A deviated septum is a typical condition in which the septum – or the divider that isolates the nostrils – is dislodged to one side or is bent. Generally caused by physical injury, a strayed septum can prompt nasal blockage, nosebleeds and repeating or incessant sinus diseases. Patients may likewise encounter a pressure on the ears or a connected sensation to the ears.
A veered off septum can regularly be dealt with utilizing nasal steroid splashes to decrease nasal blockage and mostly these procedures are frequently adequate, however, sometimes due to difficulty in breathing or other related issues, endoscopic septoplasty, a surgical procedure to straighten the septum may be done.
Endoscopic septoplasty is a methodology in which the septum is repositioned so that it is centrally focused in the nose.
Indications for Endoscopic Septoplasty
Mostly a defect in the septum may not cause any major issues. However, sometimes, a bent septum may be accompanied by some issues that may call for surgical intervention:
- Obstruction of one or two nostrils: This deterrent can make it hard to inhale through the nostril or nostrils. This might be more perceptible when you have a cold that can make your nasal entries swell and become tight.
- Nosebleeds: The surface of your nasal septum may wind up dry, leading to risk of nosebleeds.
- Noisy breathing amid rest: This can happen in babies and youngsters with a deviated septum or with swelling of the intranasal tissues.
- Isolated Septal Spurs: Sometimes the deviated septum may be accompanied by isolated spurs of the bone blocking the passage of the nose.
- Recurrent Sinusitis and Otitis Media: The uneven passage of the nose may lead to repeated sinus infections and inflammation of the middle ear.
Causes of Deviated Septum
A deviated septum can be caused by:
- A condition during childbirth: Sometimes, during foetal advancement, the septum may become deviated and may be present since birth.
- Injury to the nose: A deviated septum can likewise be the after-effect of a damage that makes the nasal septum move out of position. In new-born children, such damage may happen amid labour. In kids and grown-ups, an injury to the nose may result in a deviated septum. Injury to the nose usually happens amid contact sports, dynamic play or roughhousing, or car crashes.
The need for Endoscopic Septoplasty is confirmed by a physical exam by the specialist after considering the information about any indications you may have.
- To look within your nose, the specialist will utilize light and an instrument (nasal speculum) intended to spread open the nostrils. The specialist may also check deep within your nose with a special instrument.
- Based on this exam, the specialist can analyze a deviated septum and depend on the severity of your condition, recommend surgery.
Treatment for a deviated septum can differ upon the seriousness of the condition and the manifestations related to it. For most patients, this condition can be overseen through nasal steroid splashes that expect to lessen nasal blockage. However, for extreme cases, surgical intervention called endoscopic septoplasty to reposition the septum may be done. This method might be performed in conjunction with rhinoplasty, or nose reshaping surgery.
- The doctor may recommend some medications before surgery to reduce inflammation. These may be taken on a schedule before the surgery.
- Smoking must be avoided 3-4 weeks before surgery and it adversely impacts the outcome of surgery by affecting healing and causing scar tissue.
- Certain medications that increase bleeding during and after surgery must be avoided 2-3 weeks before surgery. These include aspirin, NSAIDs such as Motrin, Aleve and Advil. Any herbal medications, blood thinning medicines such as Vitamin E or others must also be stopped. The doctor must be informed about your current medications so that he/she may guide you regarding which medicines to stop or continue.
- You must not eat or drink anything after midnight on the day before the surgery. This is essential since the anaesthesia has to be given on empty stomach.
- The surgery is performed under general anaesthesia and the patient sleeps during the entire procedure.
- Amid the endoscopic septoplasty technique, an endoscope is embedded into the nose to give visual access to the septum.
- The specialist makes a small incision or cut in the area of the septum that is deviated to isolate the mucosa.
- The fundamental bone and ligament are modified to reposition it in the focal point of the nose. If there is a bone spur, it is removed.
- The mucosa is then supplanted over the septum.
- Most patients can leave on the same day after surgery.
- After septoplasty, patients may encounter some bleeding.
- Particularly the tip of the nose has a tendency to be delicate after this surgery for a long time. These symptoms are viewed as typical and will mellow down alone.
- Cool packs on the nose help lessen bleeding, swelling and pain. The specialist will give you medicines that will ease the pain and will minimize the symptoms.
- Sometimes, the surgeon may use splints or soft sheets of plastic and pace them inside the nose to help the septum to heal in a straight position and prevent the formation of scar tissue. However, this is done only if absolutely necessary.
- It is critical for patients to evade laborious activities, for example, running and high impact exercise, for a little while after surgery. You ought to likewise abstain from cleaning out your nose and pulling dress over your head.
- Generally, the septum is corrected after the first procedure itself. However, in some patients, another septoplasty may be required.
Risks of Endoscopic Septoplasty
Despite the fact that septoplasty is viewed as a protected method, there are sure dangers related with a surgery. These may incorporate
- Septal puncturing
- Slight discouragement of the nasal profile
A few patients will be unable to achieve permanent cure from these surgical procedures. The specialist will examine the risks of septoplasty, and additionally answer any inquiries or concerns you may have preceding surgery.
Cost involved in Endoscopic Septoplasty
The following are the primary factors that determine the cost involved in treating a deviates septum:
- Hospital that patient chooses for his/her treatment (if required)
- Fees for the doctor/physician
- Cost of surgical procedures (if required)
- Cost of medicines
- Cost of tests and diagnostic procedures
- Follow up care costs