Our Summary

This research paper reviews the latest techniques used in the surgical correction of a deviated septum, which is a condition where the thin wall between your nostrils is displaced to one side. This can cause problems with airflow and breathing. The paper discusses the relevant anatomy of the nose and the history of how these surgical techniques have evolved over time.

Two main techniques are compared in the paper: traditional septoplasty and endoscopic septoplasty. Traditional septoplasty is an open surgery that involves cutting into the skin of the nose, while endoscopic septoplasty is a minimally invasive procedure that uses a small camera (an endoscope) to guide the surgery.

The paper discusses when each of these techniques should be used, their advantages, and their limitations. It also talks about potential complications from these surgeries, and how to prevent and manage these issues.

FAQs

  1. What is the difference between traditional and endoscopic septoplasty techniques?
  2. What are the potential complications of septoplasty and how can they be prevented or managed?
  3. What are the indications, advantages, and limitations of both traditional and endoscopic septoplasty approaches?

Doctor’s Tip

A 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 moist with saline spray, and taking prescribed medications as directed. It is also important to attend follow-up appointments with the surgeon to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended for septoplasty are those who have a deviated septum that is causing symptoms such as nasal obstruction, difficulty breathing through the nose, frequent nosebleeds, chronic sinus infections, and snoring or sleep apnea. Septoplasty may also be recommended for patients who have tried non-surgical treatments such as nasal sprays or allergy medications without success. It is important for patients to undergo a thorough evaluation by an otolaryngologist to determine if septoplasty is the appropriate treatment option for their specific condition.

Timeline

Before Septoplasty:

  1. Initial consultation with an otolaryngologist to discuss symptoms of nasal obstruction, difficulty breathing, and potential causes such as a deviated septum.
  2. Physical examination and diagnostic tests such as nasal endoscopy and imaging studies to confirm the diagnosis of a deviated septum.
  3. Pre-operative preparation including medical history review, medication adjustments, and instructions for the day of surgery.
  4. Discussion of the risks, benefits, and expected outcomes of septoplasty with the surgeon.

After Septoplasty:

  1. Day of surgery: Septoplasty is performed under general anesthesia or local anesthesia with sedation. The surgeon makes incisions inside the nose to access the deviated septum and reshape or remove excess tissue.
  2. Recovery period: Patients may experience mild pain, swelling, and congestion in the days following surgery. Nasal packing or splints may be placed to support the septum during healing.
  3. Follow-up appointments: Patients will have post-operative visits with the surgeon to monitor healing, remove packing or splints, and address any concerns or complications.
  4. Long-term outcomes: Most patients experience improved nasal breathing and reduced symptoms of nasal obstruction after septoplasty. Some may require additional treatments or revisions for optimal results.

Overall, septoplasty is a safe and effective surgical procedure for correcting a deviated septum and improving nasal function. Proper pre-operative evaluation, surgical technique, and post-operative care are essential for successful outcomes.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with septoplasty?
  2. How long is the recovery period after septoplasty and what can I expect during this time?
  3. Will septoplasty completely resolve my nasal obstruction or will I still experience some symptoms?
  4. Are there any alternative treatments or procedures that could be considered instead of septoplasty?
  5. How experienced are you in performing septoplasty procedures and what is your success rate?
  6. Will I need to follow any specific post-operative care instructions after septoplasty?
  7. How will septoplasty impact my ability to breathe through my nose and will there be any changes in my sense of smell?
  8. Will septoplasty affect the appearance of my nose in any way?
  9. What is the typical outcome for patients who undergo septoplasty?
  10. Are there any long-term effects or considerations I should be aware of after undergoing septoplasty?

Reference

Authors: Shah J, Roxbury CR, Sindwani R. Journal: Otolaryngol Clin North Am. 2018 Oct;51(5):909-917. doi: 10.1016/j.otc.2018.05.007. Epub 2018 Jul 17. PMID: 30025848