Surgeries of the Nose & Sinus
Septoplasty
Septoplasty is a surgical procedure used to correct a deviated septum. If a deviated septum is contributing to turbinate enlargement, surgical correction of the septum may be recommended along with a turbinoplasty. During septoplasty, the surgeon aims to straighten and reposition the deviated septum, thereby improving airflow through the nose and alleviating associated symptoms. The procedure is typically performed under general or local anesthesia with sedation, depending on the complexity of the surgery and patient preference.
The surgery begins with an incision made inside the nostril to access the septum. The mucosal lining covering the septum is then lifted away to allow visibility and access to the deviated portions of the septum. Those parts are then carefully reshaped or removed, and the remaining septal cartilage and bone are repositioned to improve nasal alignment. Finally, the mucosal lining is repositioned over the septum and stitched back into place.
After Surgery
Septoplasty is a same-day surgery but it is vital that someone picks you up from the hospital. Antibiotics are typically prescribed for at least 5 days postoperatively, depending on the use of splints and packing. Pain is generally mild and effectively managed with over-the-counter analgesics like paracetamol (acetaminophen) and ibuprofen.
After surgery, nasal packing or splints may be placed inside the nose temporarily to support the septum as it heals. If splints are used, they are typically removed approximately 1 week after the surgery. Most individuals require 7 to 10 days off from school or work and should avoid strenuous exercise for about 3 weeks. Occasionally postoperative rhinomanometry is conducted to assess nasal airflow objectively. Patients are also advised to follow postoperative care instructions to promote healing and reduce the risk of complications.
