Does Septum Deviation Recur After Surgery?

Although it seems like an easy operation for many ENT surgeons, failure may occur if the correct fixation is not made and the correct technique is not applied. After a successful operation, deviation does not recur unless there is trauma to the nose or complications develop.

Will there be tampons in the nose after the operation?

After septoplasty operations, physicians may prefer to put nasal packing for 1 or at most 2 days. However, nowadays, these bumpers are made soft and easily removable.

What are the Advantages of Septoplasty Surgery?

Snoring, Sinusitis Infections, Postnasal drip, It does not experience diseases such as Chronic Ligament Pain.

At What Ages and Seasons Is Septoplasty Surgery Performed?

It can be done after the age of 16-17 in girls and 17-18 in boys, when the cartilage-bone development is largely completed. There is no upper age limit unless there is an obstacle to the surgery.

Rhinoplasty Septoplasty and a Deviated Septum

Q: What is septum deviation?

The inability to position the nasal septum in the midline of the nose correctly and its curvature for various reasons creates the condition called "septum deviation".

Rhinoplasty, Septoplasty and a Deviated Septum is an article that aims to give you all the information you do not know about Rhinoplasty, Septoplasty and a Deviated Septumand more. We kindly shared the main headings with you;

What is rhinoplasty?
Who can have rhinoplasty?
Why should I have rhinoplasty?
What is Septum?
What is Septum Deviation?
What Causes Deviation?
What Kind of Complaints Does It Cause?
When Is Surgery Necessary?
How is Septum Deviation Diagnosed?
How is Septum Deviation Treated?
What Is The Difference Between Septoplasty and Rhinoplasty?

What is rhinoplasty?

The nose could be a vital a part of facial aesthetics.Thanks to the rhinoplasty surgery, it is aimed to make the facial aesthetics look more beautiful by a serious change.

Rhinoplasty, that is, aesthetic nose surgery; It should be planned according to the person’s face, skin, cartilage and nose anatomy. The aim of the procedure is to reshape the nasal skeleton and surrounding tissues, making them suitable and proportional to the face of the person. No nose is alike, that the procedures to be performed may differ from one another. Therefore, today, a more natural structural rhinoplasty template has dominated, without removing excessive cartilage and bone structures as within the old methods. While it’s cosmetically important for the one who has rhinoplasty, it’s also important for the physician who performs it so as to preserve the functional properties of the nose. Because the nose has a vital role within the system. While creating the new shape of the nose in nose surgery, the breathing function of the nasal cartilage, tissue and bone mustn’t be disturbed. additionally, if there are conditions that cause nasal congestion, it should be corrected. For this reason, it’s an aesthetic operation associated with the skill and skill of the rhinoplasty physician.

Nasal aesthetic surgery, also called rhinoplasty, is an operation performed to change the shape and/or size of the nose. Since the nose is located in the center of the face, even minor changes in the nose cause serious improvements in the overall attractiveness of the face. Nasal surgery is one of the oldest examples of cosmetic surgery and is still in high demand today. Read more to know about rhinoplasty, septoplasty and deviated septum. We offer advanced expertise, tailored treatment plans, and compassionate care, every step of the way. Choose us, and choose a future where health isn’t just a destination, but a vibrant, empowered journey you take with trusted companions by your side.Invest in your health, invest in a brighter future. Our comprehensive medical programs deliver real results, while you indulge in the beauty and serenity of our destination.

Who can have rhinoplasty?

Rhinoplasty is one of the most performed procedures in Turkey for both men and women. Rhinoplasty candidates generally prefer this surgery because of aesthetic problems in their noses. Patients with functional problems such as breathing problems also prefer this procedure. The mentioned functional problems can cause problems like nasal congestion and loud, noisy breathing. additionally, people with these problems suffer from snoring while sleeping due to these functional problems.

Persons with one or more of the following items are considered suitable candidates for rhinoplasty.

Dissatisfaction with nose size and shape.
Finding damage to your nose after trauma.
Difficulty breathing due to functional nasal problems.
snoring loudly
Having a body mass index (BMI) within healthy limits. Click here to read more about BMI
Good health and no serious illness
Being mentally and emotionally prepared for surgery

Why should I have rhinoplasty?

