How Can I Straighten A Deviated Nasal Septum?
The only way to physically make the septum more even inside your nose is with a surgical procedure called a septoplasty. The surgery you have will depend on where you have a deviation and where you have your obstruction. If your septum deviates deeper inside of your nose then all otolaryngologists are trained to remove the deviated portion and give you a straighter septum. If you have a very anterior septal deviation, near your nostrils or even extending into your nostrils, you may want to have a facial plastic surgeon correct your septum. Facial plastic surgeons have extensive training in the cosmetic and functional front of your nose.
How Is The Recovery From A Septoplasty?
The recovery is not fun at all although it is generally not very painful. Most patients do have obstruction of both sides of the nose that lasts for most of the week or even until you see your doctor. Dr. Mourad provides pain medication if you need it but most of the time Tylenol or no medication is used. You return to our office one week after your procedure and your nose is decongested with any crusts removed from inside of the nose. Most patients are breathing better within a couple of weeks as the swelling inside of the nose improves.
- Anesthesia: Depending on the type of anesthesia administered, patients may have a reaction. This is exceedingly rare, and it is important to discuss your personal risk with your anesthesiologist.
- Infection: In rare circumstances patients may develop an infection following septoplasty procedures. These are usually managed with intraoperative and postoperative antibiotics.
- Bleeding: Although rare, patients may have bleeding episodes following nasal surgery. Your surgeon will likely order blood work to make sure you are healthy enough to undergo the procedure. Your surgeon should also go over all medications and supplements that you take to minimizing bleeding risk.
- Need for secondary and revision surgeries: Depending on the complexity of the surgery, sometimes multiple surgeries are required to ensure the best aesthetic and functional outcomes.
- Scarring and Poor wound healing: Some patients with underlying medical conditions or more prone to poor wound healing and scarring. It is important to understand these risks prior to embarking on a treatment strategy.
- Local Reactions: Sometimes you may experience local reactions to the ointments, sutures, taping material, and nasal packing used during surgery and postoperatively. This is rarely seen, but may occur. If you have any allergies to certain materials or adhesives you should discuss with your surgeon.
- Changes in nasal sensation: Patients may experience altered sensations in their nose (pain or numbness). This is exceedingly rare, and if it occurs it is most often temporary.
- Persistent or Recurrent Nasal Airway Obstruction: Although the goal of surgery is to enhance breathing, sometimes patients may develop persistent or recurrent airway problems. This is rare, but oftentimes is due to poor wound healing or scarring (see above). This may require secondary surgeries to optimize outcomes.
- Continued need for medical therapies: If you have breathing complaints related to medical causes (e.g. allergies), then you may continue to require medical nasal therapies (e.g. nasal steroids and sprays).
- Nasal Septal Perforation: A hole in the septum may develop. Oftentimes these do not cause any problems. Other times however, they may cause crusting, bleeding, and breathing difficulties. These require secondary surgeries for repair.
Can I Have Other Procedures With My Septoplasty Surgery?
Yes. You can have a turbinate reduction or valve repair to further improve breathing. You can also have sinus surgery or removal of polyps to improve sinus function. If you have a bump or other areas of your face that you would like addressed then you can have cosmetic surgery at the same time.
Does Insurance Pay For A Septoplasty?
Most insurances will pay for functional surgery of the nose, that is, surgery that improves the ability of your nose to work well. Our office will check your benefits for you and let you know what your responsibility will be. We don’t believe in patient surprises and will keep you informed throughout the process. You may have co-pays, deductibles, and co-insurance which we will tell you about. We try to keep our services affordable as we all have financial responsibilities. Of course, cosmetic surgery is never covered by insurance.