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Septoplasty
Septoplasty is a minor, low-risk type of surgery that is usually performed to correct a deviated septum (when the nasal septum is off-centered or deviated) and to clear the nasal obstructions to be able to breathe freely.
Purpose:
Septoplasty is generally recommended in the following cases:
- Deviated septum
- Nasal obstructions
- Nasal polyps (painless, non-cancerous growths in the nasal passages and sinuses)
- Chronic sinusitis (long-lasting sinus infection and swelling)
- Chronic, recurrent nosebleeds (loss of blood from tissue lining the inside of the nose)
Symptoms:
The following symptoms could indicate the need for a septoplasty:
- Breathing problems
- Nosebleeds
- Lack of sleep
- Sleep apnea (a breathing disorder in which the breathing stops and starts while sleeping)
- Facial pain
- Severe headaches
- Chronic nasal problems like frequent sneezing, persistent nasal dripping, constant feeling of coldness
- Physical examination: The doctor will evaluate the inside and outside of the nose. The doctor may also take some photographs of the nose from different angles for reference. Your medical history and symptoms will also be noted.
- Endoscopic examination: The doctor will examine the inside of the nose using a small tube with a camera on one end, known as an endoscope.
- Imaging tests: Imaging tests like CT scans and MRI scans help in obtaining images of the internal part of the nose and confirming the diagnosis of a deviated septum or nasal polyps.
- Blood tests: The different blood parameters can be evaluated and certain medical conditions can be diagnosed using blood tests.
- Electrocardiogram (ECG): The heart’s electrical activity can be recorded using this test.
- Chest x-ray: The condition of the heart and lungs can be checked by the doctor using a chest x-ray.
- The procedure may be performed under local anesthesia (the treatment area is numbed) or general anesthesia (the patient will be put to sleep during the procedure).
- The surgeon will make an incision or cut inside the nasal cavity.
- The fragile membrane that covers the septal surface, known as the mucosal lining, is carefully lifted away from the septum to one side. This procedure is performed on both the sides of septum.
- The bone and cartilage of the deviated septum are then removed, reshaped, and repositioned.
- Once the corrected, straightened septum is in its desired place, the surgeon will bring the nasal mucosal lining back to its place around the septum.
- The mucosa is sutured back together.
- Splints or packing are then used to keep the repositioned and reconstructed septum in its place. These will be removed in a few days after surgery.
- The internal sutures usually dissolve on their own with time.
- The entire procedure takes about 30 to 90 minutes to complete.
The complications associated with septoplasty are:
- Infection
- Bleeding
- Numbness of teeth or nose
- Toxic shock syndrome (a rare, life-threatening condition)
- Hyposmia (loss of ability to smell)
- Intranasal adhesion
- Scarring
- Septal perforation (a hole created in the nasal septum)
- Spinal fluid leakage (leakage of the fluid from the brain and spinal cord)
- Persistent symptoms like facial pain, bruising, and swelling around the eye
- You will most likely go home on the same day of the surgery.
- You can expect mild to moderate discomfort after surgery, which may include some pressure and pain around the eyes, across the cheeks, forehead, and upper teeth. This usually fades away on its own within a few days.
- The doctor will instruct you on how to manage your pain, swelling, and bleeding after surgery.
- Initial recovery from surgery may take a week or even less. However, complete bone and cartilage healing may take many months or even one year.
Home remedies:
- Take rest for several days after surgery.
- Keep your head elevated while sleeping.
- A gauze will be placed under the nose till the bleeding stops, which is usually two days after surgery.
- Soft splints or packing may be placed inside the nose. This packing will usually dissolve on its own. If it does not dissolve on its own, the doctor will remove it during your first follow-up visit after surgery.
- If you have splints, avoid getting the splints wet in the shower. The doctor will mostly remove the splints within one week. If you do not have splints, you can take a bath the next day after surgery.
- The doctor may prescribe pain-relieving medications and antibiotics to ease your discomfort and reduce the chances of infection.
- Keep the surgical area clean. Rinse the inside of the nose using saline.
- Do not blow your nose for many weeks after surgery.
- Sneeze with your mouth open in the first week after surgery.
- Wear those clothes that can be opened or closed from the front. Avoid clothes that need to be worn over the head, like sweaters or t-shirts.
- You can resume light activities after one week of surgery.
- Avoid heavy lifting and strenuous activities like jogging and aerobics for at least five weeks after surgery to prevent a nosebleed.
Benefits:
Septoplasty has the following advantages:
- Improved airflow through the nasal passages
- Treatment of breathing problems
- Reduces or eliminates snoring
- Better sleep
- Fewer sinus infections
Cost of septoplasty in India-
The cost of septoplasty in Mumbai is between INR 55,000 to INR 65,000.
The cost of septoplasty in Delhi is between INR 50,000 to INR 60,000.
The cost of septoplasty in Bangalore is between INR 50,000 to INR 60,000.
