Deviated septum surgery

how much does deviated septum surgery cost in Iran?

What is a deviated septum?

The highest cost of deviated septum surgery in Iran is $ 1000 (including doctor’s fee, the cost of the Hospital and laboratory tests before surgery). The average cost of deviated septum surgery in Iran is 50 percent less than deviated septum surgery cost in India, 430 percent less than the UK, 350 percent less than the USA and 140 percent lower than Turkey.

A deviated septum occurs when the thin wall (nasal septum) between your nasal passages is displaced to one side. In many people, the nasal septum is off-center — or deviated — making one nasal passage smaller.

When a deviated septum is severe, it can block one side of your nose and reduce airflow, causing difficulty breathing. The additional exposure of a deviated septum to the drying effect of airflow through the nose may sometimes contribute to crusting or bleeding in certain people.

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What is Septoplasty?

Septoplasty is a surgical procedure to straighten the bone and cartilage dividing the space between your two nostrils (septum). When the septum is crooked, it's known as a deviated septum.

During septoplasty, your nasal septum is repositioned to the middle of your nose. This may require your surgeon to cut and remove parts of your nasal septum before reinserting them in the proper position.

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General information about Septoplasty

The following table describes general information about Septoplasty surgery including Septoplasty cost in Iran, recovery time, and to name but a few.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best Nose Surgeons in Iran. The price of a Septoplasty in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. For more information about the cost of nose surgery in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.

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Before Septoplasty Surgery

Symptoms

What are the symptoms of a deviated septum?

Most septal deformities result in no symptoms, and you may not even know you have a deviated septum. Some septal deformities, however, may cause the following signs and symptoms:

. Obstruction of one or both nostrils. This blockage (obstruction) can make it difficult to breathe through the nostril or nostrils. You may notice this more when you have a cold (upper respiratory tract infection) or allergies that can cause your nasal passages to swell and narrow.

. Nosebleeds. The surface of your nasal septum may become dry, increasing your risk of nosebleeds.

. Facial pain. There is some debate about the possible nasal causes of facial pain. A possible cause of one-sided facial pain could be a severe deviated septum in which surfaces within the nose touch and cause pressure.

. Noisy breathing during sleep. A deviated septum or swelling of the intranasal tissues can be one of the many reasons for noisy breathing during sleep.

. Awareness of the nasal cycle. It is normal for the nose to alternate being obstructed on one side, then change to being obstructed on the other. This is called the nasal cycle. The nasal cycle is normal, but being aware of the nasal cycle isn't typical and can indicate nasal obstruction.

. Preference for sleeping on a particular side. Some people may prefer to sleep on a particular side in order to optimize breathing through the nose at night if one nasal passage is narrowed.

When to see a doctor

See your doctor if you experience:

. A blocked nostril (or nostrils) that doesn't respond to treatment

. Frequent nosebleeds

. Recurring sinus infections

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Causes

What causes a deviated septum?

A deviated septum occurs when your nasal septum — the thin wall that separates your right and left nasal passages — is displaced to one side.

A deviated septum can be caused by:

. A condition present at birth. In some cases, a deviated septum occurs during fetal development and is apparent at birth.

. Injury to the nose. A deviated septum can also be the result of an injury that causes the nasal septum to be moved out of position.

In infants, such an injury may occur during childbirth. In children and adults, a wide array of accidents may lead to a nose injury and deviated septum. Trauma to the nose most commonly occurs during contact sports, rough play such as wrestling or automobile accidents.

The normal aging process may affect nasal structures, worsening a deviated septum over time.

Swelling and irritation of the nasal cavities (rhinitis) or sinus cavities (rhinosinusitis) also can further narrow the nasal passage from a deviated septum, resulting in nasal obstruction.

Risk factors

For some people, a deviated septum is present at birth — occurring during fetal development or due to injury during childbirth. After birth, a deviated septum is most commonly caused by an injury that moves your nasal septum out of place. Risk factors include:

. Playing contact sports

. Not wearing your seat belt while riding in a motorized vehicle

Complications

What complications can happen?

