Septoplasty before and after — restoration, not breathing nose, complications, edema, how to flush

Septoplasty is a method of restoring the position of the nasal septum surgically. A similar operation is performed for health purposes, since the deformation of the nasal septum becomes cause difficult breathing and penetration into the body of infections, which are contained in the air.

Before you decide to conduct septoplasty need to know:

  1. how to prepare for treatment;
  2. how is the procedure performed;
  3. what are the contraindications;
  4. what complications can occur;
  5. how is the rehabilitation and other features of operations that wait for people.

How does the person in need of surgery

Despite the fact that septoplasty is performed for medical reasons, the appearance of the nose before and after surgery change.

Prior to treatment surgery the patient’s face can look different. Vary in appearance from the severity of the curvature of the nasal septum.

Even slight deformation of the partitioning visible to the naked eye, as the wings are not symmetrical, the direction of tip out «to the side».

If the curvature can be totally distorted the shape of the nose. Some patients, often after a serious injury, the nose is fully shifted in one direction.

With malposition of the septum, the impression is not symmetrically placed eyes. Often these patients can present an outward sign of strabismus.

This is due to the fact that pupils are focused most often on the nose, and different eyes also start to move in the direction.

After septoplasty in most cases, these symptoms disappear. But if untreated, can cause problems with vision.

How to prepare

Before the work will be carried surgeons on the recovery partition, is necessarily performed diagnostics to identify possible contraindications.

It is necessary:

  • specimen collection (blood, urine, etc.);
  • passing the hardware tests (chest x-ray, ECG).

Testing performed within two weeks before surgery. Turning to the medical establishment and immediately before surgery the patient undergoes examination by a specialist.

Training includes several important rules:

  • at least two weeks to stop Smoking and drinking alcohol;
  • women are not surgery performed a few days before and after menstruation (average 10 days);
  • for the month to stop taking drugs group of the IO, as well as drugs that affect blood clotting;
  • for 3 to 4 weeks you need to stick to your diet (eating habits should be discussed with your doctor).

In the day when the scheduled septoplasty is impossible to have Breakfast as the surgery is performed on an empty stomach. All the features of the training need to check with a technician observing the patient.

A special role is played by the emotional state of a person. Not recommended the correction of defects of the septum, if the patient is under stress.

Photo: Before and after surgery

The result

Surgery to align the septum is performed under General anesthesia. So within a few hours after leaving the person is under anesthesia.

The appearance of the face, of course, may not be ideal. Swelling and minor bruising. Strong bruises shouldn’t be.

After surgery in the nasal passages insert a tube that facilitates breathing. Due to swelling and damage to mucosa of nasal passage to breathe is the mouth.

The breath is through the mouth, for this reason, within 2 — 3 days there is a constant dry mouth.

On the nose a plaster bandage, fixing cartilage and bone tissue. Need this by the fact that the tissue of the nasal cavity is very flexible and can easily be offset.

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A few hours after discharge from the anesthesia, the patient begins to experience pain, to eliminate pain medications are assigned. State is restored gradually.

On average within 3 – 5 days people who have undergone septoplasty, feels quite normal. Swelling subside, and a strong pain will go away.

Video: Features of the endoscopic technique

Complications after septoplasty

Change defects the septum is interference in the natural working of the body, so eliminating the occurrence of complications it is impossible.

Complications of septoplasty are rare. The most common cause is:

  1. the mistake of the surgeon;
  2. violation of the recommendations of the specialist in rehabilitation period;
  3. individual reaction of an organism.

The deviations after the elimination of defects of the nasal septum include:

  • constant bleeding;
  • the formation of blood clots;
  • perforation of the nasal septum;
  • the appearance of adhesions;
  • suppurative processes, caused by an infection;
  • hematoma.

If you experience any of the symptoms listed above should immediately contact your doctor.

To prevent the development of complications is detected the cause that provoked them, and assigned the appropriate treatment. You may need a second operation, which is carried out not earlier than thirty days.

There are a number of complications that come from a person in the first day and, as a rule, should disappear on their own after a few days.

Most often patients complain of the following States:

  • the nose doesn’t breathe;
  • not less swelling;
  • fever;
  • lost sense of smell;
  • bleeding.

All these States are natural, but only for a certain period of time. If these symptoms do not disappear after one or two weeks, it is necessary to pass the examination and to take action.

The nose doesn’t breathe

In the first week after a change of direction of the nasal septum are advised to breathe solely through your mouth. Therefore, you should not consider this complication.

Breathing through the nasal cavity interfere:

  • bandage;
  • swelling;
  • crust;
  • tampons.

Once the swelling subsides the nose breathing should gradually recover. If the nose doesn’t breathe after two weeks or more, you should look for the causes of pathology.

In most cases the shortness of breath caused by:

  • the formation of adhesions;
  • perforation;
  • the appearance of purulent mucus;
  • improper installation of partitions.

To correctly determine the cause only after a thorough diagnosis. In some cases, the patient needs to be re-thought.

