Our Summary

The research paper discusses the problem of nasal septal deviation, which is a common issue that can greatly impact a person’s quality of life. The nasal septum is the thin wall of bone and cartilage that separates the two nostrils. When this wall bends or deviates to one side, it can obstruct the flow of air, causing difficulties in breathing.

One common way of addressing this issue is through a surgical procedure called septoplasty. This method is generally effective for mild to moderate cases. However, more severe cases, particularly those involving the front part (or caudal part) of the septum, can present more challenges.

The paper discusses various strategies for dealing with these severe cases of anterior septal deviation. One of these methods, called anterior septal reconstruction, has been found to be a safe and effective way to address the problem. This approach has been shown to significantly reduce the symptoms experienced by the patient before the operation.

FAQs

  1. What is nasal septal deviation and how does it affect quality of life?
  2. What is septoplasty and who is it most effective for?
  3. What are some strategies to address anterior septal deviation and how effective are they?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to follow all post-operative care instructions carefully to ensure proper healing and optimal results. This may include avoiding activities that could potentially disrupt the healing process, such as strenuous exercise or blowing your nose too forcefully. It’s also important to attend all follow-up appointments with your doctor to monitor your progress and address any concerns that may arise. By following these guidelines, you can help ensure a successful outcome from your septoplasty procedure.

Suitable For

Patients who are typically recommended for septoplasty include those with nasal obstruction caused by septal deviation. This can include individuals with mild to moderate mid to posterior septal deviation, as well as those with severe caudal septal deviation. Septoplasty can provide qualitative and quantitative benefits to patients by improving their nasal airflow and reducing symptoms such as congestion, difficulty breathing, and snoring. Anterior septal reconstruction may be recommended for individuals with severe caudal septal deviation to effectively address their symptoms and improve their quality of life.

Timeline

Before Septoplasty:

  • Patient may experience symptoms of nasal obstruction, such as difficulty breathing through the nose, snoring, and recurrent sinus infections
  • Patient may undergo a physical examination and nasal endoscopy to confirm the presence of nasal septal deviation
  • Patient may undergo imaging studies, such as a CT scan, to further evaluate the extent of the septal deviation
  • Patient may receive conservative treatment options, such as nasal steroid sprays or nasal decongestants, to manage symptoms

After Septoplasty:

  • Patient undergoes septoplasty surgery to correct the nasal septal deviation
  • Patient may experience some discomfort, swelling, and congestion in the immediate postoperative period
  • Patient will be advised to avoid strenuous activities and to keep the nasal area clean and dry during the initial recovery period
  • Patient will have follow-up appointments with their surgeon to monitor healing and address any concerns
  • Patient may experience improved nasal breathing and reduced symptoms of nasal obstruction in the weeks and months following septoplasty.

What to Ask Your Doctor

  1. What is septoplasty and how can it help improve my nasal obstruction?
  2. Am I a good candidate for septoplasty? Are there any factors that may make the procedure more challenging for me?
  3. What are the potential risks and complications associated with septoplasty?
  4. What is the recovery process like after septoplasty? How long can I expect to be out of work or school?
  5. Will septoplasty improve my breathing and ability to sleep better at night?
  6. Are there any alternative treatments or procedures that I should consider before deciding on septoplasty?
  7. How long will the results of septoplasty last? Will I need any follow-up appointments or additional treatments in the future?
  8. Can septoplasty address any cosmetic concerns I have about the appearance of my nose?
  9. What is the success rate of septoplasty in patients with similar conditions to mine?
  10. Are there any lifestyle changes or precautions I should take before or after septoplasty to ensure the best possible outcome?

Reference

Authors: Most SP, Rudy SF. Journal: Facial Plast Surg Clin North Am. 2017 May;25(2):161-169. doi: 10.1016/j.fsc.2016.12.002. Epub 2017 Feb 21. PMID: 28340647