How is septoplasty performed?

Apr 22, 2022 Source: Cainiu Health

Dr. Xu Gang

Introduction

If left untreated, a deviated nasal septum can cause significant harm to the body. The standard treatment is surgical correction, typically performed via submucosal resection of the nasal septum. In asymptomatic cases—where there is no nasal obstruction or impaired drainage—treatment is generally unnecessary. However, if one nasal cavity becomes narrowed or obstructed, prompt medical evaluation and intervention are recommended to relieve nasal obstruction and prevent inflammation of the nasal cavity and sinuses.

Nasal septal deviation is a structural deformity that, to some extent, can impair an individual’s normal daily life and work. If left untreated, it may significantly harm overall health. How is nasal septal deviation surgery performed?

How Is Nasal Septal Deviation Surgery Performed?

Untreated nasal septal deviation can cause substantial harm to the body. The standard treatment is surgical correction—typically via septoplasty (submucosal resection of the deviated septum). Asymptomatic cases or those without nasal obstruction or impaired drainage generally do not require intervention. However, if one nasal cavity becomes narrowed or obstructed, prompt medical evaluation and treatment are essential to relieve nasal obstruction and prevent secondary inflammation of the nasal cavity and sinuses.

Nasal septal deviation refers to a nasal internal deformity in which the nasal septum deviates from the midline, resulting in clinically significant symptoms. Common manifestations include persistent or intermittent nasal congestion, purulent nasal discharge, dizziness, headache, and epistaxis. In daily life, nearly everyone exhibits some degree of nasal septal deviation; however, only individuals with severe deviation develop functional nasal impairment, significantly affecting their physical health.

Following nasal septal deviation surgery, patients should pay attention to dietary habits: avoid spicy and irritating foods, and instead consume more protein-rich foods such as meat, eggs, and dairy products, as well as fresh vegetables and fruits. Refrain from rubbing, pressing, or manipulating the nasal area; avoid strenuous physical activity; and attend scheduled follow-up appointments as directed by the physician. We hope this information proves helpful to you.

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How many levels of disability does a nasal bone fracture and septal fracture constitute?

Under normal circumstances, nasal bone fractures and septal fractures are classified as Grade IX to Grade X disabilities. Disability grading is determined according to the severity of the injury, ranging from Grade I (most severe) to Grade X (least severe). Nasal bone fractures and nasal septum fractures are common nasal injuries that may affect functions such as breathing, smell, and appearance, thus leading to a certain level of disability classification.

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What is the best medication for nasal septum erosion?

There is no single best medication for nasal septum erosion; however, antibiotics, topical nasal sprays, and topical ointments are commonly recommended. For oral treatment, cefprozil granules or cephalexin capsules may be used. Topical corticosteroid nasal sprays such as fluticasone propionate nasal spray or triamcinolone acetonide nasal spray are frequently prescribed. Additionally, ointments like roxithromycin ointment or erythromycin ointment can be applied inside the nasal cavity for treatment.

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What should I do about redness, swelling, and congestion of the nasal septum?

Nasal septum redness, swelling, and congestion can generally be managed under a doctor's guidance through medications, surgical treatment, or other therapeutic approaches depending on the underlying cause. Inflammation within the nasal mucosa may lead to mucosal congestion, swelling, and turbinate enlargement, often accompanied by symptoms such as nasal obstruction and runny nose. In such cases, antibiotic medications may be used as directed by a physician.

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The entire process of septoplasty for deviated nasal septum

The entire process of septoplasty surgery is relatively complex. The procedure begins with administering general anesthesia to the patient. Then, an L-shaped incision is made in the mucosa of the nasal area, and the bilateral nasal septal mucosa are dissected. Next, part of the nasal cartilage is removed, followed by resection of the perpendicular plate of the ethmoid bone and the vomer bone. Finally, the mucosal incision is sutured and packed with hemostatic material to control bleeding.