What is Endoscopic Septoplasty?
Endoscopic Septoplasty is the most advanced technology developed to remove the deviated part of the nasal septum. The nasal obstruction being caused by the septal deviation is treated with the help of Septoplasty.
The procedure of the surgery involves the use of a long thin tube with a lens and instruments attached at one end, called an endoscope to repair a crooked or deviated septum. With the help of the endoscope, we can correct a deviated septum without making incisions on your face.
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This is a surgery performed using a long thin tube with a lens and instruments attached at one end, called an endoscope to repair a crooked or deviated septum. With the help of the endoscope, we can correct a deviated septum without making incisions on your face.
What is a Septum?
The septum is the wall that divides your nose into left and right sides. It’s a firm, flexible structure that has a good supply of blood vessels, and is covered by skin. Normally, the septum lies in the exact center of your nose, ensuring that both sides of your nose are the same size.
What is a Deviated Septum?
A crooked or deviated septum means when this wall is not in the center, but deviates towards one side – resulting in unequal sides of your nose, and blockage in one side. If the deviation is severe, it can lead to difficulty in breathing, and even cause crusting or bleeding because of the drying effect of the air flowing through the nose. You could have been born with a deviated septum, (congenital) or may have acquired it due to some injury to the nose.
What is a Septoturbinoplasty?
On both sides of the septum are structures called turbinates – three long, slender bone surfaces covered by blood vessels and mucous membrane. The blood vessels’ function is to warm the air you inhale; depending on how much blood flows through them, the vessels enlarge and contract. The air entering your nose is filtered and moisturized by the turbinates – specifically, by the mucous glands present in the lining. A septoturbinoplasty is a surgery performed to reshape or reposition the turbinates so that more air can pass through your nose.
When would you need an Endoscopic Septoplasty?
If you have a deviated septum, and you experience the following symptoms:
- Blocked nose
- Stuffy or congested nose
- Difficulty in breathing through the nose
- Obstruction in one side of the nose
- Subconsciously preferring to sleep on one side only
- Sleep apnea
- Frequent sinus infections
It is likely that you may need a surgery to correct your deviated septum to help you breathe and sleep better, and prevent recurrent sinusitis.
When would you need a Septoturbinoplasty?
If you have a deviated septum, it means that one side of your nose is bigger than the other. The turbinates, bony structures on the septum, may compensate for this by enlarging. This can happen wither due to some allergy, or for no visible reason. This enlargement or displacement of the nasal turbinates can cause:
- Difficulty in breathing
- Trouble sleeping
- Chronic blocked nose (nasal congestion)
- Forehead pressure
- Dry mouth (due to breathing through mouth)
- Runny nose
- Difference in your sense of smell
When should you Consult your ENT Surgeon?
You need to consult your ENT surgeon if you have been experiencing any of the above-mentioned symptoms – mainly difficulty in breathing and sleeping, nasal congestion and runny nose. When you come into Aster for your ENT consultation, we will conduct an extensive examination, and check your medical history; we may order additional tests if required. Once we have all the information we need, we will create your treatment plan. We may try to relieve the congestion with medication, and then decide whether to perform the surgery or not.
Often, a septoplasty and turbinoplasty (turbinate reduction) are performed together, in case the patient has enlarged turbinates along with a deviated septum; a balloon sinuplasty may also be performed, to help improve your breathing further, and prevent further infections.
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- How will I know that my nasal congestion or other problems are due to a deviated septum?
- By examining your nose with an endoscope, we will be able to determine whether you have a crooked septum or not.
- Is surgery absolutely necessary for a deviated septum?
- Having a deviated nasal septum is not an indication for surgery .Only patients with deviated nasal symptoms having one or more of the above discussed symptoms need surgery if the patient does not improve with conservative management.We will take a call on this after a detailed examination, tests, and checking your medical history, and discussing all options with you.
- Is endoscopic septoplasty and septoturbinoplasty a risky procedure?
- Every procedure has certain risks associated with it. we take every precaution to mitigate those risks, and all the matters will be discussed with you prior to the operation.
- How will the surgery be performed?
- This procedure is only performed under general anesthesia at our center and will take a couple of hours at the maximum. You will be observed for a while in post-operative care, and sent home if there are no complications. As it will be done using an endoscope, and an incision is made inside the nose, there will be no visible scarring on your face. Some nasal packing and nasal splints may be placed inside your nose to prevent bleeding and to achieve the optimal results which are removed in the coming postoperative days
- How long do I need to rest after my endoscopic septoplasty or septoturbinoplasty?
- Usually, most patients are able to go back to their normal routine the very next day, though you will be advised to avoid physical exercise for one week. Individual patients may be advised differently after evaluating their post-operative status. You may be prescribed pain killers and saline sprays or rinses at discharge.
- What are the precautions I should take after the surgery?
- Make sure you:
- Stay well hydrated
- Take your prescribed medicines and use prescribed sprays or lubricants
- Get sufficient rest
- Don’t blow your nose with force
- Don’t pick your nose
- What are the complications I should watch out for?
- Complications from this surgery are rare, as it is a straightforward procedure. But you may experience some symptoms in the first 48 hours like
- Severe dryness of the mouth and throat because of nasal pack with resultant mouth breathing
- Foreign body sensation in the throat which is commonly complained by the patient resulting from the endotracheal intubation
- Nausea and vomiting
- Sore throat
These usually go away on their own. However, if any of the following occurs, you must come in immediately for an emergency consultation:
- Hole in the septum (perforation) – causes crusting and small nose bleeds
- Nasal infection
- No improvement in air flow.
There’s no need to worry though – these complications are extremely rare, and seen in less than 5% of the cases.
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