If you have a severely deviated septum causing nasal blockage (obstruction), it can lead to:

. Dry mouth, due to chronic mouth breathing

. A feeling of pressure or congestion in your nasal passages

. Disturbed sleep, due to the unpleasantness of not being able to breathe comfortably through your nose at night.

. Chronic sinus problems

. Loud breathing during sleep

. Only being able to sleep on one side

. Nosebleeds

. Facial pain

Diagnosis

During your visit, your doctor will first ask about any symptoms you may have.

To examine the inside of your nose, the doctor will use a bright light and sometimes an instrument designed to spread open your nostrils. Sometimes the doctor will check farther back in your nose with a long tube-shaped scope with a bright light at the tip. The doctor may also look at your nasal tissues before and after applying a decongestant spray.

Based on this exam, he or she can diagnose a deviated septum and determine the seriousness of your condition.

If your doctor is not an ear, nose and throat specialist and he or she thinks you need treatment, he or she may refer you to a specialist for further consultation and treatment.

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Prevention

You may be able to prevent the injuries to your nose that can cause a deviated septum with these precautions:

. Wear a helmet or a midface mask when playing contact sports, such as football and volleyball.

. Wear a seat belt when riding in a motorized vehicle.

Why Septoplasty is done

Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage, bone or both.

If you experience symptoms — such as difficulty breathing through your nose — that affect your quality of life, you may consider surgery to fix a deviated septum.

The goals of Septoplasty surgery include the following:

. Improve airflow through the nose

. Control nosebleeds

. Enhance visualization of the inside of the nose (to identify other nasal problems).

. Relieve nasal or sinus headaches associated with swelling of the inside of the nose.

. Promote drainage of the sinus cavities

Risks and Complications of Septoplasty

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

. Excessive bleeding

. A change in the shape of your nose

. A hole in the septum

. Sense of smell

. Clotted blood in the nasal space that has to be drained

. Temporary numbness in the upper gum, teeth or nose

. Scarring

. A discoloration of your nose

You may need additional surgery to treat some of these complications. You may also need additional surgery if the outcome of septoplasty doesn't match your expectations. Talk to your doctor about your specific risks before surgery.

Who is a good candidate for Septoplasty?

A septoplasty procedure can help you breathe more easily. Commonly done for individuals dealing with a deviated septum, there are other medical issues with the nose that can cause breathing problems. A septoplasty procedure is typically performed for individuals who have the following:

. Deviated septum or crooked nasal septum.

. Nasal valve insufficiency so the nose doesn't properly open and close when breathing.

. Consistent snoring or sleep apnea symptoms at night.

. Chronic or consistent nosebleeds.

. Nasal polyps or growths which can impede proper breathing.

. Oversized turbinates which are the inner structures that help keep the nose moist when breathing.

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During Septoplasty Surgery

Treatment

Managing symptoms

Initial treatment of a deviated septum may be directed at managing your symptoms. Your doctor may prescribe:

. Decongestants. Decongestants are medications that reduce nasal tissue swelling, helping to keep the airways on both sides of your nose open. Decongestants are available as a pill or as a nasal spray. But use nasal sprays with caution. Frequent and continued use can create dependency and cause symptoms to be worse (rebound) after you stop using them.

Oral decongestants have a stimulant effect and may cause you to be jittery as well as make your blood pressure and heart rate go up.

. Antihistamines. Antihistamines are medications that help prevent allergy symptoms, including a stuffy or runny nose. They can also sometimes help nonallergic conditions such as those occurring with a cold. Some antihistamines cause drowsiness and can affect your ability to perform tasks that require physical coordination, such as driving.

. Nasal steroid sprays. Prescription nasal corticosteroid sprays can reduce swelling in your nasal passage and help with drainage. It usually takes from one to three weeks for steroid sprays to reach their maximal effect, so it is important to follow your doctor's directions in using them.

Medications only treat the swollen mucous membranes and won't correct a deviated septum.

Surgical repair (septoplasty)

If you still experience symptoms despite medical therapy, you may consider surgery to correct your deviated septum. Septoplasty is the usual way to repair a deviated septum.

The level of improvement you can expect with surgery depends on the severity of your deviation. Symptoms due to the deviated septum — particularly nasal obstruction — could completely go away. However, any other nasal or sinus conditions you have that affect the tissues lining your nose — such as allergies — can't be cured with only surgery.

