Septoplasty / Turbinates Surgery


Introduction

The nasal septum is a wall that separates the two nostrils. It is made of cartilage and bone and its alterations cause symptoms such as: difficulty breathing through the nose, pain in the face and headaches, nasal mucus, etc. Difficulty breathing through the nose forces the patient to breathe through the mouth causing other symptoms such as dry mouth, snoring, obstructive apnea syndrome during sleep and pharyngitis.

Septoplasty is the surgical technique that aims to correct the deformities of the nasal septum that cause respiratory difficulty to the patient.

In some cases, the increase in size of the lower cornets can also cause breathing difficulties and other problems such as the feeling of nasal dryness, presence of nasal mucus and pain in the face and head.

Turbinates are elongated and fleshy structures that are located on the side wall inside the nose. They are made of bone and mucosa, and their main function is to help heat and hydrate the air that flows through the nose.

If the lower turbinates increase in size, they can block the flow of nasal air and also cause difficulty of breathing through the nose, as well as pain in the face and headaches, as well as the feeling of nasal dryness or the continuing presence of more or less thick nasal mucus.

Turbinoplasty or turbinate surgery is the surgery intended to reshape the turbinates. It is a surgery that can be performed using various surgical techniques. In our case we use radio frequency to reduce the size of the turbinates. This surgery is carried out inside the nostrils, without visible external scars, so, no intentional changes in the external appearance of the nose are to be expected.


Surgery duration

1 -2 hours

Bed

Not required

Recovery

2-3 weeks

Anesthesia

Local or General

Effect

Progressive 3 months

Results

Long lasting


Procedure

Septoplasty is a type of surgery that is usually performed on an outpatient basis and can be carried out under either local anaesthesia or general anaesthesia.

It basically consists of the removal, reshaping and replacement of cartilage or bone fragments in the nasal septum, which are not in the correct position and are responsible for alterations in the nasal function.

This surgery is performed by a single incision, made inside the nostrils and it is closed with resorbable suture.

It can be complementary to rhinoplasty and be also associated with the correction of other nasal problems such as corneal hypertrophy, sinusitis, etc.



Preoperative

As in any other procedure, a prior medical examination is essential to detect any possible anomaly that could contraindicate surgery.


Postoperative

With the surgical technique used and the medication prescribed, the patient does not have much discomfort. If there is some discomfort, it is due to the nasal tamponade that blocks the nose. A small and occasional nosebleed is common the days after surgery.

After surgery, the patient will have a nasal tamponade with small sponges placed for at least 24 hours, and will begin to notice an improvement in breathing once the nasal tamponade is removed. Despite this, and due to the clots and inflammation inside the nostrils, this improvement will be better perceived as the days and weeks go by.

The patient should rest for 7 days after surgery, and will not perform any job or tasks that require physical effort until 3 or 4 weeks later.


Turbinates Surgery

Turbinates are elongated and fleshy structures that are located on the side wall inside the nose. They are made of bone and mucosa, and their main function is to help heat and hydrate the air that flows through the nose.

If the lower turbinates increase in size, they can block the flow of nasal air and cause difficulty of breathing through the nose, pain in the face and headaches; as well as the feeling of nasal dryness or the continuous presence of more or less thick nasal mucus.

Turbinoplasty or turbinates surgery is the surgery that aims to reshape turbinates. It is a surgery that can be performed using various surgical techniques. In our case we use radio frequency to reduce the size of the turbinates.

Radiofrequency of the lower turbinates is a surgical procedure by which a source of electromagnetic energy is applied to the lower turbinates, and makes their tissue to decrease in volume due to the tissue retraction. This results in a better airflow, less production of nasal mucus, and a general improvement of patients with alterations in the nasal mucosa such as rhinitis.

Surgery is carried out inside the nostrils, without visible external scars, so, no intentional changes in the external appearance of the nose are to be expected. Depending on the extent of the lesions, the surgeon will correct or remove more or less amount of pathological elements from the turbinates. Turbinates of both nostrils can be operated, but it is likely that only one of them will need to be operated.


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