Is Nasal Septum Deviation Repeated After Septoplasty?

Will Septum Deviation Reoccur After Septoplasty? 

Do the nasal septum deviations recur after the Septoplasty operation? - Do the nasal septum deviations recur after treatment? - Does the nasal septum deviation repeat itself after the operation of the Septoplasty?

The nasal septum deviation causes a mechanical airway obstruction in the nasal cavity. As a result, the area causing the obstruction is the cartilage and the bone structure at the back. Once these curved areas have been surgically removed, the cartilage is not easy to reshape or warp. The nasal cartilage curvature does not reappear after deviation surgery without mechanical trauma, medication or infection that may affect the shape of the cartilage.

After turbinate radiofrequency treatment, the turbinates may grow again, but after the septoplasty operation, the nasal septum deviation does not repeat without trauma.

Septoplasty is a surgical procedure aimed at correcting a deviated septum, which is the thin wall of cartilage and bone that separates the two nostrils. A deviated septum can lead to various symptoms, including nasal congestion, difficulty breathing, snoring, and recurrent sinus infections. Septoplasty is a common and effective way to address these issues, but one common question that patients often have is whether the septum deviation can reoccur after the surgery. In this comprehensive article, we will explore the factors contributing to the recurrence of septum deviation after septoplasty and what can be done to minimize the risk.

Septoplasty is a surgical procedure that involves modifying and repositioning the deviated septum to ensure that the nasal passages are straight and unobstructed. The surgery is typically performed by an otolaryngologist (ear, nose, and throat specialist) and is aimed at improving nasal airflow and alleviating the symptoms associated with a deviated septum.

The procedure involves making incisions inside the nose to access the septum. The surgeon then straightens the septum and may remove or reposition excess cartilage or bone. In some cases, additional techniques, such as sutures, splints, or dressings, may be used to stabilize the septum during the healing process. Septoplasty can be performed with or without nasal packing, and the choice often depends on the surgeon's preference and the specific needs of the patient.

May Septum Deviation Reoccur After Septoplasty?

While septoplasty is an effective procedure for correcting a deviated septum, there is a possibility that septum deviation can reoccur after the surgery. Several factors contribute to the risk of recurrence, and it's essential for patients to understand these factors and work closely with their healthcare provider to minimize the chances of reoccurrence.

Surgical Technique and Expertise:

The success of septoplasty depends on the surgeon's skill and experience. Surgeons with expertise in septoplasty are more likely to achieve optimal results and minimize the risk of recurrence. It is crucial for patients to choose a qualified and experienced surgeon to perform the procedure.

Severity of the Initial Deviation:

The extent and severity of the initial septum deviation can influence the risk of recurrence. In cases where the deviation is more complex or severe, there may be a higher likelihood of some residual deviation or reoccurrence after surgery.

Healing and Scar Tissue Formation:

The healing process following septoplasty plays a significant role in the potential for septum deviation to reoccur. The formation of scar tissue can impact the final outcome. In some cases, scar tissue may cause a mild deviation or narrowing of the nasal passages over time.

Nasal Trauma:

Nasal trauma or injury after septoplasty can contribute to recurrence. Activities that can potentially damage the septum, such as forceful nose blowing, should be avoided during the healing process and afterward to prevent any postoperative complications.

Natural Aging Process:

Over time, the shape and structure of the nose may change naturally as a part of the aging process. While this is unrelated to the surgical procedure, it can lead to minor changes in the nasal passages that patients may perceive as a recurrence of deviation.

Incomplete Correction:

In some cases, the initial septoplasty may not fully correct the deviation due to anatomical complexities or the surgical approach chosen. Incomplete correction increases the risk of residual deviation or reoccurrence.

Minimizing the Risk of Septum Deviation Recurrence

While there is a possibility of septum deviation reoccurrence after septoplasty, there are steps that can be taken to minimize the risk and ensure a successful outcome. Here are some key considerations:

Choose a Skilled Surgeon: Select a board-certified otolaryngologist or surgeon with experience in septoplasty. A skilled surgeon is more likely to perform a thorough correction and minimize the risk of recurrence.

Proper Preoperative Evaluation: A comprehensive evaluation of the patient's medical history, symptoms, and the extent of septum deviation is crucial for planning the surgery effectively.

Follow Postoperative Instructions: Adhering to postoperative care instructions is essential. This includes taking prescribed medications, avoiding activities that may harm the septum, and attending follow-up appointments as scheduled.

Manage Nasal Trauma: Protect the nose from trauma or injury, both during the healing process and in the long term. Be cautious while engaging in activities that may risk nasal injury.

Regular Follow-Up: Periodic follow-up visits with the surgeon can help monitor the healing process and identify any signs of reoccurrence early, allowing for timely intervention.

Be Realistic: Understand that minor asymmetries in the nasal passages are normal, and absolute perfection may not always be achievable. Discuss your expectations with your surgeon to ensure they are realistic and attainable.

Septoplasty is an effective surgical procedure for correcting a deviated septum and improving nasal airflow. While there is a possibility of septum deviation reoccurring after the surgery, several factors can contribute to this risk. Choosing a skilled surgeon, following postoperative care instructions, and managing factors that can affect the nasal passages are essential for minimizing the risk of recurrence. Patients should maintain open communication with their healthcare provider, attend follow-up appointments, and address any concerns promptly to ensure the best possible outcome and long-term relief from septum deviation-related symptoms.

On this website, the link group where you can read the previously published articles I have prepared about the septoplasty operation >>
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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