Septoplasty Surgery - Procedure, Steps, Risks, Recovery

Septoplasty is a surgical technique for correcting a deviated septum, the cartilage and bone that separates the two nostrils in the nose. A significantly off-centred or crooked nose can lead to breathing difficulties and nasal congestion.

Anatomy of the Nose

The nose is responsible for olfaction (sense of smell) and respiration (breathing). The anatomical structures associated with septoplasty include:

1. Nostrils: The openings through which air enters and exits the nasal cavity.

2. Nasal Cavity: A hollow lining with mucous membranes containing structures like the septum and turbinates.

3. Septum: The partition between the nasal cavity into two chambers, composed of cartilage and bone.

4. Turbinates: Bony structures covered in mucous membranes that help humidify, filter, and warm the air as it passes through the nose.

5. Sinuses: Air-filled cavities within the skull connected to the nasal cavity, aiding in mucous production and quality of the voice.

Septoplasty surgery is a procedure primarily used to treat the condition where the septum is displaced. However, it can also address other nasal conditions that restrict airflow, including:

1. Chronic Sinusitis: The treatment may be recommended for this issue, as correcting a deviated septum can improve drainage and ventilation of the sinuses.

2. Nasal Polyps: In some cases, it may be combined with sinus surgery to remove nasal polyps and improve overall nasal function and breathing.

3. Nasal Congestion: Persistent nasal blockage caused by structural abnormalities like a deviated septum can often be relieved with septoplasty. 

Septoplasty is primarily recommended for individuals experiencing issues related to a deviated septum. Those suffering from problems like snoring disrupted sleep patterns, and morning headaches may also benefit from this procedure. This is because it helps to improve airflow and alleviate symptoms.

Septoplasty procedure is considered a safe and effective procedure with minimal invasiveness. The advantages of this method include:

1. Minimal Scarring: Since septoplasty is performed entirely through the nostrils, it results in less to no external marks.

2. Outpatient Procedure: It is usually performed on a daycare basis, allowing patients to return home the same day.

3. High Success Rate: The post-surgical prognosis is generally favourable, with success rates reaching up to 85%.

Prior to septoplasty, the patient will consult with their doctor to understand the procedure and receive preoperative instructions. Adhering to the guidelines is essential to ensure optimal preparation for the surgery. 

Before Surgery 

The surgeon thoroughly examines the internal and external structures of the nose. Additionally, to get the reference points for septoplasty before and after, photos of the nose from various angles may be taken.

On the Day of Surgery

On the day of septoplasty, patients should bring their medical history and insurance paperwork, if required. This ensures a smooth admission process and allows the medical team to have all pertinent information readily available.

Septoplasty is performed under general or local anaesthesia, lasting between 30 to 90 minutes. The procedure includes:

1. Incisions: The surgeon accesses the septum by making cuts inside the nostrils, avoiding any visible external scarring.

2. Septum Adjustment: Using specialised tools, they straighten or remove the deviated portion of the septum. This would assist in improving airflow through the nasal passages.

3. Closure: Once the necessary changes are made, the incisions are closed with dissolvable stitches or splints to support healing and minimise bleeding.

Septoplasty is a surgical technique for correcting a deviated septum, the cartilage and bone that separates the two nostrils in the nose. A significantly off-centred or crooked nose can lead to breathing difficulties and nasal congestion.

After septoplasty, patients typically experience some discomfort, swelling, and nasal congestion.  It's important to follow the surgeon's postoperative instructions to aid recovery.

In Hospital Recovery

Following septoplasty surgery, patients are discharged on the same day as it’s an outpatient procedure. The medical team monitors individuals closely until the effects of anaesthesia diminish. Once patients awaken and demonstrate stable vital signs, they can return home to continue their recovery.

At-home Recovery

Following hospital discharge, initial septoplasty recovery spans about a week, while complete healing of bone and cartilage may take up to 3 to 6 months. During this time:

1. Gradually resume normal activities, like walking and desk work, after one week.

2. Refrain from physical activity for at least a month.

3. Avoid nose blowing during the first week. Moreover, the patient should sneeze with their mouth open during this period.

4. If the doctor has put splints in the nose, they will take them out about one week later.

5. Take over-the-counter pain relievers as prescribed.

First Follow-up Appointment

The first follow-up appointment after septoplasty is scheduled within one to two weeks post-surgery. During this visit, the surgeon assesses the healing progress and removes any nasal packing or splints if necessary.

According to Shin et al., 2023, insufficient correction is one of the most common septoplasty complications (5.2%). The other risks to consider are:

1. Bleeding and swelling can last for 2-5 days after surgery

2. Infection at the surgical site or in the nasal cavity

3. A hole or perforation in the septum can occur

4. Numbness in the upper gum, nose, or teeth

When to consult a doctor?

Knowing when to consult a doctor after septoplasty is crucial to ensure optimal healing and address potential complications. It's essential to seek medical attention if patients experience:

1. Excessive bleeding that doesn't stop with gentle pressure after surgery.

2. Signs of infection include increased pain, redness, swelling, or discharge from the surgical site.

3. Persistent or worsening nasal congestion or difficulty breathing despite the initial recovery period.

4. Development of a fever, which could indicate an underlying infection.

Delaying septoplasty can lead to further complications. A deviated septum can worsen, leading to more pronounced nasal obstruction and difficulty breathing. Additionally, impaired drainage puts such individuals at higher risk of developing sinus infections.

Cost of Septoplasty

The septoplasty cost can vary due to several factors, including geographical location, the surgeon's experience, and the complexity of the procedure. The general overview is provided below.

Note: The figures provided are just estimates. Contact HexaHealth to get the accurate information.

Factors that may affect the septoplasty cost include:

1. Type of Facility: The total cost can be affected by whether the surgery is performed in a hospital, surgical centre, or outpatient clinic. 

2. Anaesthesia Fees: The type of anaesthesia used during the procedure can affect the overall price, with general anaesthesia being more expensive.

3. Preoperative Testing: Assessments, such as blood tests or imaging studies, can add to the total bill of the procedure.

4. Postoperative Care: Any medications, follow-up appointments, or additional treatments required during recovery may contribute to the cost.

5. Health Insurance: The extent of coverage and any copayments or deductibles required by the patient's plan can influence the out-of-pocket expenses.

Septoplasty offers relief for individuals struggling with breathing difficulties and nasal congestion due to a deviated septum. By correcting the alignment of the septum, this procedure can improve airflow and reduce sinus infections. 

For individuals considering septoplasty surgery, HexaHealth provides comprehensive support.  Our platform offers access to trusted healthcare providers and personalised guidance. Why wait? Get in touch today!

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