According to medical statistics, a deviated septum in varying degrees, is seen in about 80% of people.
It is not always such a deformation creates discomfort to man, but when it does occur may require surgical intervention.
From the point of view of physiology the nasal breathing is considered normal for a human body. But in some cases, people are faced with nasal congestion.
The reason can serve as allergic reactions, respiratory disease, or structural features of the respiratory system.
Septoplasty is ENT surgery to correct the form of the nasal septum. Unlike rhinoplasty, it is performed not for aesthetic, but for medical reasons.
The most common intervention on the nasal turbinates is turbinectomy. Turbinectomy is plastic surgery, which allows to make correction of anatomical defects of the nose.
The main indications for this type of plastic are a deviated septum and hypertrophy of the turbinates. These reasons lead to the swelling of the shells.
As a result, it becomes impossible to breathe. Conservative methods in such cases are powerless. Surgery is the only way to solve the problem.
However, these two operations are often complement each other (for example, when a deviated septum leads to change the overall shape of the nose, and vice versa – when, as a result of trauma, deforms not only the shape of the nose, but also its internal structure).
Indications for septoplasty and turbinectomy
The main indication for septoplasty and turbinectomy is a violation of nasal breathing caused by a deviated septum. Also, this may be accompanied by:- Chronic edema of the nasal mucosa, which can cause allergic rhinitis
- Chronic inflammation of the sinuses (sinusitis)
- Susceptibility to cold diseases
- Regular nosebleeds
- Dryness and itching of the nasal cavity, pain in the face, headaches
- Snoring, noisy breathing
In addition, most of the humps on the nose are due to a deviated septum – septoplasty in this case is not required, but may be carried out on the request of the patient. It is important to take into account that cartilage of the nasal septum continues to grow to 18-21 years, therefore, with a few exceptions, septoplasty and turbinectomy are not carried out before the mentioned age.
Firstly, there is a chance that the shape of the partition is normalized in a natural way, and secondly – surgery may provoke a new deformation, for elimination of which must be performed revision septoplasty.How is the correction of the nasal septum. Endoscopic and laser septoplasty
The operation is performed under local or general anesthesia and takes about 1-2 hours. The essence of septoplasty – excision of the deformed cartilage areas. At the same time, the mucous membrane is peeled that allows to keep its integrity.
Modern techniques of septoplasty allow you allow to limit excision – removes only a minor parts walls that prevent “build” it in the correct vertical position. In some cases, parts cartilage are extracted and flat out and then put back.
To date, the most popular are methods of correction of the nasal septum, based on the using of minimally invasive surgical equipment:- Endoscopic septoplasty allows you to perform an operation with minimal damage to tissue and cartilage, which provides a much better aesthetic result and reduces the duration of recovery period
- Laser septoplasty avoids bleeding and postoperative edema, as laser solders blood vessels. In addition, it provides pronounced antiseptic effect.
The recovery period after septoplasty
After the operation, the corrected septum is fixed in a new position by means of special tampons. Prior to their removal (a few days) will have to breathe only by mouth that can cause such unpleasant symptoms as headache, dry mouth and a slight rise in body temperature.
For 7-10 days after septoplasty swelling persists – that is why, even after removal of tampons, there will not be a significant improvement in nasal breathing.After 1-2 weeks you can go back to your normal routine, but it is desirable to avoid strenuous exercise for at least another month.
Prices for septoplasty & turbinectomy. How much does the surgery?
Septoplasty and turbinectomy cost depends mainly on the level of difficulty, which is determined by the nature and the degree of deformation of the nasal septum.
Correcting minor congenital curvature is about 2-3 thousand dollars.
Price for septoplasty, which implies the restoration of the injured septum (when the cartilage is broken in several places or crushed) will be 2-3 times higher.In addition, the cost will depend on the type of anesthesia and the time spent in the hospital – all these points need to be clarified at the surgeon during the consultation.
Contraindications
In addition to the above-mentioned age limits, septoplasty and turbinectomy are not carried out in the following cases:
- The presence of diabetes mellitus and conditions that violate the blood clotting
- The presence of infectious diseases and cancer
- The presence of any disease during exacerbation
Surgery consists of making submucosal resection of inferior turbinate bone, and the displacement of the lower shell aside. Just this offset allows surgeon to make free nasal breathing, providing access air.
In aesthetic surgery customary to speak of the two main types of turbinectomy. This is the front turbinectomy.
It is performed by truncating the bone and surrounding tissues in front of the inferior turbinate.
And lower partial turbinectomy. In this case, the tapered part of the shell is removed, and the connection is made along the edge of the formed defect.
To date, applied a large number of turbinectomy. Among them are traditional, aspiration-ultrasound, radio frequency, inside the shell, as well as endoscopy.Aspiration-ultrasound and radio-frequency techniques are minimally invasive methods of correction. Endoscopic turbinectomy allows you to remove cysts, polyps, restoring aeration of the nasal cavity, to remove mucus from the sinuses.
It is through the use of minimally invasive techniques, septoplasty and turbinectomy today are characterized by a low probability of postoperative bleeding.
It is also important that this type of correction will reduce the volume of the nasal turbinates, keeping function and the area of the nasal mucous practically unchanged.