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Septoplasty

Septoplasty or Septal reconstruction is a surgery to straighten the nasal septum. The surgery may beSeptoplasty done along with other procedures to treat chronic sinusitis, inflammation, or bleeding, or to correct sleep apnea. Septoplasty also may be done to allow access into the nose to remove nasal polyps.

The nasal septum is the partition inside the nose made of cartilage (gristle) which separates the two nostrils. Usually the septum is straight and upright, and is in the middle of the nose. Inside your nose, the septum is bent over. You may feel that your nose is blocked or may have headaches and pain in the face. You may have sinus (the space inside any face bone) infections and even ear problems. Straightening out the septum will help you to breathe through your nose more easily, and lessen problems with your sinuses and ears.

The septum and nasal passages are lined with a layer of soft tissue called mucosa. In septoplasty the surgeon works through the nostrils making an incision to separate the mucosa from the underlying cartilage and bone. The cartilage is trimmed or straightened and the mucosa is replaced over the cartilage and bone.

Causes

Two common reasons for internal nasal obstruction due to nasoseptal deviation are nasal trauma and cartilaginous growth abnormalities. Nasal trauma is probably the most common cause for septal deviation.

BRIEF ABOUT THE PROCEDURE

Septoplasty is generally performed on an outpatient basis with IV sedation or general anesthesia. The procedure takes approximately 30 minutes. A small incision is created inside the nose and cartilage and bone is inspected and specifically treated appropriately.

Bony spurs are trimmed or removed if present. The cartilage is morselized and straightened back to its original position. Bone is also manipulated to the center to achieve reasonable straightening and better nasal airflow.

Sometimes small splints are placed internally to support the septum. These are removed simply in a few days time. Packing is not required.

The surgeon uses endoscope to examine the nasal passages and to see the shape of your septum during surgery

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