Submucous resection of nasal septum: what is it
What is resection of the nasal septum?
The nasal septum is a plate dividing the internal space of the nose into two equal halves. This increases the area of the mucous membranes of the nose and contributes to the proper distribution of air when applying it to the respiratory organs. Is the partition of bone and cartilage.
Causes deformation of the nasal septum can be a lot. Genetic predisposition or trauma in childhood the most dangerous disorders of the nose. Often found in a pathology of the structure of the walls due to the occurrence and development of inflammatory diseases in the nose and respiratory tract. Correction of the nasal septum is possible only surgically.
What is resection of the nasal septum?
Called a resection surgery, which removes part of the problem on that are interfering with normal functioning.
For deformity correction of the nasal septum are several types of resection:
- cut off the curved part of the septum;
- removing the partitions with the subsequent fix and install in the correct position;
- improper location of the partitions is full or partial amputation with subsequent centralization and consolidation;
- cut off part of the mucosa with lesions of an infectious nature.
Indications for surgery
Doctors prescribe resection, if the patient has one or more characteristics:
- frequent bleeding from the nose.
- the unpleasant feeling of dryness and pulling of the tissues in the nose;
- mechanical trauma of the partition;
- heavy snoring, a consequence of obstructed airflow during breathing;
- inflammation of the mucosa and concomitant diseases (sinusitis, sinusitis, nasal polyps);
- the unilateral breach of nasal breathing.
The operation is performed only in those cases where the deformity of the nasal septum hinders the free flow of air through the nose.
When carrying out resection of the nasal septum may require the elimination of other otolaryngological problems. In the presence of nasal polyps, it is recommended to remove them during surgery to avoid postoperative complications.
How is the resection of the nasal septum?
The operation is performed without incisions on the face and does not require cosmetic adjustments later. General anesthesia allows you to make the procedure painless. Sometimes if there are contraindications to the use of General anesthesia or minor intervention is performed in local anesthesia with special preparations.
During the operation revealed mucosa in the damaged area that provides access to the cartilage or bone tissues. At small curvature portion of cartilage excised followed by reconstruction and consolidation. If the wall has severe damage, the doctor may decide about its complete removal and replacement of bone fragment.
The installed partition is assigned leaves the mucosa additional stitches. To stabilize the position of the internal parts of the nose and nostrils are inserted turundy or silicone splint, which open the access of air immediately after surgery.
The operation can last from 15 minutes to a half hour (in severe cases).
To prevent the development of complications in the implantation of bone or cartilage tissue, together with the tips introduced a special ointment. Remove turundy should be not earlier than a day. This promotes better adhesion of the mucous membranes of the nose and prevents re-injury of the septum.
Despite the seeming simplicity of surgical intervention, the postoperative period requires special care and caution. The patient needs to be prepared for the fact that the first day will have to breathe only through your mouth. Constant feeling of dry mouth can be corrected with the help of mineral water. So it’s best to stock up on it before entering the hospital.
Hot drink and food is contraindicated after surgery. Yes, and to use such products will be difficult. It is desirable to prepare a warm chicken broth, which will be easy to eat.
After resection of the mucosa of the nose may experience headaches, which are caused by the influence of narcosis and lack of air during breathing. Probably frequent fever, the patient can eyes water. This is a temporary phenomenon and in the normal healing of the operated area takes place in the next couple of days.
To reduce the pain symptom applied pain medication on the day of surgery and at night. In rare cases requires the use of painkillers for a few days. After removal of the tampons from the nose should refrain from sneezing and blowing your nose to avoid bleeding.
If the postoperative period passes without complications, to make dressings and irrigation is required during the week.
At home often need to moisten the mucous membranes of the nose with saline or special fluids that the physician prescribes.
This will help the rapid softening and removal of postoperative crusts, as well as the normal discharge of mucus.
Final healing and restoration of functions of a nose job lasts a few weeks.
The operation has its contraindications:
- People over 50 years of age is not recommended resection of the nasal septum. The restoration of nasal function and airflow requires a long habituation, which is dangerous in the elderly.
- Children under 10 years of operation are strictly contraindicated. Age-related changes and the growth of the facial bones can make his adjustments in the location and operation of the nasal septum.
- In the presence of blood disorders, diabetes and tuberculosis to carry out the correction of the nose should be only in case if it is not life threatening.
Some patients refuses submucosal resection of the nasal septum, believing that such intervention is not necessary. In most cases, small curves do not cause serious inconvenience.
But the people who decided on the operation, saying only a few months their life has changed for the better. The headaches disappeared, the snoring has stopped waking at night. Constant nasal congestion and twang in her voice was gone. Before retiring from surgery, is to think carefully about its pros and cons.