As mentioned above, there can be many different reasons for having a rhinoplasty. A rhinoplasty provides the patient with the following possible benefits:

Since rhinoplasty surgery can change your entire facial balance, we recommend our patients to think through this issue in order to evaluate the expected results of the surgery and surgery and make a healthier decision before performing the procedure. We recommend that you consider the result that the change in the appearance of your nose will also affect the dynamics of the eyes, mouth and chin, which are the other components of your face.

What is Septum?

The septum is the anatomical structure in the inner part of the nose that divides the nose into two compartments in the midline. The septum is partially bone and mostly cartilaginous. Under normal conditions, it is necessary to divide the nose into two equal parts so that equal breathing can be obtained from both nostrils. However, in almost 70-80% of people, there is a deviation in the septum, which is inherently structural or develops as a result of traumas over time, and these patients are diagnosed with ‘septum deviation’. The operation performed to correct these curvatures is termed ‘septoplasty’ operation. Not every nasal curvature is operated. In cases where the nasal curvature is among symptoms like nasal congestion, difficulty in breathing through the nose, snoring, recurrent nosebleeds, frequent sinusitis infections, persistent nasal discharge or chronic headache, septoplasty surgery is required. So rhinoplasty, septoplasty and deviated septum are different complications.

Apart from the septum, there are also anatomical structures called ‘concha’ inside the nose, which make it easier for us to breathe and are responsible for moisturizing the nose. Growth and swelling may occur in these structures, sometimes structurally and sometimes due to allergic causes. This makes it more difficult to breathe. More successful results are often obtained by intervening within the turbinates additionally to septoplasty operations.

What is Septum Deviation?

Due to the anatomical structure of the nose, the midline of the nose, called the nasal septum, should be positioned in a certain way so that the breathing function can be performed in a healthy and correct manner. However, due to genetic or subsequent traumas, the nasal septum, which is the cartilage and bone structure that forms the midline of the nose, may not be positioned correctly or may be curved. The situation where the bone and cartilage tissue formed by the nasal septum in a trapezoidal way in the midline of the nose makes it difficult for the person to breathe through the nose is called septum deviation.

Septum deviation is a situation where breathing becomes difficult due to the curvature of the bone and cartilage structure in the nose, and in some cases, it becomes impossible to breathe when the nostrils are completely closed.

Septum Deviation usually occurs due to physical traumas (hit, fall, etc.), and in some cases, it may occur during the process in the mother’s womb or due to genetic reasons.

What Causes Deviation?

The most important cause of deviation formation is nasal trauma. These traumas include traumas in the womb, traumas during and after birth. However, often as a result of minor or major traumas in childhood, different growth points of the nasal septum are triggered, cartilage production increases and the septum cartilage and/or bone begins to bend as the growth continues. Sometimes a fracture line may occur in the septum cartilage. The severity, shape and direction of the deviation changes according to the severity and direction of the trauma. These traumas can sometimes spoil the external appearance of the nose. Read more to know about rhinoplasty, septoplasty and deviated septum.

What Kind of Complaints Does It Cause?

Nasal congestion, sleeping with open mouth, snoring; Generally, there is a fixed obstruction on the side with deviation, and variable congestion due to occasional swelling of the nasal concha on the other side. Patients generally breathe more easily when they lie on the side with deviation without being aware of it. Even if the degree of deviation does not change, the feeling of congestion and discomfort is felt more after the age of 30. Due to sleeping with the mouth open, there is a feeling of dryness and stickiness in the throat, especially in the morning. Sleep quality is adversely affected and people often wake up without rest. In addition, the inability to breathe easily through the nose reduces the effort capacity somewhat.
Frequent Upper Respiratory Tract Infection (sinusitis, pharyngitis, etc.); People with significant deviations have more frequent upper respiratory tract infections and generally take longer to recover.
Recurrent nosebleeds; Especially in those with sharp protrusion deviation, the mucosa in the protruding area becomes thinner, dries up and may cause nosebleeds from time to time.

