Septoplasty & Septal Reconstruction

A deviated or severely deformed septum may significantly impact a patient’s quality of life.  Septal deviations are associated with nasal obstruction, frequent nose bleeds, congestion and external nasal deformity.  Septoplasty & septal reconstruction are performed with the patient asleep (general anesthesia).  A careful nasal exam, including nasal endoscopy, is used to plan the surgical procedure. Incisions are placed inside the nose or hidden on the columella (the bottom part of the nasal septum which joins the upper lip skin).  Only severe septal deformities and deviations involving the external front part of the nose are treated with external columellar incisions.  Deformed cartilage and excessive bone can be removed or reshaped until the nasal passages are clear.  Rarely, repositioning of the nasal bones is necessary to adequately address the patient’s nasal obstruction.

In our practice, septoplasty is generally performed without packing.  Soft silicone splints, which help prevent scar tissue and promote normal healing, are usually left inside the nose for 1 week.  Most patients can breathe through the nose with splints in place.  Occasionally, ,external casts or tiny internal nasal sponges are temporarily placed to facilitate healing and stop bleeding. Patient's generally go home the day of the procedure. Pain medication and antibiotics are routinely prescribed post-operatively to make the patient comfortable and prevent infection. A follow-up appointment at one week allows inspection of the healing tissue and cleaning of the nose.

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