Our Summary

This research paper discusses a surgical method called endoscopic septoplasty, which is used to correct a deviated nasal septum (the wall between your nostrils). The technique has evolved over time, each with its own pros and cons. The researchers reviewed literature on the topic and studied patient records at the University Hospitals Leuven who underwent this procedure between 2001 and 2015.

The endoscopic septoplasty method offers better visualization for surgeons and requires less tissue cutting, which is particularly useful when dealing with specific nasal issues and repeat surgeries. It also aids in teaching and eases the transition to another type of nose surgery called endoscopic sinus surgery. The success rate and possible complications of this method are similar to traditional techniques.

Specifically, the study found that a procedure called endoscopic spur resection, as performed at the University Hospitals Leuven, was a quick, safe, and effective method when dealing with certain nasal issues, especially when used in conjunction with endoscopic sinus surgery.

FAQs

  1. What is endoscopic septoplasty and why is it used?
  2. What advantages does endoscopic septoplasty offer compared to traditional techniques?
  3. What is endoscopic spur resection and how effective is it in dealing with certain nasal issues?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include avoiding strenuous activities, keeping the nasal passages clean, and attending follow-up appointments as scheduled. It is also important to communicate any concerns or changes in symptoms to your healthcare provider promptly. By following these guidelines, patients can help promote a successful recovery and achieve the desired outcome from the surgery.

Suitable For

Patients who are typically recommended for septoplasty include those with a deviated nasal septum that causes symptoms such as nasal congestion, difficulty breathing through the nose, recurrent sinus infections, nosebleeds, and snoring. These symptoms can significantly impact a patient’s quality of life and may warrant surgical intervention to correct the underlying issue.

In addition, patients with nasal trauma or previous nasal surgeries that have resulted in a deviated septum may also benefit from septoplasty to improve nasal function and alleviate symptoms. Patients with nasal polyps or other structural abnormalities in the nasal cavity may also be candidates for septoplasty to address these issues and improve overall nasal health.

Overall, patients who are experiencing significant nasal symptoms and have been diagnosed with a deviated septum or other nasal issues may be recommended for septoplasty to improve their quality of life and alleviate symptoms. It is important for patients to consult with an ENT specialist to determine if septoplasty is the appropriate treatment option for their specific condition.

Timeline

Before septoplasty:

  1. The patient may experience symptoms such as nasal congestion, difficulty breathing through the nose, snoring, frequent nosebleeds, and sinus infections.
  2. The patient may consult with an otolaryngologist (ear, nose, and throat specialist) to discuss their symptoms and potential treatment options.
  3. The otolaryngologist may recommend septoplasty as a surgical option to correct the deviated nasal septum.

After septoplasty:

  1. The patient undergoes pre-operative evaluations and tests to ensure they are healthy enough for surgery.
  2. The patient undergoes septoplasty surgery, which typically takes about 1-2 hours and is performed under general anesthesia.
  3. After the surgery, the patient may experience pain, swelling, and congestion in the nose for a few days.
  4. The patient will have follow-up appointments with their otolaryngologist to monitor their healing progress and address any concerns.
  5. Over time, the patient should experience improved nasal breathing, reduced snoring, and a decreased risk of sinus infections.

What to Ask Your Doctor

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

  1. What is septoplasty and how will it benefit me?
  2. Am I a good candidate for endoscopic septoplasty?
  3. What are the risks and potential complications associated with this procedure?
  4. What is the success rate of endoscopic septoplasty compared to traditional techniques?
  5. How long is the recovery process and what can I expect during the recovery period?
  6. Will I need to follow any specific post-operative care instructions?
  7. Are there any alternative treatment options available for my condition?
  8. How many times have you performed endoscopic septoplasty procedures and what is your success rate?
  9. Will I need any additional procedures, such as endoscopic sinus surgery, in conjunction with the septoplasty?
  10. Can you provide me with any patient testimonials or case studies related to endoscopic septoplasty?

Reference

Authors: Vandenbroeck S, Jorissen M. Journal: J Laryngol Otol. 2019 Apr;133(4):262-268. doi: 10.1017/S0022215119000665. Epub 2019 Apr 10. PMID: 30967166