Difficulty in smelling; Deviation may cause difficulty in smelling by preventing the odor molecules from reaching the olfactory region in the upper part of the nose.
Pain in the face area; May cause contact headache by creating mucosal contact areas. This type of pain is usually in the anterior region of the face and has a blunt character. It’s not very severe, but it’s irritating.
Postnasal drip
Deviation does not directly cause heart or lung disease, but can exacerbate an existing disease.

When Is Surgery Necessary?

The nose is the area at the center of the face that forms the focal point. The nose, which is called septumnasale in medical language, is like a tunnel divided in two. If these two tunnels are close to each other in width and length, we can talk about nasal health. These two parts, which are divided into two by the middle wall of the nose, are covered with a thin and membranous layer. There is cartilage in the posterior, anterior and upper parts of this layer, and a bone wall in the posterior lower parts.

A healthy nose begins to expand from the posterior part of the narrowness in the anterior entrance hole. Exactly at this point, if there is any problem in the nasal tunnel from the entrance to the exit, problems related to breathing, which is our basic life function, occur. The most common cause of this condition, which causes the obstruction of air passage through the nasal tunnel, is the protrusion and bump formed by the middle wall of the nose. This protrusion and bump occur in a structure called the septum, which consists of cartilage and bone that divides the nasal cavity into two.

The purpose of the septum is to divide the nasal cavity into two equal structures and to provide a systematic breathing process from these two air channels. Curvatures that occur for various reasons in this systematic and functional structure of the septum are called septum deviation. In the deviation of the septum, an obstruction occurs as a result of the shifting of the middle wall of the nose from the midline. Septum deviation is also known as nasal bone curvature.

Septum deviation causes disruption of the balance of air spaces that perform systematic and alternating functions in the nose, thus causing various respiratory problems.

How is Septum Deviation Diagnosed?

By performing rhinomanometric measurements, nasal breathing can be determined objectively, and the volume and stenosis of all nasal canals can be determined with acoustic rhinometry.

The diagnosis of septum deviation can be made by detailed endoscopic examination of the nasal region.

How is Septum Deviation Treated?

The curvature of the nasal septum, which should be thin and straight due to its normal structure, can make breathing difficult or impossible. If the curvature of the septum is curved or incorrectly positioned to cause nasal congestion, surgical intervention is performed. Surgery that corrects the curvature of the cartilage and bone tissue in the midline of the nose is called Septoplasty.

What Is The Difference Between Septoplasty and Rhinoplasty?

Rhinoplasty and septoplasty are both surgical nose operations. The most important difference between these two operations is that they are both performed for different purposes. While septoplasty is an operation related to air channels in the nose, rhinoplasty is a surgical operation to improve the appearance of the nose. These two operations can also be performed in a single session for the same person, and these operations are called septorhinoplasty. Sometimes these two nose surgical operations can overlap; For example, if a patient requesting rhinoplasty also has a structural defect such as a deviated septum in his nose, pre-correction for a predicted future septum problem can be made while performing the rhinoplasty. In such cases, two operation methods can be performed together.

If you have concerns about which operation to have to solve the problem in your nose, you can consult a specialist surgeon; You can make a joint right decision by relying on your knowledge and experience. If you are not satisfied with the appearance of your nose and have difficulty breathing through the nose, if there is a deformation in the nasal structure below it, your nose can be corrected both functionally and aesthetically with septorhinoplasty, which is a joint operation by combining the elements of rhinoplasty and septoplasty operations. In septoplasty operations, the external structure of the nose is left untouched. However, if the patient is not satisfied with the aesthetic appearance of his nose, there is a suitable opportunity that the patient will want to evaluate in order to make aesthetic corrections together during the septoplasty. Aesthetic improvement will be achieved while nasal functions are corrected.

Septoplasty and rhinoplasty are surgical operations that change the structure of the nose. Depending on the patient’s discomfort and complaints, the nasal bones and cartilages are repositioned in both operations. Since the external structure of the nose is changed with rhinoplasty, it is a more comprehensive operation with a longer recovery period. Both operations are performed under general anesthesia. Since the goals of these two operations are different, the changes they cause in the nose are also different. Since the effects of rhinoplasty are external, it will be obvious to the eye, but since the internal structure of the nose is improved with septoplasty, the changes are not obvious from the outside.