Our Summary

This research paper reviews the history and evolution of a surgical procedure called septoplasty in patients born with cleft lip and palate. Traditional surgical approaches used to avoid septoplasty because of fears it might limit the growth of the nose and middle of the face. However, modern approaches increasingly include septoplasty as part of the initial treatment for cleft lip.

The researchers compared American and European views on septoplasty and examined different theories about how the septum, a part of the nose, affects facial growth. They reviewed a number of scientific articles, selecting those that included children who had undergone septoplasty and were later evaluated for facial growth and nasal function.

The study found that ideas about septoplasty have changed significantly over time. It also found evidence to suggest that septoplasty can successfully improve nasal function and maintain normal facial growth. As a result, there seems to be growing acceptance of using septoplasty as part of the initial treatment for children born with a cleft lip.

FAQs

  1. What is septoplasty and why was it traditionally avoided in patients born with cleft lip and palate?
  2. How has the perception of septoplasty changed over time in the treatment of cleft lip and palate?
  3. What is the impact of septoplasty on facial growth and nasal function in children born with a cleft lip?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to follow the 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 moist, and attending follow-up appointments with your surgeon. It is important to communicate any concerns or changes in symptoms to your doctor promptly.

Suitable For

Patients who are typically recommended for septoplasty include those with nasal obstruction, deviated septum, chronic sinusitis, nasal polyps, or other nasal deformities that affect breathing. Additionally, patients with cleft lip and palate may also be recommended for septoplasty as part of their initial treatment plan to improve nasal function and maintain normal facial growth. It is important for patients to consult with a qualified surgeon to determine if septoplasty is the appropriate treatment option for their specific condition.

Timeline

Before septoplasty:

  1. Patient presents with symptoms such as difficulty breathing through the nose, frequent nosebleeds, snoring, and recurring sinus infections.
  2. Patient undergoes a physical examination and imaging tests to diagnose a deviated septum.
  3. Patient discusses treatment options with an ENT specialist, including the possibility of septoplasty.
  4. Patient schedules surgery and receives pre-operative instructions.

After septoplasty:

  1. Patient undergoes septoplasty, which involves reshaping or straightening the septum to improve airflow through the nose.
  2. Patient may experience pain, swelling, and nasal congestion in the days following surgery.
  3. Patient follows post-operative care instructions, including taking pain medication, using nasal sprays, and avoiding strenuous activities.
  4. Patient attends follow-up appointments to monitor healing and discuss any concerns or complications.
  5. Over time, patient’s breathing improves, and symptoms such as snoring and sinus infections may decrease.
  6. Patient experiences long-term benefits of improved nasal function and overall quality of life.

What to Ask Your Doctor

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

  1. What is septoplasty and how does it differ from other nasal surgeries?
  2. What are the risks and potential complications associated with septoplasty?
  3. Am I a good candidate for septoplasty? Are there any contraindications that would make me ineligible for the procedure?
  4. What is the expected outcome of septoplasty in terms of nasal function and facial growth?
  5. What is the recovery process like after septoplasty? How long will it take to fully recover?
  6. Will I need to follow any specific post-operative care instructions or attend follow-up appointments?
  7. Are there any alternative treatments or procedures that could achieve similar results to septoplasty?
  8. How experienced are you in performing septoplasty procedures, and what is your success rate?
  9. Can you provide me with any before-and-after photos of patients who have undergone septoplasty?
  10. Are there any long-term effects or considerations I should be aware of before undergoing septoplasty?

Reference

Authors: Lam T, Munns C, Fell M, Chong D. Journal: J Craniofac Surg. 2024 Oct 1;35(7):1985-1989. doi: 10.1097/SCS.0000000000010454. Epub 2024 Jul 8. PMID: 38975716