Straightening of the nasal septum of the nose: surgery
How is the operation to straighten the nasal septum?
Septoplasty, or surgery to straighten the nasal septum, the most common type of surgery in ENT surgery. More than 90% of the population is diagnosed with a deviated septum. In most cases, this problem does not cause significant discomfort, except as an aesthetic dissatisfaction of the patient.
Surgery aimed at correction of the nasal septum, is assigned exclusively for medical reasons when the patient is experiencing significant health problems.
Functions of the nasal septum and causes its deformation
The nasal septum is a osseous – cartilaginous structure, symmetrically dividing the nasal cavity into two halves. The main natural function of a partition is the cleansing, moisturizing air flow.
Pathological change of the nasal cavity element is quite common and in most cases it is a regularity than an exception.
Fact! Smooth nasal septum is found only 10% of the population.
Deformation of the nasal septum occurs when the crests of spines on the cartilage of the nasal septum. This phenomenon leads to a number of factors, among which are physiological, compensatory and mechanical reasons:
- Under physiological reason is to understand the pathological uneven development of the facial skull and bones of the nose. Also, the curvature may be the result of rapid growth cartilage. Ideally, the bone and cartilage needs to grow evenly. When the delay of the development of the bony part of the formation of growing sprouts.
- Compensatory reason is due to prolonged exposure of tumors in the nasal cavity (cyst, polyps). With the growth of formations, there is a shift of the septum.
- Under mechanical causes is necessary to understand the injuries of the nose. The most common – fracture or severe injury (especially in adolescence, since the partition wall is fully formed by the age of 20).
Fact! A deviated septum is more common in males.
There are cases with congenital changes element the nasal cavity. The most common injury to the baby during passage through the birth canal. A rare case of abnormal development of the bony skeleton of the head in Sacaton – fetal period.
When surgery is needed
To the main pathophysiological aspect of deformation of the nasal septum is the narrowing of the lumen in the nasal passages on one or both sides. This change prevents air circulation and can also contribute to drying of the nasal mucosa, atrophy of epithelial tissue.
Operation to straighten the nose is assigned when the following clinical manifestations:
- the patient experiences shortness of breath or complete nasal congestion;
- recurrent abundant epistaxis;
- common symptoms of acute sinusitis or chronic sinusitis;
- acute or chronic inflammatory processes in the various divisions of the ear (otitis media).
Disturbed breathing may cause headaches, disorders of mental activity, low immunity, irritability. The deformation of the structure of the nose is a prerequisite to the emergence of frequent rhinitis.
Straightening of the nasal septum with surgery is assigned only in the case when conservative methods of treatment for restoration of nasal breathing have not yielded positive results.
The indication for urgent surgery can be a severe trauma to the nose. Surgical manipulation in this case prevent the development of strain partitioning in the future to prevent problems of nasal breathing patient.
Important! The operation to correct the nasal septum has age restrictions. If the patient is under the age of 21 there is a possibility of self-destruction of a defect, because before this age the cartilage is in the growth stage.
Elimination of deformation of the nasal septum is a major surgery, therefore, a prerequisite to which is a thorough examination and preparation of the patient.
First exclude the presence of contraindications to the operation. Among the absolute contraindications are:
- of the disease in its acute form, caused by penetration into the organism of pathogenic microflora;
- Oncology, diabetes, hypertension, diseases of the cardiovascular system in the stage of decompensation;
- violation of the functions of the brain;
- violation of hemostasis.
It is also desirable to carry out the operation during monthly cleansing process of the female body, with old age before reaching eighteen years of age, when acute course of tonsillitis, sinusitis and pharyngitis.
Among the mandatory conditions preoperative period – lab tests (clinical analysis of blood and urine, blood biochemistry, analysis of blood clotting).
The patient should be examined by a dentist, therapist. To determine the characteristic of the heart activity using electrocardiography. In most cases, is assigned a CT scan of the sinuses, which allows you to visualize the degree of pathology.
Important! 10 days before surgery to stop taking drugs that increase blood clotting.
How is the surgery for correction of deformity of the septum
There are two methods of surgical intervention to correct defects of the nasal septum, endoscopic and laser. Depending on age, stage deformation and the presence of comorbidities, health care specialist determines the kind of septoplasty and type of anesthesia – local or General.
Endoscopic septoplasty, the surgeon carries out an incision just inside the nose, eliminating visible damage to the skin and scarring.
After the layer of mucous membrane is separated from the cartilage, depending on the defect the surgeon performs the removal of the altered plot, moves, or align the nasal septum.
Tampons for your nose after surgery are mandatory, as they act as a locking mechanism to prevent displacement of the partitions. In major cases, the tampons are removed on the second postoperative day.
Important! The patient may not notice immediately the improvement in nasal breathing due to the occurrence of edema. Breathing is restored after 7 – 28 days. Each case is different, the recovery process depends on the type and scope of the operation.
Laser septoplasty is performed on the same principle as the endoscopic. The difference is a medical instrument, a laser beam is used.
This method is substantially superior to endoscopy, the procedure is not traumatic, excluding large blood loss because the laser simultaneously cauterizes the blood vessels.
Is performed under local anesthesia, the recovery period is short, no need to be in hospital, and also to insert the tampons in the nose.
A deviated septum may indirectly provide a threat to the life of the patient. Because the untimely elimination of defects entails the concomitant diseases and unwanted consequences.
The operational intervention to avoid complications and to significantly alleviate the condition of the patient.