Septoplasty: main features



Septoplasty operation is extremely popular corrective curved or bent nasal septum, dividing the left and right nasal passages.

A distinctive feature of septoplasty is that this surgical intervention is rather a restorative rather than aesthetic form of plastic surgery. While, under certain medical conditions, it can easily be combined with rhinoplasty - plastic surgery, which aims to form a correction value or nose.

• Remarkably, septum plastics and rhinoplasty are quite often performed simultaneously, with a paired operation.
• Both of these procedures are in most cases designed to solve the same problem. For example, a curved septum often deforms the visual perception of the nose and, if it is level, a good cosmetic effect is also achieved.
• In the event of any accident with a strong nose injury often need to correct not only the external appearance of the patient, but also the injured septum.
• It is easier for surgeons to combine these two surgeries into one, and the recovery of a patient with an undivided, paired operation is much faster.

Septoplasty, like any other intervention in the patient's body, cannot do without careful, comprehensive control of the attending physician.

Most often, the otolaryngologist tells the patient during a visual examination that he has a curved nasal septum. There are several reasons to visit the ENT doctor. Someone just systematically undergoes a physical examination, and someone is worried about all sorts of ailments associated with the nose.

The main symptoms of the presence of a curved septum, which can cause referrals for septoplasty surgery:



• The prevailing number of patients go to the clinic to the otolaryngologist because of complicated, difficult breathing with the nose. In the case of a C-shaped deformation of the nasal septum, breathing is difficult from the location of the outgrowth, or spike, as it is sometimes called. When the S-shaped curvature of the nasal cartilage, the patient experiences difficulties with bilateral breathing through the nose, or, in severe cases, it is not impossible.
• The external asymmetry of the nose clearly repeats the asymmetry, the curvature of the nasal septum, which also often excites patients.
• Headaches, coming from inadequate, non-physiological nasal breathing.
• Bleeding from the nose, dry and feeling of tightness, burning, swelling in the nasal passages - all together or individually, these symptoms may worsen the patient's life for years, until he was septoplasty surgery is scheduled.
• Snore. And not only in a dream. Some patients manage to produce similar sounds even while awake.
• A variety of diseases of the nose and sinuses, in most cases, inflammatory: acute respiratory viral infections, rhinitis, sinusitis, sinusitis, etmoidita, frontal sinusitis, and others.

But, surprisingly, even relatively serious distortion, the patient may not bother no symptoms when he was born the owner of large turbinates.

The otolaryngologist may refuse in the direction of the septoplasty operation if there are such contraindications as:

• Diabetes.
• Problems with blood clotting.
• The presence of cancer.
• Diseases of the heart and blood vessels.
• Any presence of inflammatory diseases in the patient.

Septoplasty surgery performed under general anesthesia, and using local anesthesia.

It can be performed in three different ways:

• The method of surgical intervention.
• Operation using an endoscope.
• Laser correction of the septum .

Septoplasty operation aims to - restoration of the natural free nasal breathing. As it will take the operation and which require action, the surgeon decides individually for each patient.

Septoplasty with a laser is the safest type of surgery to restore the natural form of the nasal septum

In recent years, otolaryngology, as in other matters, and all medicine, has advanced far ahead. All new technologies, methods and means are being created, designed to improve both the patient’s care and its results.

septoplasty laser is currently the most advanced method septum correction. This technique, as well as the endoscopic solution of the problem, is based on the use of minimally invasive surgical equipment. This means that unlike traditional surgical treatment (which is due to the large wound surfaces could lead to various infections and deformations, which in turn could pave the way for re-surgery) such methods are more gentle and safe.

Septoplasty laser as a procedure for correcting the nasal septum, invented back in the nineties of the last century in the Moscow Medical Academy named after Sechenov.

In the overwhelming majority of cases, the surgical intervention is performed under local anesthesia and the process itself takes only twenty minutes.

• The doctor with the help of a specialized device that forms a laser beam of a certain power, affects the location of the defect in the cartilage of the nasal septum.
• Under the action of radiation, the treated area of ​​the cartilage becomes more plastic. At this point, the surgeon forms a flat surface without bulges and kinks and sets the partition in the desired, centered position.
• After this, it remains only to carefully fix the already corrected nasal septum in its ideal condition.

This can be achieved as a normal tamponatsiey tightly coiled gauze turundy and using intranasal tires (splint) - silicone tube, preserving postoperative nasal breathing. They are made of silicone, which prevents sticking to the nasal mucosa and is more preferable for the patient.

Septoplasty with a laser has several advantages over other methods of treating a curved nasal septum:

• Zero or extremely small blood loss. This is due to the fact that the capillaries in the tissue to be exposed to the laser, and instantly cauterize sealed coagulated blood.
• Antiseptic effect. The probability of infection during the intervention is negligible. The coagulated blood at the site of exposure of the laser beam to the septum instantly blocks the slightest pathway of infection.
• Complications after septoplasty with a laser account for less than three percent of cases.
• Shorter post-operative period. This kind of septoplasty is performed on an outpatient basis and does not require a finding of a patient in a hospital. He can return to his usual way of life after just a week. Although saunas and physical activity for one and a half months is still worth limiting.

But with all the advantages of septoplasty with a laser, this operation can be carried out only with small deformations in the cartilaginous component of the nasal septum. Removal of deformed bony parts of the septum with its help is impossible.

The use of various types of anesthesia for septoplasty of the nose

Surgical methods of septoplasty is a classic when correcting various defects of the nasal septum. They are divided into the surgical and endoscopic itself - its less traumatic modern surgery.

nasal septoplasty can be performed under local or general anesthesia. This is determined based on the complexity of the operation.

Endoscopic septoplasty of the nose today is carried out much more often than other methods of septoplasty. This is due to the lower invasiveness and less long rehabilitation period. In addition, an important detail is that all the incisions are made on the mucosal surfaces of the nasal cavity, thus leaving no traces on the patient's face.

Septoplasty of the nose is surgically performed mainly in particularly difficult cases:

• With significant displacements, deformations of various bone and cartilage structures and sections of the nasal septum.
• When combined with plastic operations on the nose, for example, when tightening or reducing its tip.
• With strong trauma and congenital diseases of the nose, incurable different way. Such operations are often carried out in an open way and under general anesthesia.

Regardless of whether open or closed is performed by plastic walls, which used methods of septoplasty and local or general anesthesia, surgery, stroke, and major steps are unchanged.

Incision made by the surgeon then separates from the partition submucosa, the physician conducts excessive tissue resection, restoring physiologic partition structure, and fixes the stitches result obtained by using swabs.