A Breath of Fresh Air: Understanding Deviated Septum Surgery

A Breath of Fresh Air: Understanding Deviated Septum Surgery

Table of Contents:

1. Introduction
2. Background of the Patient
3. Symptoms and Diagnosis
4. Surgical Procedure - Septoplasty 4.1 Preparations for Surgery 4.2 Incisions and Flap Elevation 4.3 Removal of Deviated Septal Cartilage 4.4 Correcting the Deviated Bone 4.5 Assessment and Reevaluation 4.6 Turbinoplasty - Reduction of Inferior Turbinates
5. Conclusion

Article: Septoplasty - Correcting Nasal Obstruction and Deviated Septum

Introduction

A deviated nasal septum can cause various problems, including nasal obstruction, post nasal drip, and recurring freezing. Septoplasty is a surgical procedure aimed at correcting the deviation of the nasal septum and improving airflow. In this article, we will explore the background of a patient named Hassanaga, his symptoms and diagnosis, and Delve into the details of a septoplasty procedure.

Background of the Patient

Hassanaga, a 40-year-old resident of Afghanistan, sought medical help for his chronic nasal obstruction, which had been troubling him for the past four years. Additionally, he experienced symptoms of post nasal drip and intermittent freezing. To understand the nature of his condition, an examination revealed that Hassanaga had a deviated nasal septum with bilateral inferior turbinate hypertrophy.

Symptoms and Diagnosis

A deviated nasal septum can significantly impact a person's ability to breathe through their nose. It occurs when the thin wall dividing the nasal passages is shifted from its normal position. Along with nasal obstruction, post nasal drip, and freezing, patients may also experience snoring, frequent sinus infections, and difficulty sleeping. Diagnosis involves a thorough examination of the nasal passages using an endoscope, which helps Visualize the degree of deviation and any associated obstructions.

Surgical Procedure - Septoplasty

Septoplasty is the recommended treatment for a deviated nasal septum causing significant symptoms and airflow obstruction. The procedure aims to straighten the septum, improving the nasal airway and alleviating related symptoms.

1. Preparations for Surgery

Before commencing the surgery, it is essential to document the patient's condition through photographs. These serve as crucial evidence in medical-legal cases and aid in counseling the patient regarding the procedure. Pre-operative preparations include ensuring the patient's understanding of the surgery and obtaining informed consent.

2. Incisions and Flap Elevation

To access the deviated septum, the surgeon makes a small incision, often at the cutaneous junction where there is either more deviation or a nasal spur. By using a freer's elevator, the mucopericondyl junction of the septal cartilage is elevated, and the flap is raised, allowing access to the nasal structures.

3. Removal of Deviated Septal Cartilage

The deviated portion of the septal cartilage is carefully identified, and excess cartilage is trimmed. Special care is taken not to damage or tear the remaining flap. By separating the cartilage from all sides, the surgeon ensures it is free from any obstructions or disturbances to the nasal airflow.

4. Correcting the Deviated Bone

If the deviated nasal septum involves the bone, it needs to be addressed as well. The surgeon removes the abnormal bone by carefully chipping it off in a piecemeal manner. This step requires precision to avoid collapsing the nasal roof and creating a saddle nose deformity. The bone is Shaped and contoured to improve the alignment and straighten the nasal structure.

5. Assessment and Reevaluation

Throughout the procedure, it is essential to continually assess the results and ensure proper alignment and clearance of the nasal passages. Reevaluation involves putting the flaps back in place and assessing the airflow through the nasopharynx.

6. Turbinoplasty - Reduction of Inferior Turbinates

In addition to the deviated septum, hypertrophied inferior turbinates can contribute to nasal obstruction. Depending on the severity, a turbinate reduction procedure called turbinoplasty may be performed. This involves collapsing the sinusoidal walls of the turbinate using heat, resulting in a decrease in size and improved airflow.

Conclusion

Septoplasty is an effective surgical intervention for patients suffering from the complications of a deviated nasal septum. By straightening the septum and addressing any associated issues like inferior turbinate hypertrophy, septoplasty aims to restore proper nasal airflow and alleviate symptoms. With proper pre-operative evaluations, surgical techniques, and post-operative care, patients can expect improved breathing and a better quality of life.

[FAQs]

Q: How long does it take to recover from a septoplasty? A: Recovery time can vary, but most patients can resume normal activities within 1-2 weeks. However, complete healing may take several months.

Q: Can septoplasty completely cure nasal obstruction? A: Septoplasty aims to improve nasal airflow and reduce symptoms of nasal obstruction. While it can provide significant relief, complete resolution of symptoms cannot be guaranteed in all cases.

Q: Is septoplasty a painful procedure? A: Septoplasty is performed under anesthesia, ensuring a painless experience during the surgery. However, some discomfort and mild pain may be experienced during the recovery period.

Q: Are there any risks or complications associated with septoplasty? A: As with any surgical procedure, there are potential risks, including infection, bleeding, scarring, and changes in nasal shape or function. However, when performed by a skilled surgeon, complications are rare.