During septoplasty

A septoplasty takes anywhere from 30 to 90 minutes to complete, depending on the complexity of the condition. The procedure may be done with either local or general anesthesia. Which type of anesthesia is used depends on how complex your surgery is, and what you and your surgeon prefer.

. Local anesthesia. This type of anesthesia is limited to your nose. Your doctor injects pain-numbing medication (anesthetic) into your nasal tissues. If you'll also be sedated, this is done using IV medication. The medication makes you groggy but not fully unconscious.

. General anesthesia. With general anesthesia, you inhale an anesthetic agent or receive an anesthetic through an IV line. This type of anesthesia affects your entire body and induces a temporary state of unconsciousness.

Talk with your doctor beforehand about which kind of anesthesia is best for you.

During a septoplasty, the surgeon will attempt to straighten bent cartilage and bone in the septum. Firstly, they lift the mucosa lining covering the cartilage and bone.

The surgeon then reshapes the cartilage and bone, sometimes removing portions. After that, they will then put the lining back in place.

If enlarged turbinates are causing a blockage, the surgeon might attempt to shrink them with radiofrequency reduction. In some other cases, the surgeon will remove a portion of the turbinate.

Finally, the incision is closed with absorbable suture. Soft silicone splints may be inserted inside each nostril to support the septum. To prevent postoperative bleeding, your doctor may place bandage-like material in your nose (packing).

After Septoplasty Surgery

What happens after deviated septum surgery (septoplasty)?

After surgery, the patient will be taken to the recovery room where a nurse will monitor the patient. They will be able to go home the same day as the surgery once fully recovered from the anesthetic. This usually takes several hours. The patient will need a friend or family member to pick them up from the surgical facility and take them home. It may be necessary for the family member or friend to spend the first night with the patient after surgery for assistance.

When patients arrive home from the surgical facility, they should go to bed and rest with their head elevated on two to three pillows. By keeping the head elevated above the heart they can minimize fluid accumulation in the tissues (edema) and swelling. They may get out of bed with assistance to use the bathroom. Patients should avoid straining while urinating or passing stool. If constipated they should take a stool softener or a gentle laxative.

Patients may have some swelling of the nose, upper lip, cheeks, or around the eyes for several days after surgery. This swelling will gradually resolve and is normal. They can help reduce the swelling by putting ice on the face, bridge of the nose, and eyes as much as tolerated. This will also help with postoperative edema and pain. Some patients have found frozen vegetable in packages (for example bags of frozen peas) to be a convenient ice pack which is more likely to conform to the face.

Moderate bleeding from the nose is normal, and will gradually decrease. The gauze dressing ("mustache dressing") will collect blood and should be changed only when saturated. It is not unusual to change these dressings every hour during the first 24 hours after surgery. After a few days, patients will usually no longer need to use the dressing. Patients should not take aspirin, aspirin-containing medications, or nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen or naproxen for three weeks following surgery.

It is best for patients to eat a light, soft, and cool diet as tolerated once recovered fully from the anesthetic. Hot liquids should be avoided for several days. Even though the individual may be hungry immediately after surgery, it is best to proceed slowly with food intake to prevent postoperative nausea and vomiting. Occasionally, the person may vomit one or two times immediately after surgery; if vomiting persists, the doctor can prescribe medication to settle the stomach. It is important to remember that a good overall diet with ample rest promotes healing.

Patients will be prescribed antibiotics after surgery, and should finish all the pills that have been prescribed. Some form of a narcotic may also be prescribed and is to be taken as needed. If patients require narcotics, they are cautioned not to drive. In some situations, the doctor may prescribe steroids to reduce inflammation either preoperatively and/or postoperatively. It is very important that patients take this medication as prescribed, and not discontinue it prematurely. If patients have nausea or vomiting postoperatively, they may be prescribed anti-nausea medications (antiemetics). If patients have any questions or they feel they are developing a reaction to any of these medications, they should consult their doctor. Patients should not take any other medication, either prescribed or over-the-counter, unless they have discussed the medications with the doctor.