The cost of septoplasty in Chennai is between INR 45,000 to INR 55,000.
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Septoplasty
Septoplasty is a minor, low-risk type of surgery that is usually performed to correct a deviated septum (when the nasal septum is off-centered or deviated) and to clear the nasal obstructions to be able to breathe freely.
Symptoms
Purpose:
Septoplasty is generally recommended in the following cases:
- Deviated septum
- Nasal obstructions
- Nasal polyps (painless, non-cancerous growths in the nasal passages and sinuses)
- Chronic sinusitis (long-lasting sinus infection and swelling)
- Chronic, recurrent nosebleeds (loss of blood from tissue lining the inside of the nose)
Symptoms:
The following symptoms could indicate the need for a septoplasty:
- Breathing problems
- Nosebleeds
- Lack of sleep
- Sleep apnea (a breathing disorder in which the breathing stops and starts while sleeping)
- Facial pain
- Severe headaches
- Chronic nasal problems like frequent sneezing, persistent nasal dripping, constant feeling of coldness
Diagnosis
- Physical examination: The doctor will evaluate the inside and outside of the nose. The doctor may also take some photographs of the nose from different angles for reference. Your medical history and symptoms will also be noted.
- Endoscopic examination: The doctor will examine the inside of the nose using a small tube with a camera on one end, known as an endoscope.
- Imaging tests: Imaging tests like CT scans and MRI scans help in obtaining images of the internal part of the nose and confirming the diagnosis of a deviated septum or nasal polyps.
- Blood tests: The different blood parameters can be evaluated and certain medical conditions can be diagnosed using blood tests.
- Electrocardiogram (ECG): The heart’s electrical activity can be recorded using this test.
- Chest x-ray: The condition of the heart and lungs can be checked by the doctor using a chest x-ray.
Treatment
- The procedure may be performed under local anesthesia (the treatment area is numbed) or general anesthesia (the patient will be put to sleep during the procedure).
- The surgeon will make an incision or cut inside the nasal cavity.
- The fragile membrane that covers the septal surface, known as the mucosal lining, is carefully lifted away from the septum to one side. This procedure is performed on both the sides of septum.
- The bone and cartilage of the deviated septum are then removed, reshaped, and repositioned.
- Once the corrected, straightened septum is in its desired place, the surgeon will bring the nasal mucosal lining back to its place around the septum.
- The mucosa is sutured back together.
- Splints or packing are then used to keep the repositioned and reconstructed septum in its place. These will be removed in a few days after surgery.
- The internal sutures usually dissolve on their own with time.
- The entire procedure takes about 30 to 90 minutes to complete.
Risks
The complications associated with septoplasty are:
- Infection
- Bleeding
- Numbness of teeth or nose
- Toxic shock syndrome (a rare, life-threatening condition)
- Hyposmia (loss of ability to smell)
- Intranasal adhesion
- Scarring
- Septal perforation (a hole created in the nasal septum)
- Spinal fluid leakage (leakage of the fluid from the brain and spinal cord)
- Persistent symptoms like facial pain, bruising, and swelling around the eye
After Procedure
- You will most likely go home on the same day of the surgery.
- You can expect mild to moderate discomfort after surgery, which may include some pressure and pain around the eyes, across the cheeks, forehead, and upper teeth. This usually fades away on its own within a few days.
- The doctor will instruct you on how to manage your pain, swelling, and bleeding after surgery.
- Initial recovery from surgery may take a week or even less. However, complete bone and cartilage healing may take many months or even one year.
Home remedies:
- Take rest for several days after surgery.
- Keep your head elevated while sleeping.
- A gauze will be placed under the nose till the bleeding stops, which is usually two days after surgery.
- Soft splints or packing may be placed inside the nose. This packing will usually dissolve on its own. If it does not dissolve on its own, the doctor will remove it during your first follow-up visit after surgery.
- If you have splints, avoid getting the splints wet in the shower. The doctor will mostly remove the splints within one week. If you do not have splints, you can take a bath the next day after surgery.
- The doctor may prescribe pain-relieving medications and antibiotics to ease your discomfort and reduce the chances of infection.
- Keep the surgical area clean. Rinse the inside of the nose using saline.
- Do not blow your nose for many weeks after surgery.
- Sneeze with your mouth open in the first week after surgery.
- Wear those clothes that can be opened or closed from the front. Avoid clothes that need to be worn over the head, like sweaters or t-shirts.
- You can resume light activities after one week of surgery.
- Avoid heavy lifting and strenuous activities like jogging and aerobics for at least five weeks after surgery to prevent a nosebleed.
Benefits:
Septoplasty has the following advantages:
- Improved airflow through the nasal passages
- Treatment of breathing problems
- Reduces or eliminates snoring
- Better sleep
- Fewer sinus infections
Cost of septoplasty in India-
The cost of septoplasty in Mumbai is between INR 55,000 to INR 65,000.