Breathing problems are a major indicator of complications, so you should constantly visit a specialist after surgery and report all deviations in the rehabilitation process.


Swelling is also a natural symptoms. However, swelling may persist in the nose for only two weeks.

If the swelling is spreading all over the face or does not decrease after a week, then really we are talking about the complication.

Provoke swelling:

  • taking a hot bath;
  • hot meal;
  • washing with hot water;
  • sleep without a pillow.
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There are other factors that can influence the increase (saving) edema.

To reduce the swelling in the first day after surgery to do cold compresses for 3 to 5 times a day. Do not be afraid of a softening of the bandage.

Also to avoid extensive swelling you must wash only with warm water, there is not much hot food, take only a warm shower and sleep on a high pillow.

If at observance of all recommendations of swelling persist, you should seek the cause in the body.


For several days after surgery, the patient may experience fever. This figure should not be above 38 degrees.

Maintaining elevated temperature (over 38) for several days evidence of inflammation.

Cause high temperatures can lead to:

  • otitis or sinusitis (available to septoplasty);
  • inflammation of the sinuses (ethmoid);
  • rhinovirus infection.

In most cases the aggravation of otitis (sinusitis) or inflammation of the sinuses caused by edema. But can also be other causes of a pathological condition, consisting in the violation of the functions of internal organs (lungs, heart etc).

Inflammation can be caused by ingestion of infection that poses a big risk for someone who had surgery.

You should not take medicines which reduce the temperature by yourself. Before drinking any medicine should consult your doctor.

Lost sense of smell

In rare cases of patients experiencing a complication, manifested in the form of loss of smell. Usually restore sensitivity to odors occurs after 3 to 10 days.

You should consult a specialist if the smell is not back even a month later. Such a deviation can have serious consequences.

In the first two weeks the lack of sensitivity to smells is due to edema and damage to the mucosa. In this state, the loss of smell is considered to be partial. The danger is the full form. In most cases when a full form to regain the sense of smell is not always possible.

If you lost the sense of smell, you should immediately contact a specialist who can determine the cause and suggest the most effective treatments. No need to apply any traditional recipes. It can be dangerous and worsen the situation.

You must understand that the loss of smell is not caused by a simple stuffy nose, and is the result of surgical intervention.


During the rehabilitation period of heavy bleeding, the patient should not be observed. Slight discharge of blood along with other fluids. Excessive bleeding can be caused by weakness of the vessels of the nasal cavity.

Often leads to bleeding:

  • physical activity;
  • high blood pressure;
  • sneezing with a closed mouth (in the first postoperative days).
  • prolonged exposure to the sun;
  • improper treatment of the nose.

Affect the occurrence of bleeding can and the negative factors (Smoking, cocaine use, alcohol intake etc). To prevent bleeding, you must consult with your doctor.

Most often, the patient is recommended to use Thomond and preparations constricts blood vessels. You should also observe bed rest and avoid stress. To exclude serious complications better to diagnosis.

Appearance changes

Restoration and rehabilitation

Recovery from septoplasty is fairly easy. The main difficulties arise in the first week, when people can’t breathe through the nose.

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But after removal of the swabs and falling swelling of function of the nasal cavity is gradually restored. In most cases this period lasts about seven days.

The main rehabilitation period takes two weeks. Subsequently, the patient is required to follow the recommendations, but we can get to work and maintain their traditional way of life.

During rehabilitation, you need to adhere to several guidelines:

  • constantly visit a specialist;
  • do not smoke;
  • not to abuse alcohol;
  • to properly handle the nasal cavity;
  • is not in the hot weather on the street for too long.
  • not to wear glasses;
  • eliminate heavy physical load;
  • if the symptoms are severe to seek medical attention.

It should be understood that the violation of the patient’s doctor can lead to serious complications.

The total rehabilitation period is about three months. However, these terms are individual. Some patients, especially in complex pathologies, the rehabilitation period takes up to six months.

How to wash the nose

Mandatory procedure in the recovery period is the removal of crusts in the nasal cavity and daily moisturizing. To moisten the salt solutions used.

Apply the solution with a household table salt is not recommended. It is advisable to use special drugs, which are added sea water and salt (e.g., a Phrase or Aqua Maris).

To ease removal of dried crusts, you can use irrigation with saline. It softens the fabric and has disinfectant properties, which is undoubtedly useful.

The process of removing the crusts should be done only with the help of cotton swabs soaked in oil (eg tea tree) or lubricated with vaseline. It is impossible to prevent the appearance of blood.

How to wash the nose, it is better to consult with a specialist who knows all the peculiarities of the operation. The procedure is preferably performed at least three times a day.

Lavage of the nasal cavity allows to quickly restore the mucosa and to exclude the possibility of it drying out, causing breathing problems.

Preparing for a septoplasty and features of the rehabilitation period are the main periods, the impact of which is man himself.

Deciding on the surgery you have to understand that it is not a simple treatment. Only at observance of all recommendations before and after surgery to avoid complications.