Our Summary

This research paper discusses a common nose surgery known as septoplasty, which is usually done under general anesthesia or local anesthesia with sedation. However, the paper presents a case where this surgery was done under only local anesthesia in an outpatient clinic. The surgery and recovery period went as expected. The paper suggests that doing septoplasty under local anesthesia could be a good option for certain patients.

FAQs

  1. What is septoplasty and what type of anesthesia is usually used for it?
  2. Can septoplasty be performed under local anesthesia only?
  3. What does the research suggest about the benefits of performing septoplasty under local anesthesia?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to follow post-operative care instructions carefully, such as keeping the head elevated, avoiding strenuous activities, and using saline nasal spray to keep the nasal passages moist. This can help promote proper healing and reduce the risk of complications. Additionally, patients should attend all follow-up appointments with their doctor to ensure proper healing and address any concerns.

Suitable For

Patients who are typically recommended septoplasty are those who have a deviated septum, which is a condition where the thin wall (nasal septum) between the nasal passages is displaced to one side. This can cause symptoms such as difficulty breathing through the nose, nasal congestion, frequent nosebleeds, and facial pain. Septoplasty is often recommended for patients who have tried other non-surgical treatments such as nasal sprays or allergy medications without success.

Additionally, patients who have nasal deformities or injuries that affect the nasal septum may also benefit from septoplasty. These deformities or injuries can result from trauma, previous surgeries, or congenital conditions.

Overall, patients who are experiencing chronic nasal issues or difficulty breathing through the nose may be good candidates for septoplasty. It is important for patients to consult with an ENT specialist to determine if septoplasty is the right treatment option for their specific condition.

Timeline

Before septoplasty:

  1. Consultation with an ENT specialist to discuss symptoms and determine if septoplasty is necessary.
  2. Pre-operative tests and evaluations to assess the patient’s overall health and suitability for surgery.
  3. Discussion of the risks and benefits of the procedure, as well as expectations for recovery and outcomes.

During septoplasty:

  1. The patient is administered either general anesthesia or local anesthesia with sedation.
  2. The surgeon makes incisions inside the nose to access and straighten the deviated septum.
  3. The septum is reshaped or trimmed to improve airflow through the nasal passages.
  4. The incisions are closed with dissolvable stitches, and nasal packing may be inserted to support the septum during healing.

After septoplasty:

  1. The patient may experience pain, swelling, and congestion in the nose for several days after surgery.
  2. Follow-up appointments with the surgeon to monitor healing and remove any packing or stitches.
  3. Nasal irrigation and gentle cleaning of the nose to promote healing and prevent infection.
  4. Gradual improvement in breathing and reduction in nasal symptoms over the following weeks and months.
  5. Full recovery and optimal results typically achieved within 3-6 months post-surgery.

What to Ask Your Doctor

  1. What is septoplasty and why is it recommended for me?
  2. What are the potential risks and complications associated with septoplasty?
  3. Can septoplasty be done under local anesthesia, and what are the advantages and disadvantages of this approach?
  4. What is the expected recovery time and post-operative care after septoplasty?
  5. How long will it take for me to see the full results of septoplasty?
  6. Are there any restrictions or limitations on activities during the recovery period?
  7. Will septoplasty improve my breathing and alleviate my symptoms (such as nasal congestion or snoring)?
  8. What alternative treatment options are available for my condition?
  9. How experienced are you in performing septoplasty procedures?
  10. Are there any specific pre-operative instructions I need to follow before undergoing septoplasty?

Reference

Authors: Obradovic B. Journal: J Craniofac Surg. 2019 Mar/Apr;30(2):e142-e143. doi: 10.1097/SCS.0000000000005071. PMID: 30550446