Nasal Septum Deviation Correction Surgery
|Septoplasty Cost in İstanbul|
The nose is one of the most important organs that are located at the beginning of the external respiratory tract and are involved in the correct execution of one of the most vital functions, breathing exchange. The bone and cartilage structures that serve as a wall between the two nostrils by forming the midline of the nose are called the nasal septum. In cases where the nasal septum is not correctly positioned and curved, complaints about breathing occur and various problems arise accordingly. Problems with breathing through the nose negatively affect people's lives and greatly reduce their quality of life.
Septoplasty operation is usually performed at the same time as part of nasal aesthetic operation. After this procedure, which is a functional surgery, positive health effects occur in many patients. For septoplasty operations that can be performed under local anesthesia or general anesthesia, the most comfortable method is under general anesthesia. After the operation of closed technique septoplasty, there is no change in shape. Usually internal silicone splints are placed in both nasal cavities for about 7 days in the nose. Because the nasal bone is not broken, there is no bruising or swelling. Usually 4 hours after the operation, the patient may be discharged.
What is the Septum deviation?
The thin partition in the middle of the nose that divides the nasal cavity into two passages, right and left, is called the nasal septum. The nasal septum, consisting of cartilage and a thin bone structure, is usually not in the middle. One of the nasal passages may be slightly larger than the other. The frequency of Septum deviation in humans is around 80%. However, deviations from this mild midline do not cause any complaints and do not cause a serious health problem. If the curvature in the nasal septum is serious, it closes the nasal passage and prevents air flow and makes it difficult to breathe through the nose.
Ideally, the septum should be in the midline and the right and left nasal cavities should be equidistant. However, in most people, the septum is not exactly midline, there are slight curvatures. Such slight curves do not cause any complaints. It is defined as a disease that all or part of the septum is clearly curved and shifts from the midline and affects breathing. Often the air passage decreases on the curved side. Curvature is sometimes S or C shaped and can clog both noses. The more the deviation is, the greater the nasal congestion. Patients do not usually feel very uncomfortable because one side is blocked and breathing can be taken from the other side.
Failure to position the nasal septum in the midline of the nose for various reasons and its curvature constitute the so-called “septum deviation”. In the septum deviation, the bone and cartilage structure called nasal septum in the middle of the nose makes it difficult to breathe in the nose of the nose, making it impossible to breathe through the nose, in some cases, causing the nose holes to be closed completely. Septum deviation, which is often caused by physical traumas, can sometimes occur in the mother's womb, sometimes for genetic reasons and structurally.
Sepum deviation is accompanied by swelling of the intranasal soft tissues, called concha hypertrophies, which can make breathing through the nose even more difficult. Septum deviation can also cause complaints such as chronic nasal congestion, inability to breathe through the nose, occasional nosebleeds, recurrent sinus infections (sinusitis), nasal discharge and snoring and may play a facilitating role in the progression of systemic disorders such as heart, blood pressure, etc.
Causes of nasal septum deviation
Nasal septum deviation may be present at birth (babies may be born with nasal septum deviation due to the curve development of the septum during fetal development in the womb) or traumas during childbirth or adulthood (birth, falls, collisions, sports injuries, traffic accidents) may also be due to a deviation that becomes mild during normal aging process over time.
What complaints cause nasal septum deviation?
Some of the septum deviations (without serious curvature, not covering the nasal air passage) do not cause complaints, even the person is not aware that there is a septum deviation. However, the most common complaint of patients with severe curvature, that is, septum deviation, is difficulty breathing through the nose. This can be unilateral or bilateral or sometimes occurring in the right and sometimes on the left. When those with mild deviation have an upper respiratory infection (URI), their complaints become more severe and they feel more nasal congestion than those without deviation. In addition, in people with allergy in the nose and nasal congestion due to allergies, UTI increases the nasal congestion even more. Septum deviation, in addition to nasal congestion, open mouth sleep, dry throat, recurrent pharyngitis and sinusitis, more severe and prolonged infection, sometimes pain in the face area, headache, nasal discharge, snoring, poor sleep (tired waking up), audible breathing in sleep causes problems such as bad breath. In summary, the nasal septum deviation, which is at a level requiring treatment, leads to low quality of life and work performance and health problems.
Diagnosis of nasal septum deviation
An otolaryngology doctor will listen to your complaints and receive the necessary information from you, and examine your nose with the help of a device and light, which provides a comfortable viewing of the nose. In this examination, you will be informed about the structure of the nasal septum, the degree of curvature and the condition of your nasal meats and nasal mucosa. The nasal tunnel and the side wall structures and conchas are examined in more detail by making additional examinations with the instruments and camera system called endoscope. These procedures are part of the routine nose examination and are short-term, comfortable and painless. Another important issue to keep in mind when examining is nasal valve problems. Nasal valve problems are present in about 15-20% of patients who have problems breathing through the nose, and usually go unnoticed on examination. In fact, when patients who still have problems despite septoplasty surgery are examined, there are mostly nasal valve problems in addition to deviation. If the anatomical structure of the nose roof and side wall is developed to narrow the nasal tunnel, there is a nasal valve stenosis if the nose wings collapse in breathing. When the nose wing is pulled out and stretched or maneuvers supporting the tip of the nose (when the side wall of the nose is removed from the septum), the patient expresses breathing easily.
