Nasal Septum Deviation Treatment in Delhi

Indications

Surgery is indicated for:

• Significant nasal obstruction causing breathing difficulties.
• Recurrent or chronic sinusitis.
• Frequent nosebleeds.
• Nasal deformity causing cosmetic concerns.
• Sleep apnea or snoring associated with nasal obstruction.
• Failure of conservative treatments such as medications and nasal sprays.

Procedure Steps for Septoplasty

1. Preoperative Preparation
   • Medical evaluation and detailed medical history.
   • Physical examination, including nasal endoscopy.
   • Imaging studies, such as CT scan if needed.
   • Discussion of anesthesia options (typically general anesthesia).
   • Instructions on preoperative fasting and medication adjustments.
2. Anesthesia
   • General anesthesia is commonly used to ensure patient comfort and immobility during the procedure.
3. Surgical Procedure
   • Incision: A small incision is made inside the nostril on one side of the septum.
   • Elevation of Mucosa: The mucous membrane covering the septum is elevated to expose the underlying bone and cartilage.
   • Resection: The deviated portions of bone and cartilage are carefully removed or reshaped. In some cases, cartilage is repositioned.
   • Realignment: The septum is straightened and the mucous membrane is repositioned over the corrected septum.
   • Closure: The incision inside the nostril is closed with absorbable sutures. Splints or nasal packing may be placed to support the septum and control bleeding.
4. Postoperative Care
   • Pain Management: Pain relief medications as prescribed.
   • Nasal Care: Instructions on keeping the nasal passages clean and using saline sprays or irrigations to keep the nasal passages moist.
   • Activity Restrictions: Avoid strenuous activities, heavy lifting, and nose blowing for several weeks.
   • Follow-Up: Regular follow-up visits to monitor healing, remove splints or packing, and address any complications.

Risks and Complications

• Bleeding: Postoperative bleeding is possible, especially in the first few days.
• Infection: Risk of infection at the surgical site.
• Septal Perforation: Rarely, a hole may develop in the septum.
• Altered Sense of Smell: Temporary or permanent changes in the sense of smell.
• Hematoma: Formation of a blood clot between the septum and mucosa.
• Adhesions: Scar tissue forming and causing nasal obstruction.

Recovery

• Initial Recovery: Swelling and nasal congestion are common in the first few days to weeks. Most patients can return to work or school within a week.
• Long-Term Recovery: Full healing and final results may take several months. Nasal breathing typically improves significantly after the initial swelling subsides.

Conclusion

Septoplasty is an effective surgical treatment for correcting a deviated nasal septum, improving nasal airflow, and alleviating associated symptoms. Proper preoperative evaluation, skilled surgical technique, and diligent postoperative care are essential for achieving the best outcomes. Patients should follow their surgeon’s instructions closely to ensure a smooth recovery and reduce the risk of complications. Regular follow-up visits are important to monitor healing and address any issues promptly.