Functional Rhinoplasty
Deviated Septum
The nasal septum is the cartilaginous membrane dividing the nostrils. The septum is itself comprised of two parts: a hard bone toward the back, and flexible cartilage toward the front. When the cartilage is not straight, it is known as a deviated septum. When the septum is aligned disproportionately in this manner, it can impede the normal flow of air and mucous secretions through the nose.
Who is a good candidate for a Deviated Septum procedure?
Those with the characteristics and symptoms of a deviated septum which include:
- sinusitis (swelling, blockage, difficulty breathing)
- post-nasal drip
- infectious processes
- epistaxis (nosebleed) caused by nasal dryness
- snoring
- sleep apnea
Who is most likely to have this condition?
The risk for a deviated septum include those with:
- congenital malformation
- broken nose
What are the advantages of having a Deviated Septum procedure?
The anatomical defect causing impaired breathing and congestion is permanently corrected through surgery.
What does a Deviated Septum procedure involve?
The preferred treatment for a deviated septum is surgery, known as septoplasty. When, as is often the case, this procedure is combined with cosmetic modifications to the nose (rhinoplasty), the combination is called septorhinoplasty. Septoplasty is often combined with a submucous resection of the turbinates (structures that project from the lateral wall of the nose into the nasal cavity) to ensure easier breathing. Usually, a general anesthetic is administered. A small incision is made inside the nose. Then, the mucosa lining the septum is pulled back from the cartilage and bone. Bony spurs are trimmed or removed if present. Bone is also manipulated to the center to achieve reasonable straightening and better nasal airflow. The mucosal lining is then replaced, and the septum is splinted. These splints support the repaired cartilage and prevent hematoma formation (the collection of blood under the tissue). The nose is sometimes packed, but new hemostatic suturing techniques along with the splinting may render the packing unnecessary.
How long does a Deviated Septum procedure take?
The procedure of septoplasty alone takes about 90 minutes. When other modifications are made concurrently, the surgery time is extended considerably.
How many treatments for a Deviated Septum are needed?
Usually only one treatment is required.
How long does it take to recover from a Deviated Septum treatment?
It may take 3-6 weeks to recover.
Will I have pain after having a Deviated Septum procedure?
There may be minor postoperative pain with septoplasty surgery, though there is not usually significant discomfort. A short course of narcotic pain relievers is typically sufficient for pain relief.
When can I go back to work/resume my normal activities after having a Deviated Septum procedure?
For septoplasty alone, usually after 5-7 days. Longer for more complex procedures.
When can I expect to notice results from my Deviated Septum procedure?
Healing is a gradual process. Some people notice an improvement in 3 weeks, with some it can take up to 3 months. Some swelling may also be present for months. The final results may not be apparent for a year or more.
What are my alternatives to having a Deviated Septum procedure?
- Decongestants
- Antihistamines to combat allergic rhinitis (hay fever), which is often present as well
- Inhaled or systemic corticosteroids, e.g. Nasonex or prednisone
What are the risks involved with having a Deviated Septum procedure?
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.
To learn more about how a specific cosmetic procedure can help improve your appearance and outlook on life, call our Beverly Hills Cosmetic Plastic Surgery expert, Dr. David Sadaat, today at (800) 351-6341.