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General instructions and follow-up care for deviated septum surgery (septoplasty)

In most situations, packs will have been placed in the nose to control bleeding; often times a septal splint is placed that will be removed by the surgeon at the first post-operative visit. The doctor will let the patient know when they are to return to the office to have these packs removed. Patients may need to call the office to schedule this postoperative appointment and should arrange for someone to drive them to and from the office for this first visit. They should eat a light meal before going, and avoid taking excessive pain medications. They may also have several subsequent office visits to assess healing, remove crusts (debris) that may accumulate at the surgical site, especially if combined with sinus surgery. Such visits help insure a speedy recovery. The nose will probably be tender after surgery, so the doctor will spray it with a special numbing medication before removing crusts.

After the packing has been removed, patients may breathe through the nose, but are not to blow or sneeze through the nose for 7 to 10 days. If the person must sneeze, they should open their mouth. Patients can expect some light blood-tinged drainage from the nose for several days. If bleeding becomes excessive, apply ice and rest quietly with head elevated while holding the nose. If bleeding continues, they should call the surgeon's office for advice.

One of the most important things patients can do after surgery is nasal irrigation (rinsing). Immediately after the nasal packs are removed they should use a saline nasal spray such as "Ocean Spray" several times per day to prevent crusts from forming in their nose. Patients are to continue using irrigation until the doctor tells them to stop. Many patients will use irrigations (for example, neti-pots) indefinitely or when they have an upper respiratory infection. Failure to irrigate especially as instructed after surgery will likely cause the surgery to fail.

Patients may go back to work or school only when the doctor indicates it is safe to return. They should rest for the first week following surgery. They must also avoid excessive talking, smiling, chewing hard foods, strenuous activities, bumping their nose, bending over, and lifting heavy objects. They should not rest glasses on the bridge of the nose until soreness and swelling subsides. They may wear contact lenses once eye swelling and any irritation has resolved. Alcohol and tobacco products should be avoided because they may prolong swelling and healing. Smoke, dust, and fumes may irritate the nose and cause an infection. Facial tanning is discouraged for six months after surgery. If patients must be in the sun they should use a number 15 or greater sun block. Patients may use their usual make-up any time after surgery.

Patients should lubricate the nostrils, as instructed with a Q-tip and Vaseline to soften crusts that are hard and firmly attached to healing tissue. Peroxide helps to loosen crusts. After several days they may notice a few of the absorbable sutures and should not try to disturb or remove them. They must be gentle while brushing the upper teeth. These teeth will often be tender for several weeks, and there may be some numbness of the teeth and palate for several months.

After three weeks if patients are not having problems with bleeding, they may resume exercise and swimming, but no diving for two months. They should plan to stay in town and not travel for three weeks to allow for postoperative care and in case bleeding occurs.

When to call the doctor after septoplasty

Patients should notify the doctor if they have:

. A sudden increase in the amount of bleeding from the nose unrelieved by pressure, ice, and head elevation.

. A fever greater than 101.5 F (38.6 C) that persists despite increasing the amount of fluid and acetaminophen (Tylenol). A person with a fever should try to drink approximately one cup of fluid each waking hour.

. Persistent sharp pain or headache which is not relieved by the pain medication prescribed.

. Increased swelling or redness of the nose or eyes.

Most surgeons want to know about complications or problems that develop with their patients, so do not hesitate to call the surgeon to inform them and ask questions about any problems you are experiencing.

Lifestyle tips

As the nose heals, people can avoid the following to ease recovery:

. For at least 2–3 days, blowing the nose

. Drinking alcohol

. Smoking tobacco

. Returning to work too soon

. Crowds, especially in areas where people are more likely to encounter cigarette smoke and other individuals with colds or coughs, increasing the chances of getting sick.

Results

Up to 85 percent of people experience improvement in their nasal blockage after Septoplasty surgery.

Septoplasty Surgery cost

There are many factors that determine the overall Septoplasty cost, including:

1. The surgeon’s skill: The most skilled and best Septoplasty surgeons are in high demand.
2. Geographical location: the cost of Septoplasty surgery varies according to geographical location.

The Cost of Septoplasty surgery in Iran is $1000.