The cost of septoplasty in Delhi is between INR 50,000 to INR 60,000.
The cost of septoplasty in Bangalore is between INR 50,000 to INR 60,000.
The cost of septoplasty in Chennai is between INR 45,000 to INR 55,000.
FAQ Section
The nasal septum is described as the midline thin wall that separates our right and left nasal cavities. Mostly made of cartilage in the front and a thin plate of bone in the back, it has a mucous membrane covering on both sides and starts from the tip of one's nose all the way back to the back of his or her nose, just above the soft palate.
Although injury or trauma can cause a septum to become deviated, most people with deviated septums have never experienced any trauma. During development, the upper jaw is very narrow and high, but during the early childhood years, our jaws widen and the roof of our mouth drops. If the roof of our mouth doesn’t drop enough, as our nasal septum grows, it can bulge to one side or the other.
Surgery is usually suggested when medical therapy doesn’t treat the stuffy nose. Everyone has a slightly deviated septum, hence, just because it’s deviated, it is not a reason to undergo surgery. The only reason to consider surgery is if the person is having problems breathing through his or her nose, despite medical treatments.
Septoplasty is a surgical method employed to repair the problems with the septum. It is a surgery that is used to reshape the nasal septum to improve breathing. Surgeons may perform this surgery in combination with other surgical procedures, including plastic surgery.
It is performed in a hospital or clinic either under general or local anesthesia.
Having some deviation of the septum is common, but when a deviated septum is severe, it can block one side of the nose and reduce airflow which can cause difficulty breathing through both or one side of the nose.
Other reasons to perform septoplasty include:
- Controlling headaches caused by pressure on the septum
- Controlling persistent nosebleeds
- Repairing a structural problem of the septum
- Relieving persistent sinus infections
As with any major surgery, septoplasty bears risks, such as bleeding, infection and an unfavorable reaction to the anesthetic. Other possible risks particular to septoplasty include:
- Persistence in previous symptoms
- Excessive bleeding
- A change in the shape of your nose
- An opening in the septum
- A decrease in the sense of smell
- Septal hematoma, which is the collection of blood in the nasal space
- A temporary numb sensation near the upper gum or teeth
The patient is given either general or local anesthesia before the procedure begins. The doctor makes an incision inside the nasal passage on one side of the septum and then removes material that is blocking the nasal passage, straightens the area, or performs any other necessary surgery.
The tissue over the septum is sewed back in place and the complete nose is tightly bound with bandages and dressing to prevent bleeding.
If extensive cutting is performed, braces may be required to provide additional support to the cartilage of the nose.
Septoplasty is a surgical method employed to repair the problems with the septum and involves cutting, straightening and stitching the tissues on the nose and the surgery may take one to one and a half hours.
Before scheduling septoplasty, the patient must meet with his or her surgeon to discuss the benefits and risks of the surgery. The doctor asks questions about conditions the patient has or had, as well as any current medications he or she is taking. The doctor conducts a physical examination, including any relevant testing and also inspects the patient's skin and the inside and outside of the nose. The patient and his or her doctor should talk about their expectations.
- Avoid strenuous activities, such as aerobics and jogging.
- Don't blow your nose.
- Elevate your head when you're sleeping.
- Wear clothes that fasten in the front
Though results of septoplasty are most often stable, cartilage and tissue may gradually move or reshape over time. The nasal tissues are relatively stable by 3 to 6 months after surgery. Most people find that septoplasty improves their symptoms, however, the level of improvement one can expect with septoplasty may vary. So, for some people, their symptoms may continue even after surgery and opt.
The cost of Septoplasty in India varies across different cities and hospitals.
| CITY | COST |
| Cost of Septoplasty in Mumbai | INR 6000- INR 12000 |
| Cost of Septoplasty in Bangalore | INR 5500- INR 11500 |
| Cost of Septoplasty in Delhi | INR 5500- INR 11500 |
| Cost of Septoplasty in Chennai | INR 5400- INR 11400 |
A. Septoplasty is performed by an ENT surgeon.
A. You can usually resume your work three to five days after septoplasty.
A. You can resume light exercises like walking after one week of septoplasty. However, heavy and strenuous activities should be avoided for at least one week after septoplasty.
A. A septoplasty procedure usually takes 30 to 90 minutes to complete.
A. No, septoplasty itself does not change the shape of your nose. If you wish to change the shape of your nose in addition to correcting the deviated septum, you may need to undergo septoplasty with rhinoplasty, which is a cosmetic surgery performed to change the external appearance of your nose.
A. Septoplasty focuses on the structures inside the nose and corrects a deviated septum, whereas, rhinoplasty focuses on changing the external appearance of the nose.
Septoplasty is a surgical procedure performed for the restoration of function, whereas, rhinoplasty is a cosmetic procedure performed for improved aesthetic appearance.
A. The patient can usually go home on the same day of a septoplasty procedure. The swelling following septoplasty may last for two to three days, but complete recovery may take up to three months.