Is turbinate surgery necessary when performing a septoplasty?

Septoplasty and concomitant inferior turbinate surgery to manipulate conchal bone and soft tissues are necessary for treatment of those patients with unilateral nasal septal deviation and compensatory hypertrophy of the contralateral inferior turbinate.

What is the difference between SMR and septoplasty?

Submucosal resection (SMR) of the nose is a surgical procedure used to treat a deviated septum. This procedure is also called a septoplasty. According to some sources, septoplasty differs from SMR in that during an SMR, large portions of tissue are removed while a septoplasty is a “tissue sparing” procedure.

How long after septoplasty should the bandage be removed?

We typically put a gauze (“mustache”) dressing under the child’s nose and tape it to the cheeks for as long as the drainage continues, typically up to 48 hours. If the dressing needs to be changed every hour or if there is a large amount of bleeding, call your physician.

Does septoplasty fix nasal valve collapse?

What If Both Of My External And Internal Valves Are Collapsed? You can repair the external and the internal valves on one or both sides at the same time. In fact, you can also have septoplasty, sinus surgery, and rhinoplasty during the same surgery.

What can go wrong with septoplasty?

Risks. As with any major surgery, septoplasty carries risks, such as bleeding, infection and an adverse reaction to the anesthetic. Other possible risks specific to septoplasty include: Continued symptoms, such as nasal obstruction.

How long does a septoplasty take to heal?

Most people recover fully in 1 to 2 months. You will have to visit your doctor during the 3 to 4 months after your surgery. Your doctor will check to see that your nose is healing well.

Why septoplasty is preferred over SMR?

Conclusion: In general, most patients with symptomatic deviated nasal septum were best treated by septoplasty as compared to SMR because of development of serious after effects of SMR such as perforation, nose bleeds and adhesions Deviated nasal septum may occur again if patient below 17 yrs of age is treated with …

What can you not do after septoplasty?

Avoid heavy lifting and hard physical activity for 1 to 2 weeks. You should be able to go back to work or school 1 week after surgery. DO NOT take baths or showers for 24 hours. Your nurse will show you how to clean your nose area with Q-tips and hydrogen peroxide or another cleaning solution if needed.

How often should you change your gauze after septoplasty?

You will have a gauze pad under your nose, held in place with a sling. Changing the gauze every 30-40 minutes the first night is normal. You may remove the gauze and sling after the first day.

Can your nose collapse after septoplasty?

A complication of septoplasty or rhinoplasty is a saddle nose deformity. When there is a loss of too much septal cartilage or damage to the septum cartilage caused by surgical errors or complications, the nasal bridge can collapse as a result.

What is the success rate for septoplasty?

Septoplasty is one of the most commonly performed otolaryngologic procedures to relieve nasal obstruction [1]. However, the success rate of primary septoplasty varies from 43% to 85% [2-5] indicating more than 15% of septoplasty patients fail to relieve their symptom.

How is the mucoperichondrial flap elevated in a septum?

Then a mucoperichondrial flap was elevated from this part of septum up to the perpendicular plate of ethmoid. Standard septoplasty was performed with the mucoperichondrial flap kept intact.

How is the cartilage attached to the mucoperichondrial flap?

Once the septum has been cared for, the cartilage attached to the mucoperichondrial flap is incised in an ovoid or circular manner, roughly like the cartilage defect in the perforation.

How are nasal splints used to treat mucoperichondrial?

Nasal splints and intranasal packing applied at the time of incision and drainage will help to coapt the mucoperichondrial flaps and reduce the risk of reaccumulation of the abscess. Using a standard hemitransfixion incision, mucoperichondrial flaps were elevated on either side of the septum.

What should I do with my mucoperichondrial flap?

As the post-op discomfort is significant in nasal packing we recommend quilting of the mucoperichondrial flaps. Nasal splints and intranasal packing applied at the time of incision and drainage will help to coapt the mucoperichondrial flaps and reduce the risk of reaccumulation of the abscess.