Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage or bone. The surgeon works through incisions inside the nose.
During the procedure
- Local anesthesia. Usually used in an outpatient setting, this type of anesthesia is limited to your nose. Your doctor injects the pain-numbing medication into your nasal tissues. If you will also have sedation, this is given with medication injected through a catheter placed in a vein — an intravenous (IV) line. This 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.
Discuss with your doctor beforehand which kind of anesthesia is best in your case.
During surgery, the incision is closed with absorbable thread. 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.
After the surgery, you're moved to a recovery room, where the staff monitors you and watches for any complications. You might leave later that day or, if the procedure is done in a hospital and you aren't ready for discharge, you might stay overnight.
After the procedure
To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery. Depending on the extent of your surgery, you may not be asked to comply with all of them:
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- Avoid strenuous activities, such as aerobics and jogging. This is to decrease the chance of a blood pressure elevation that could cause a nosebleed.
- Don't blow your nose.
- Elevate your head when you're sleeping.
- Wear clothes that fasten in the front; don't pull clothing, such as shirts or sweaters, over your head.
- Septoplasty and turbinate surgery. American Rhinologic Society. http://care.american-rhinologic.org/septoplasty_turbinates. Accessed May 15, 2013.
- Fact sheet: Deviated septum. American Academy of Otolaryngology - Head and Neck Surgery. http://www.entnet.org/HealthInformation/deviatedSeptum.cfm. Accessed May 15, 2013.
- Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniqId=230100505-57. Accessed May 17, 2013.
- Preparing for nose surgery. American Society of Plastic Surgeons. http://www.plasticsurgery.org/cosmetic-procedures/nose-surgery-.html?sub=Preparing%20for%20nose%20surgery. Accessed May 15, 2013.
- Q & A: Stop smoking. American Society of Anesthesiologists. http://www.lifelinetomodernmedicine.com/Anesthesia-Topics/QA-Stop-Smoking.aspx. Accessed May 17, 2013.
- What to expect during your nose surgery consultation. American Society of Plastic Surgeons. http://www.plasticsurgery.org/cosmetic-procedures/nose-surgery-.html?sub=What%20to%20expect%20during%20your%20nose%20surgery%20consultation. Accessed May 17, 2013.
- Pallanch JF (expert opinion). Mayo Clinic, Rochester, Minn. June 23, 2013.