Nasal obstruction refers to the air taken from the nose encountering obstacles and not be sent to the lungs comfortably, that is, breathing is prevented in the nasal area. This obstruction is caused by defects in the anatomical structure of the nose such as nasal cartilage/bone curvature (deviation), concha, adenoid hypertrophy/adenoid vegetation, or inflammation caused by diseases such as sinusitis, cold, flu and common cold.
Due to the oxygen carried, comfortable breathing is vital for all organs and structures of the body, particularly the brain. Failure to carry out normal breathing due to nasal congestion or any reason causes sinusitis, headache, snoring, nasal flow and postnasal drip, tiredness and exhaustion in the short term. In the long term, however, it causes sleep disorders, heart, blood pressure and lung disorders.
Middle part of the nose, which is covered with mucosa and divides the nasal cavity into two as the right and left cavity, consists of cartilage in the front part and bone in the rear part, which actually should be flat is called Septum or Nasal Septum.
Surgical intervention for curvatures formed in the septum for various reasons is called Septoplasty.
Septoplasty is a nasal cartilage and/or bone curvature, namely, deviation surgery, consisting of cartilage and bone removal or rearrangement of the cartilage structure and aiming to correct the curvatures in the septum (septum deviation) usually arising from nasal trauma. Surgical intervention that aims to correct both the curvature of the septum or fracture in the bone or cartilage, and the deformity in the outer part of the nose and the appearance impairments such as hook nose, low nasal tip, and deformation in the nose wings is called Septorhinoplasty.
Besides the septum inside the nose, there is a concha that facilitates the passage of the air taken by moisturizing the nose. Swelling and enlargement (hypertrophy) occurs in the conchas for different reasons, including the pressure of deviation in particular. Even if the septum is corrected, the conchas make breathing difficult due to the impaired structure. Therefore, concha is also intervened in most septoplasty surgeries.
Septum deviation causes nasal congestion, and nasal congestion causes other types of discomfort or disease caused by the inability to breathe comfortably. However, since there is deviation at a certain level in many people, not all septum curvatures are treated. Surgery is decided based on the degree of deviation, severity of breathing difficulties and whether these problems cause other diseases or trigger the existing disease. In particular, symptoms such as frequently recurring sinusitis or pharyngitis inflammation, nosebleed, postnasal drip, constant nasal obstruction, loss of olfaction, chronic headache, excessive snoring caused by breathing difficulties, sleep disturbance, xerostomia, and throat infections are deemed sufficient reasons for undergoing septoplasty surgery.
Diagnostic examination is carried out first for septoplasty surgery. Areas that make up the internal structure of the nose such as septum, rear part of the septum, conchas and tissues, and sinus canals are examined with the help of radiographic imaging or cameras during the examination. Defects in the nose are determined. Examinations deemed necessary for the surgery are done concurrently.
The surgeon decides to use one among the general, local or sedation anesthesia consulting also the patient's opinion. Cartilage or bone curvature and nasal concha interventions, if needed, are performed inside the nose through bone cutting (osteotomy) and scalping with a rasp. Septoplasty surgeries are carried out entering through the nostrils inside the nose only, without cutting the tip of the nose and leaving no traces other than the nose. The operation takes 1 hour on average. Silicone splints with air passages are commonly used, rather than buffers.
Growth continues in youngsters and young adults who have not yet completed their physiological development, and the appearance and function of the nose may undergo a change with the growth of the face. Also, exposure to this intervention at a young age is a great stressor for both the child and the family since the operations are mostly carried out under general anesthesia. Rhinoplasty operation is generally accepted to be performed after 15-16 years of age for girls and 17-18 years of age for boys, except for the cases that the doctor deems necessary and emergency ones. In some special and necessary cases, pediatric septoplasty surgery can also be operated. However, this obligatory operation is completed with the least possible interventions.
Following the hospital discharge on the same day or one day post operation, the silicone splints are removed after five to seven days if concha intervention is performed two or three days after discharge. Patients can take a shower without bathing their head after this period. The splints placed on the nose, if any, are removed within a week and the tape is applied. Standard shower is allowed during this period. On the tenth day, the tapes are removed. In septoplasty surgery, sutures placed in the nose untie by themselves within 15-20 days. Patients can swim either in the pool or sea 15 days after the surgery. Then the doctor check begins.
The nose should be protected from blows and any potential trauma should be prevented in every stage of healing process.
During the intervention, the blood leaking from the soft tissues may accumulate under eye hollows. Therefore, bruising and swelling are visible around the eyes after surgery. Post-operative bruising is more common especially in white-skinned people. There may be slight bleeding for 1-2 days. Afterwards, slimy discharge and crusting occur.
There is no restriction on eating and drinking after the second day. Patients can return to their daily life and board on plane with the removal of tapes on the tenth day. Unless the bruises around the eyes heal, patients cannot stay under the sun; if they have to go out, then they have to use a hat.
If excessive bleeding, inflammation, adhesion in the nose and excessive pain are felt in the nose area in the following days after the operation, it is necessary to consult a doctor immediately.
If you also have difficulty breathing and frequent problems such as sinusitis, headache, snoring, nasal and nasal discharge, you can reach us via our contact information.