Our Summary
The research paper discusses different surgical techniques for correcting a specific type of nasal septum deviation, known as caudal septal deviation. This condition, affecting about 5% of patients with septum deviations, can lead to problems with breathing and noticeable changes in the shape of the nostrils.
One common method of correction is the submucosal resection, but it can’t be used if the deviation involves a certain part of the nasal structure, known as the L-strut. The paper also discusses other techniques such as scoring, swinging door, doorstop, and suturing. These can be used alone or in combination with cutting techniques.
In cases of severe deformity, a method called extracorporeal septoplasty is used. It also mentions the use of a batten graft, which can be used alone or combined with other methods.
The paper concludes that there are many ways to correct caudal septal deviation. However, each case requires careful planning and precise surgical execution. It also calls for more research on the results of these surgeries to provide a stronger evidence base.
FAQs
- What is caudal septal deviation and how common is it?
- What are the different surgical techniques mentioned in the research for correcting caudal septal deviation?
- What does the research paper recommend for the future of caudal septal deviation treatment?
Doctor’s Tip
A doctor might tell a patient undergoing septoplasty to follow post-operative care instructions carefully, including keeping the nasal passages moist with saline spray, avoiding strenuous activities that could increase blood pressure, and attending follow-up appointments to monitor healing progress. They may also recommend using a humidifier in the bedroom to promote healing and reduce nasal congestion.
Suitable For
Patients who are typically recommended septoplasty are those who have a deviated nasal septum causing symptoms such as difficulty breathing, nasal congestion, frequent nosebleeds, facial pain, and snoring. Septoplasty may also be recommended for patients who have a crooked or asymmetrical nose due to a deviated septum. Additionally, patients with chronic sinus infections or sleep apnea related to nasal obstruction may benefit from septoplasty. Overall, the decision to undergo septoplasty is based on the individual patient’s symptoms and the severity of their nasal septum deviation.
Timeline
Before septoplasty, a patient may experience difficulty breathing, nasal congestion, snoring, frequent sinus infections, headaches, and facial pain. They may have undergone various treatments such as nasal sprays, decongestants, and allergy medications without relief.
After septoplasty, the patient can expect some discomfort, swelling, and bruising in the nose and face for the first few days. They may need to wear a nasal splint for about a week to support the healing septum. Pain medication and nasal irrigation may be recommended to manage discomfort and promote healing.
In the weeks following septoplasty, the patient should gradually notice improved breathing, reduced nasal congestion, and better overall nasal function. It may take several months for the full effects of the surgery to be realized as the tissues heal and the nasal passages adjust.
Overall, septoplasty can significantly improve a patient’s quality of life by addressing breathing issues and nasal obstruction caused by a deviated septum. It is important to follow post-operative care instructions provided by the surgeon to ensure a successful recovery and optimal results.
What to Ask Your Doctor
Some questions a patient should ask their doctor about septoplasty include:
- What specific type of nasal septum deviation do I have, and how will septoplasty correct it?
- What surgical technique do you recommend for my case, and why?
- Are there any risks or potential complications associated with the surgery?
- What is the expected recovery time after septoplasty?
- Will septoplasty improve my breathing and alleviate any symptoms I am experiencing?
- What are the chances of the deviation recurring after surgery?
- Are there any alternative treatments or non-surgical options for my condition?
- How experienced are you in performing septoplasty procedures?
- What should I expect during the post-operative care and follow-up appointments?
- Can you provide me with information on the success rates and outcomes of septoplasty for patients with caudal septal deviation?
Reference
Authors: Javed A, Alburaiki A, Kamber Zaidi A, Farooq MU, Limbrick J, Anari S. Journal: Rhinology. 2025 Jun 1;63(3):306-315. doi: 10.4193/Rhin24.415. PMID: 40042569