Crooked nose-Correction by Septoplasty
Septoplasty may be the second most common ENT surgery being performed after tonsil and adenoidectomy. In olden days SMR-radical resection of the septum was common and so many victims emerged out of that era with saddle nose.
This was a good time for Rhinoplasty surgeons to correct those saddle deformities.
Now Septoplasty is performed by preserving, modeling, scoring and keeping as much cartilage as possible.
Although try not to do this in children before puberty, some desperate cases can be dealt with a limited, careful Septoplasty.
Let us face it, plastic surgeons who does just the Rhinoplasty will not achieve perfect result until they learn or get an ENT surgeon to do a Septoplasty same time as most cases have complex deformity of the entire nose.
It is better for the ENT surgeons to do Rhinoplasty, and I encourage my junior registrars to get trained from the beginning of their career.
Please remember, No one has perfect, straight septum, perhaps Adam and Eve are the exception, as they were sculptured by the master surgeon, the Almighty God Himself, the first plastic and reconstructive surgeon.
During routine examination most Deviated nasal septum (DNS) is an incidental finding and surgeons don\’t tell the patients unless they have nasal symptoms.
The cause of DNS is either congenital or by trauma. The history of trauma may not be obvious, but might have happened during childhood.
Symptoms of deviated nasal septum include:
and airway blockage
and sinus blockage
and nosebleeds
and headaches
and sleep apnea
and chronic sinusitis
Diagnosis of a Deviated Septum:
Anterior rhinoscopy using nasal speculum or fibreoptic nasal endoscopy.
CT scan.
About Septoplasty operation
Septoplasty is an operation to correct a deformity of the nasal septum.
Septoplasty is also performed with other procedures-Endoscopic sinus surgery and reconstructive or cosmetic rhinoplasty and Nasal polypectomy.
Septoplasty is performed under general or local anesthesia.
It takes about an hour or so to complete the surgery. A small incision is made inside the nose. The mucosal lining of the septum is detached from the cartilage and bones of the septum. The deviated portions of the septum are removed or straightened. The nasal lining mucous membrane is replaced and sutured.
.
Splints or packs are placed in the nose for a day…
The undesirable results that may occur include: failure to completely improve breathing, and postoperative bleeding. Rarely septal perforation.
