Septoplasty + Turbinate Radiofrequency - Endoscopic Nasal Photographs Before and After 1 Week

Septum Deviation Surgery and Radiofrequency Turbinate Reduction

Septoplasty + Turbinate Radiofrequency - Endoscopic Nasal Photographs Before and After 1 Week

Septoplasty is a surgery performed to correct the curvature of the nasal septum. If the symptoms of nasal congestion, mouth open sleep, tired waking up, difficulty walking or climbing stairs, such as the cause of complaints associated with nasal obstruction due to nasal septum deviation, septoplasty can be planned.

In the above photo, the patient underwent septoplasty operation and inferior turbinate radiofrequency operations. The intra-nasal endoscopic photograph of the patient and the photograph 1 week after the operation are seen. The postoperative photograph shows the clotted areas on the inferior turbinate, with the nasal septum completely flat in the vertical plane.

Nasal septum deviation

The septum is the anatomical structure of the nose that divides the nose into two parts in the midline. The septum is partially bone and the cartilage is larger. Under normal conditions, it is necessary to divide the nose into two equal chambers so that even breathing through both nostrils is possible. However, in almost 70-80 % of people, there is deviation in the septum, which is inherently structurally present or develops as a result of traumas over time, and these patients are diagnosed as ‘septum deviation’. The operation to correct these curvatures is called ir septoplasty ’.

Not every nose curvature is operated. Nasal curvature of the nose, nasal congestion, difficulty breathing through the nose, snoring, recurrent nosebleeds, frequent sinusitis infections, continuous nasal discharge or chronic headache in the case of symptoms accompanied by septoplasty surgery is required.

Apart from the septum, there are also anatomical structures called ‘turbinate" in the nose that facilitate our breathing and are responsible for moistening the nose. Growth and swelling can occur in these structures, sometimes structurally and sometimes due to allergic causes. This makes breathing more difficult. Often in septoplasty operations, in addition to turbinates, more successful results are obtained.

Why is septoplasty performed?

Deviation of the nasal septum may cause difficulty in breathing as well as other problems. Not being able to breathe through the nose especially during sleep causes sleep disorders, but mouth breathing caused by deviation, dry mouth, throat infections, snoring and oral health problems adversely affect the health and comfort of people. Although chronic nasal obstruction does not directly cause a systemic disease, it paves the way for existing diseases to progress more easily. In order to solve all these problems, septoplasty operations are performed.

Septoplasty surgery can be done to whom?

Septoplasty can be performed to anyone who has problems with breathing due to septum deviation. It is advisable to wait for the age range of 18-20, when only one's bone and face development is complete, except in special cases. If there is a nasal fracture or deviation due to an acute trauma, surgery may be necessary at an earlier age.

How is septoplasty operation performed?

It is very important to make the diagnosis correctly in septoplasty operations as in every operation. Therefore, first of all, the general health condition of the patient and the disorders of the nasal septum structure are detected. Radiographic imaging methods and intranasal cameras are sometimes used at this stage.

Then, it is decided which anesthesia method will be applied according to the patient's condition. While local anesthesia techniques are frequently used in septoplasty operations in the past, general anesthesia is preferred by taking into consideration the patient's comfort with increasing anesthesia techniques and increasing the reliability of anesthesia.

After anesthesia is provided, the operation phase is started. At this stage, a small incision is usually made under the nose to reach the internal tissues and excess bone tissue is removed from this opening. Then, if there are problems in the cartilage tissues that are too much, they are corrected in the nose and the operation is completed. If the structural problems in the cartilage tissues are too high to be operated within the nose, the cartilage tissues can be reshaped by shaping them outside the nose.

If the curvature of the nose is not only related to internal structures and if there is a bone curvature from the outside, the technique called "open technique" (open technique septoplasty operation) can be performed by dissecting and removing the skin of the nose.

In some cases, the septoplasty operation may be performed in combination with a nasal aesthetic operation called "rhinoplasty". Turbinate hypertrophy, which makes it difficult to breathe due to allergies, etc., can be treated by intervening in the same operation.

The incision opened after the operation is closed with the help of sutures. Sometimes self-melting stitches are used, sometimes stitches may need to be removed 1 week after the operation. At the end of the operation, tampons are placed in the nostrils for bleeding control. Tampons developed today are generally silicone-based and are much more comfortable than tampons used in the past, since silicone tampons allow the patient to breathe.

The problems that concern the patients the most: Will my face swell? Is that bruising around my eyes? Will there be an incision on the outside?

In simple septoplasty operations none of this will happen to you. With a simple incision through the nose, the septum itself will be reached under the so-called mucous membranes covering the nose, the curves determined will be corrected, and if necessary, the existing bone protrusions will be rasped or removed. Since there will be no intervention on the outer roof of the nose, you will not have any swelling or bruising complaints in this area, which is the operation of estetik Rhinoplasty ına which means aesthetic correction of the nose. Rarely, very advanced deviations, especially in the anterior aspect of the nose, may require intervention from the lower end of the nose to the tip of the nose with inconspicuous incisions, which is called ’open technique septoplasty.. In this case, your doctor will surely tell you if this is necessary before surgery.

What is the recovery time after septoplasty?

After septoplasty, people can return to normal life in a short time. The initial recovery period usually takes 2-3 days to a week. Under normal conditions, swelling and bruising are not observed much after closed septoplasty operations. However, if the operation is more extensive and includes rhinoplasty, which is an aesthetic procedure, swelling and bruising may occur under the eyes and nose within a few days after the operation. If this is the case, these swelling and bruises will disappear within a week. After septoplasty and rhinoplasty operations, edema may be observed in the nose. The appearance of slight swelling associated with this edema disappears rapidly on the days following the operation and the new appearance of the nose is fully revealed, but it may take several months for the edema to completely disappear. It is normal to see some loss of sensation in the tissue where the suture line is located at the beginning of the recovery period and the sensation in the region is gradually restored.

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

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