A septoplasty (or sub-mucus resection) is an operation designed to straighten a bend in the septum of the nose. The septum is the midline partition within the nose.
A bend in the nasal septum is diagnosed by a nasal examination and is not usually visible externally. Occasionally, however, the septum under the tip of the nose may be bent into one nostril. This will be visible from the outside.
The commonest problem resulting from a bent septum is a blocked nose. Occasionally, this may cause a twist in the external shape of the nose as well. A bent septum may predispose some people to have chronic sinus problems.
This surgery (septoplasty surgey in iran) can be performed for a variety of reasons : -
To improve breathing. Septoplasty can be used to relieve nasal airway obstruction. The surgery can remove the malformed cartilage and bony portion of the septum, allowing normal airflow.
As a secondary operation to a rhinoplasty (nose job). In this instance, a septoplasty is often performed to improve the airway or straighten a crooked nose.
It's important to remember that if you've had a nose injury, you may not be able to undergo septoplasty for at least six months after the injury. Septoplasty can relieve the following: nasal airway obstruction, which can force you to breathe by your mouth; it can also be part of the surgery for sleep apnea.
Septoplasty surgery cost in Iran start from $400.
Before septoplasty surgery in iran you would have had consulted your Ear, Nose and Throat Surgeon about your symptoms. Examination may include the use of a telescope to thoroughly examine the internal nasal cavity. This is performed at the Outpatient Clinic under a local anaesthetic.
As nasal blockage can be caused by conditions other than a bent septum, your surgeon would have discussed this with you to decide whether you would benefit from having this operation or need other forms of treatment such as nose drops or nasal sprays in addition to your operation. If this operation were performed with the aim of changing the shape of your nose, it would form part of a bigger operation called a septorhinoplasty.
You would usually be admitted on the day of your operation and could expect to be discharged in 24 to 36 hours. The operation is usually done under general anaesthetic but could be done under local anaesthetic. Incisions are made inside the nose and the nasal lining is separated from the underlying cartilage and bone. Deformities in the cartilage and bone are removed and the nasal lining is replaced. This is stitched in place using absorbable (dissolving) stitches. The incisions or stitches are not visible.
Sometimes at the end of the operation small dressings or packs are inserted into the nose to help control the bleeding. If so, these may be removed either on the evening of the operation or the next morning. Occasionally, specially designed sheets of plastic (splints) are inserted into the nose at the end of the operation to help with healing. These are secured with a stitch within the nose and removed ten days later at the Outpatient Clinic.
You should allow one to two weeks in your schedule when you can be free of work and social commitments. Most patients are comfortable being out in public by two weeks after surgery.
Two weeks prior to septoplasty surgery, you will need to stop taking aspirin and other medications that can increase your risk of bleeding. You should have nothing to eat or drink after midnight on the night before your surgery. On the day of surgery, you should wear a loose button-down blouse or shirt; that is, one that does not need to be pulled over your head or face.
If your procedure is to be done on an outpatient basis, you will need someone to drive you home and stay with you the first twenty-four hours. Your surgeon may need to see you back the morning after your surgery.
We recommend having the following items available : -
Container to hold water for cool compresses. DO NOT use ice packs.
Button-down blouses or shirts which do not need to be pulled over your head
General painkillers, such as acetaminophen. (Continue to avoid aspirin and other medications like ibuprofen for approximately one week after surgery.)
Have any prescriptions for pain medications or antibiotics filled before you get home.
A cool mist humidifier is recommended, but not mandatory.
Your surgeon will give you a prescription painkiller and a list of post-operative instructions. It's extremely important to follow these instructions very carefully to make sure your nose heals properly. Your doctor might pack your nose with dressings. Your surgeon will usually remove the packing during the first few days following the surgery. The only person who should remove this packing is your surgeon. Make sure you understand exactly how and why your surgeon packs your nose, and the follow-up care that is required to ensure proper treatment.
If your surgeon has covered your nose with a splint, you can have this removed in just about one week. If you have internal stitches, these will dissolve. If you have external stitches, your surgeon will want to remove these in about one week.
As with any surgery, there is always a risk of infection. Your surgeon may prescribe an antibiotic as a precaution.
You should expect some nasal drainage with a small amount of bleeding for the first few days after surgery.
You may experience numbness of the nose, cheeks, and upper lip. Numbness in the tip of the nose may take several months to return to normal. Other areas will resolve more quickly.
You should expect some bruising and swelling of the nose, eyelids, and upper lip. Most of this will resolve in the first two weeks after surgery.