2 hours and is performed under general anesthesia.
  • Patient may experience some discomfort, swelling, and nasal congestion immediately after surgery.
  • Patient is advised to rest and avoid strenuous activities for the first few days post-surgery.
  • Patient attends follow-up appointments with their ENT specialist to monitor healing and address any concerns.
  • Over the following weeks and months, patient experiences gradual improvement in breathing and reduction in symptoms related to the deviated septum.
  • Patient may still experience some mild symptoms or complications, such as nasal crusts or persistent nasal septum deviation, which may require further treatment or intervention.

What to Ask Your Doctor

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

  1. What are the potential complications of septoplasty and how common are they?
  2. Will I need nasal packing after the surgery, and if so, what are the risks and benefits?
  3. What alternative methods to nasal packing are available to prevent bleeding after septoplasty?
  4. How will my breathing be affected after the surgery, and what can I expect in terms of recovery?
  5. How long will it take to see the full results of the surgery, and what kind of follow-up care will I need?
  6. Are there any specific instructions or precautions I should follow before and after the surgery to minimize complications?
  7. How often do patients experience persistent nasal septum deviation after septoplasty, and what can be done if this occurs?
  8. What is the success rate of septoplasty in improving nasal breathing and overall quality of life?
  9. Are there any factors, such as underlying medical conditions, that may increase the risk of complications during or after the surgery?
  10. Can you provide me with more information on the specific technique you will be using for my septoplasty and why you believe it is the best option for me?

Reference

Authors: Titirungruang CK, Charakorn N, Chaitusaney B, Hirunwiwatkul P. Journal: Rhinology. 2021 Aug 1;59(4):340-351. doi: 10.4193/Rhin21.057. PMID: 34350430