What is Septoplasty (Septum Deviation Surgery)?
In cases where the nasal septum is in a curved position for various reasons and the septum deviation is observed, the surgery operation where the bone and cartilage tissues are arranged is called "Septoplasty" (septum deviation surgery). During this operation, bone tissues that prevent breathing are taken and the existing cartilage tissues are rearranged and positioned appropriately.
Why is Septoplasty performed?
The nasal septum deviation can cause difficulty in breathing as well as other problems. Although not being able to breathe through the nose especially during sleep causes sleep disorders, due to the mouth breathing caused by the deviation, dry mouth, throat infections, snoring and oral health problems negatively affect the health and comfort of people. Although chronic nasal congestion does not directly cause a systemic disease, it prepares the ground for the existing diseases to progress more easily. Septoplasty operations are carried out in order to solve all these problems.
How is Septoplasty (Septum Deviation Surgery) performed?
As with any operation, it is very important to make the diagnosis correctly in septoplasty operations. For this reason, first of all, the disorders in the nasal septum structure are detected together with the general health status of the patient. At this stage, sometimes radiographic imaging methods and intranasal cameras are used.
Then, it is decided which anesthesia method will be applied in accordance with the patient's condition. While local anesthesia techniques are frequently used in septoplasty operations in the past, general anesthesia is preferred by considering patient comfort as well as developing anesthesia techniques and anesthesia reliability.
After the anesthesia is provided, the operation phase is started. At this stage, a small incision is made under the nose and the internal tissues are reached and excess bone tissue is removed from this opening. Then, if there are a lot of problems in cartilage tissues, these are corrected in the nose and the operation is completed. If the structural problems in the cartilage tissues are too much to be operated in the nose, the cartilage tissues can be reshaped outside of the nose.
If the nose curvature is not only related to the internal structures and there is also a bone curvature from the outside, the technique called "open technique" and the operation of the nose skin can be performed by removing the skin.
In some cases, the septoplasty operation can be performed in combination with the nasal aesthetic operation called "rhinoplasty". The condition of '' turbinate hypertrophy '', in which the soft tissues of the nose swell due to allergies, etc., making breathing difficult, can also be treated by intervening in the same operation.
The incision opened after the operation is closed with the help of stitches. Sometimes self-melting stitches are used, sometimes stitches may be removed 1 week after the operation. At the end of the operation, tampons are placed in the nostrils for bleeding control. The bumpers developed today are generally silicone-based, and because the silicone bumpers allow the patient to breathe, they are much more comfortable than those used in ancient times. The tampons are removed under the supervision of the physician who performed the operation within 5-7 days following the Septum deviation surgery.
For which patients are needed to septoplasty be performed?
Septoplasty can be done to anyone who has problems with breathing due to septum deviation. It is recommended to wait for the age range of 18-20, in which the person's bone and facial development is completed, except in special cases only. If there is a nasal fracture or deviation associated with an acute trauma, an operation may be required at an earlier age.
What should be considered after septoplasty ?
After the septoplasty operation, the patient is followed for at least 4-5 hours. Then, if there is no complication and the conditions of the patient are appropriate, discharge is performed. Antibiotics and pain medications are prepared by the physician after the operation for preventive purposes. It is recommended to rest the patient for the first few days after the operation. Although people can return to their normal lives within 2-3 days after the septoplasty operation, they may differ from this person to the person and this period may be up to one week.
One of the most important issues to be considered after the operation is to protect the nose from impacts and traumas. A blow taken during bone healing may adversely affect the success of the operation and deviation may occur. If there are problems such as excessive bleeding, unconsciousness, bad smell, inflammatory discharge, excessive pain after the operation, it is necessary to contact the physician immediately.
How long is the recovery period after septoplasty?
After the septoplasty operation, people can return to their normal lives in a short time. The initial recovery period usually takes 2-3 days to a week. The patient's pads are removed within 5-7 days, and stitches are removed at the end of a week if stitches that do not disappear on their own are used.
Swelling and bruising are not observed at the end of septoplasty operations with closed technique under normal conditions. However, if the operation is more comprehensive and includes an aesthetic intervention, rhinoplasty, swelling and bruises may appear around the eyes and nose in a few days after the operation. If this is the case, these swelling and bruises disappear within a week.
Edema can be observed in the nasal region after operations where septoplasty and rhinoplasty are performed together. The slight swelling appearance associated with this payment disappears rapidly in the days following the operation, and the new image of the nose appears fully, but it may take several months before the edema disappears completely. It is quite normal to see some loss of sensation in the tissue where the suture line is located at the beginning of the healing period, and the sense of feeling in the area is restored over time.
You can find details about "How Much Does a Septoplasty Surgery Cost? - How Much Does a Septoplasty Surgery Cost in Turkey? - Septoplasty Cost in istanbul - Septoplasty Surgery in İstanbul - What Is The Cost Of Septoplasty in Istanbul, Turkey - Septoplasty İstanbul - Deviated Septum Before and After Septoplasty in İstanbul" and before and after photos at >> Septoplasty in Istanbul / Frequently Asked Questions About Septoplasty Operation in İstanbul
You can find details about "Nasal septum deviation" at >> Nasal Septum Deviation - Symptoms, Diagnosis and Treatment
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47