Definition

Septoplasty is an operation that corrects any problems in the wall (nasal septum) that separates the two side of the nose.

See also: Rhinoplasty

Images:

Alternative Names

Nasal septum repair

Description

The goal of septoplasty to straighten out the nasal septum or to relieve blockages or other structural problems.

A cut is made inside the wall of one side of the nose. The mucous membrane is lifted up and away, and anything that is blocking the area is removed or repositioned as necessary. Then, the mucous membrane is returned to its original position. The tissues covering the wall are held in place by either stitches or packing.

Indications

The main reasons for this surgery are:

Nasal airway obstruction is usually the result of a septal deformity. Persons with this condition usually breath by mouth and have sleep apnea and recurrent nasal infections.

A septal spur headache is a headache caused by pressure from the inside of the nose (septal impaction), which goes away when a numbing medicine (anesthetic) is placed on the area.

People who snort drugs such as cocaine in large quantities for long periods of time may require septoplasty if drug use has damaged the septum.

The following surgeries may be done to include a septoplasty:

  • Polypectomy
  • Ethmoidectomy
  • Turbinate surgery
  • Tumor removal

Risks

  • Infection
  • Excessive bleeding
  • Return of the nasal obstruction requiring additional surgery

Expectations after surgery

After surgery, both sides of the nose may be tightly packed (stuffed with cotton materials) to avoid nose bleeds. The material is usually removed 24 to 36 hours after surgery.

Convalescence

To help the healing, it is recommended that you avoid blowing your nose or holding your breath and tightening your muscles while bearing down for a bowel movement for a few days after surgery. Ice packs on the nose may help relieve pain.

Lots More Information:
•Cosmetic nose surgery
•Mucosa
•Breathing difficulty
•Headache
•Nosebleed
•Sleep apnea
•Fecal impaction
•Tumor
Review Date:8/3/2006
Reviewed By: Alden J. Pearl, M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center atBrooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.