Septoplasty is a procedure that helps straighten a deviated septum.
Septoplasty is performed when a deviated septum causes problems with nasal congestion. The procedure helps improve airflow and improves nasal congestion. Patients are under general anesthesia for this type of surgery. This means that they are completely asleep. The procedure is most commonly performed at a surgery center (commonly known as outpatient surgery centers or ambulatory surgery centers). Patients will generally come to the surgery center the morning of surgery. After a short recovery period after surgery, patients go home the same day.
During the surgery, your surgeon will straighten the cartilage and bone that have led to the septum being deviated. During the procedure, the lining (the mucosa) is first raised off the cartilage and bone. The cartilage and bone can then be reshaped. Sometimes, portions of the cartilage and bone need to be removed. The lining is then laid back down.
After surgery, there will be dissolvable stitches inside the nose. Patients do not typically need any nasal packing.
The recovery after septoplasty generally lasts 1-2 weeks.
Most patients have pain, fatigue, nasal stuffiness, and nasal drainage after surgery. Pain is generally mild with this type of surgery. Most patients tell us that they have to take only a few doses of their pain medicine during the entire postoperative period.
Most patients find that they are very stuffy right after surgery from the swelling after the procedure. This typically starts to improve about a week after surgery. Patients typically have drainage of some mucus and blood from your nose after surgery. This is a normal part of the healing process.
After surgery, we recommend that you use saline sprays and nasal rinses. You can find sprays and rinse kits at most pharmacies. Our patients find the NeilMed Sinus Rinse kit easy to use. You can find out more information about the kit at www.neilmed.com.
For more information about septoplasty…
Dr. Goyal has written several articles and book chapters on the nasal septum and surgery to repair a deviated nasal septum. Please see these links for more information:
- Information on our website about the diagnosis of a deviated nasal septum.
- Dr. Goyal's article for the American Rhinologic Society website on septoplasty and turbinate surgery can be found at http://care.american-rhinologic.org/septoplasty_turbinates
- Dr. Goyal published a paper in the American Journal of Rhinology regarding a portion of the septum called the septal body: Setlur J & Goyal P. Relationship between septal body size and septal deviation. Am J Rhinol Allergy. 25(6):397-400, November/December 2011.
- Dr. Goyal's has written two book chapters about septoplasty:
- Goyal P, Hwang PH. Septal & turbinate surgery. In: Kountakis S & Onerci M, eds. Rhinologic and Sleep Apnea Surgical Techniques. Springer Verlag, Berlin, Heidelberg, New York, 2007
- Goyal P & Hwang PH. Septal and turbinate surgery. In: Kennedy DW & Hwang PH, eds. Rhinology: Diseases of the nose, sinuses, and skull base. Thieme, New York, 2012.