Septoplasty

Definition

Septoplasty is an operation that corrects any problems in the wall (nasal septum) that separates the two sides of the nose.

See also: Rhinoplasty

Alternative Names

Description

The goal of septoplasty to straighten out the nasal septum or to relieve blockages or other structural problems.

A cut is made inside the wall of one side of the nose. The mucus membrane is lifted up and away, and anything that is blocking the area is removed or moved as needed. Then, the mucus membrane is put back in its original position. The tissues covering the wall are held in place by either stitches or packing.

Why the Procedure is Performed

The main reasons for this surgery are:

• Deformity of the wall between the nostrils (nasal septum)
• Nasal airway obstruction
• Septal spur headache
• Uncontrollable nosebleeds

Nasal airway blockage is usually the result of a deformed septum. Persons with this condition usually breathe by mouth and get nasal infections.

A septal spur headache is a headache caused by pressure from the inside of the nose (septal impaction), which goes away when a numbing medicine (anesthetic) is placed on the area.

People who snort drugs such as cocaine in large quantities for long periods of time may need septoplasty if drug use has damaged the septum.

The following surgeries may be done to include a septoplasty:

• Ethmoidectomy
• Polypectomy
• Tumor removal
• Turbinate surgery

Recovery

To help the healing, avoid blowing your nose or holding your breath and tightening your muscles while bearing down for a bowel movement for a few days after surgery. Ice packs on the nose may help relieve pain.

Outlook (Prognosis)

After surgery, both sides of the nose may be tightly packed (stuffed with cotton materials) to avoid nosebleeds. The material is usually removed 24 - 36 hours after surgery.

Risks

• Excessive bleeding
• Infection
• Return of the nasal obstruction needing another surgery