When The Internal Nasal Silicone Splints Be Removed After Septoplasty Operation?

Silicone Nasal Packing Removal Time After Deviated Septum Surgery

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How Long Time After The Septoplasty Silicone Splints Can Be Removed?

The internal nasal silicone splint (or internal silicone nasal splint, silicone nasal pad) is used for the treatment of septoplasty within the nose, usually after the operation of the septoplasty, which allows the patient to breathe, which is highly effective in preventing adhesions in the nose and causing the patient to feel very little pain during removal ) are used.

Septoplasty, a surgical procedure aimed at correcting a deviated nasal septum, often involves the use of internal nasal silicone splints to support the healing process.

Understanding the Purpose of Internal Nasal Silicone Splints:

Before delving into the removal timeline, it's essential to grasp the purpose of internal nasal silicone splints in septoplasty recovery. These splints serve multiple functions, including maintaining the corrected septum's position, minimizing swelling, and preventing adhesions. Surgeons typically insert these splints during the septoplasty procedure to provide structural support to the nasal septum as it heals.

Factors Influencing Splint Removal:

Individual Healing Response:

The timeline for internal nasal silicone splint removal can vary from patient to patient. Individual healing responses, influenced by factors such as overall health, age, and the extent of septal correction, play a crucial role in determining when splints can be safely removed.

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Severity of Deviation:

The initial reason for septoplasty, the severity of the septal deviation, can impact the duration the splints remain in place. In more complex cases, where extensive correction is required, splints may need to stay in position for a longer duration.

Surgeon's Preference:

Surgeons may follow different protocols based on their experience and the specific details of the septoplasty procedure. Some may prefer a shorter duration for splint placement, while others may advocate for a more extended period to ensure optimal healing.

Postoperative Monitoring:

Regular postoperative check-ups with the surgeon are crucial in assessing the progress of healing. The surgeon evaluates factors such as reduced swelling, absence of complications, and the overall stability of the corrected septum to determine the appropriate time for splint removal.

Patient Compliance:

Following postoperative care instructions is vital for a successful recovery. Patients need to adhere to guidelines regarding nasal hygiene, medication, and activity restrictions. Compliance with these instructions can positively impact the healing process and influence the timing of splint removal.

Communication with Surgeon:

Open communication with the surgeon is crucial. Patients should discuss any concerns, changes in symptoms, or questions about the upcoming splint removal during postoperative appointments.

Medication Management:

Following the prescribed medication regimen is essential. Pain management and any prescribed nasal sprays should be used as directed to ensure comfort during and after splint removal.

Nasal Hygiene:

Adhering to proper nasal hygiene, as instructed by the surgeon, helps minimize the risk of infection. This includes gentle cleaning of the nasal passages to maintain cleanliness.

Expectation Setting:

Surgeons will provide guidance on what to expect during and after splint removal. Patients should have realistic expectations, understanding that some discomfort or mild bleeding may occur but is typically temporary.

The timing of internal nasal silicone splint removal after septoplasty is a critical aspect of the overall recovery process. Patients undergoing this procedure should actively engage with their healthcare team, follow postoperative care instructions diligently, and be aware that individual variations exist in the splint removal timeline. A collaborative approach between the surgeon and the patient ensures a smoother recovery journey, ultimately leading to improved nasal function and enhanced quality of life.

It is usually available from the 5th day. However, it is preferred that silicone nasal dampers remain in the nose for a longer period of time in the following situations:
• When a nasal surgery is performed with a septoplasty operation, edema may occur in the nasal meats for up to about 1 week, and on the 5th day, there may be a risk of adhesion sites between the nasal septum and the nasal septum. For this reason, when the two operations are performed at the same time, the silicone nose tamons should be kept for at least 7 days
• During the septoplasty operation (especially in patients with traumatic septum deviations or traumatic septum broken lines), if the bilateral mucosal perforation occurs while the septum cartilage is removed (nasal septum perforation), these areas can be repaired by mucosal flapping or cartilage graft shifting techniques during surgery. Silicone nasal dampers can be held in the nose for 2 weeks or more in order to avoid contact with the air and to provide mutual stabilization of areas where septum perforation is repaired
• Silicone nasal packings can be held in the nose for a long time during septoplasty operation in patients who have severe curvature of the septum or patients who undergo surgery for septum deviations as part of an operation such as revision rhinoplasty.
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Removal of Internal Nasal Splints

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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