Septoplasty
Definition: Septoplasty is a surgical procedure aimed at correcting a deviated nasal septum. The nasal septum is the bone and cartilage structure that divides the nasal cavity into two nostrils. When the septum is significantly off-center or crooked, it can cause breathing difficulties, nasal congestion, and recurrent sinus infections.
Purpose
The primary goals of septoplasty are:
- Straighten the deviated septum.
- Improve airflow through the nasal passages.
- Relieve symptoms such as nasal obstruction, congestion, and chronic sinusitis.
- Enhance overall nasal function and quality of life.
Indications
Septoplasty is typically recommended for individuals who have:
- A deviated septum causing significant nasal obstruction.
- Chronic nasal congestion not responsive to medical treatment.
- Recurrent sinus infections related to poor nasal drainage.
- Difficulty breathing through one or both nostrils.
- Nosebleeds (epistaxis) due to septal deformities.
- Associated conditions like sleep apnea or snoring worsened by nasal obstruction.
Procedure
Septoplasty is usually performed under local or general anesthesia. The general steps include:
- Preparation: The patient is prepped for surgery, and anesthesia is administered to ensure comfort.
- Incision: An incision is made inside the nostril to access the septum, ensuring no visible scarring on the outside of the nose.
- Reshaping the Septum: The mucosa, a protective tissue layer covering the septum, is lifted. The deviated portions of the septum are then either repositioned, removed, or reshaped to create a straight and functional septum.
- Repositioning the Mucosa: The mucosa is repositioned back over the newly straightened septum, and absorbable sutures are used to secure it in place.
- Closure: The incisions are closed, and soft splints or nasal packing may be placed inside the nostrils to support the septum during healing and minimize bleeding.
Recovery
- Rest with the head elevated to reduce swelling and promote healing.
- Avoid strenuous activities, heavy lifting, and nose blowing for a few weeks.
- Use prescribed medications, such as pain relievers and antibiotics, to manage discomfort and prevent infection.
- Attend follow-up appointments to monitor healing and remove any nasal packing or splints.
Risks and Complications
- Infection
- Bleeding
- Adverse reaction to anesthesia
- Persistent nasal obstruction
- Changes in the shape of the nose
- Septal perforation (a hole in the septum)
- Decreased sense of smell
Benefits
- Improved Breathing: Significant relief from nasal obstruction and improved airflow.
- Enhanced Quality of Life: Better breathing improves sleep, reduces snoring, and overall well-being.
- Reduction in Sinus Issues: Proper nasal drainage reduces frequency and severity of sinus infections.
Outcomes
When performed by an experienced ENT surgeon like Dr. Pooja Gullapalli, septoplasty has a high success rate. Most patients report significant improvements in nasal breathing and a reduction in related symptoms, leading to better quality of life.
Conclusion
Septoplasty is a vital surgical intervention for individuals suffering from a deviated nasal septum and its associated complications. Dr. Pooja Gullapalli’s expertise ensures precise, effective, and safe correction of nasal obstructions, enabling patients to breathe more easily and enjoy a healthier life.