The septum is the thin wall of bone and cartilage that separates your nostrils. For most people, their septum is at least slightly off-center, but if this asymmetry is significant, it’s known as a deviated septum. Some people are born with a deviated septum while others are the result of a nose injury. There is nothing wrong with having a deviated septum, although for some people it can cause health problems.
When a Deviated Septum Causes Problems
A significantly deviated septum can block one or both nostrils, causing trouble breathing and/or frequent sinus infections. This is because a stuffy nose creates a breeding ground for bacteria, causing pain, inflammation and infection that is difficult to recover from.
If this is the case, surgery may be recommended.
How Is Septoplasty Performed?
The surgery to straighten a deviated septum is known as septoplasty. This procedure is typically performed by an ear, nose and throat (ENT) specialist or a plastic surgeon.
Your surgeon will instruct you to avoid medications that include ibuprofen or aspirin before the surgery, as this can increase bleeding. On the day of the surgery, you’ll receive anesthesia. You may or may not be awake for the procedure, which takes about an hour and a half.
The surgeon will make incisions inside the nostrils, where scarring won’t be visible, then trim the septum to make it straighter. In some cases, they need to cut the bone in order to place the septum properly.
You may receive splints to keep the septum supported as well as nasal packing to absorb blood and other fluids, which are removed at the first follow-up appointment.
Risks and Outcomes
As with any procedure, there are some risks involved, including bleeding, infection, bad reaction to anesthesia or tearing of the septum.
In some cases, patients continue to have symptoms of sinusitis or other blockages until the condition has completely cleared. Some people have issues with their sense of smell immediately following the procedure.
While these problems are unlikely, it’s important to weigh the risks and benefits with your doctor.
Recovery
Unless there are complications, you can return home after the surgery, though you will need someone to drive you. In the days and weeks following surgery, be sure to…
- Avoid heavy lifting and other strenuous activity
- Avoid blowing your nose
- Keep your head elevated while you sleep
Be sure to get follow-up instructions in writing and follow them carefully for the best possible outcomes. For more information or to schedule an appointment, call Foothills ENT and Allergy and Hearing Center today.