DURATION: 1 hour
RECOVERY: 3 days
INSURANCE COVERAGE: Yes
With extensive training in the function of the nose, Dr. Patel has a deep understanding of every aspect that contributes to one’s ability to breathe. Though many people have some difficulty breathing, often our body adjusts to this sensation of obstruction and we simply forget what “normal” is after having spent so much time stuffy and blocked. The aspects of our nasal airway that can be addressed include the septum, the turbinates, and the internal and external nasal valves. The preoperative assessment will include an evaluation of all of these aspects and the surgical plan will address the necessary components. Dr. Patel is meticulous and does not use nasal packing which eases the post-operative recovery. We also employ novel technology such as Latera©, which is an FDA approved device that serves an implantable breathe right strip which is ultimately absorbed. These surgeries are generally covered under most insurance plans if accurate and detailed documentation is provided. Generally, insurance companies want an array of intranasal pictures, CT scans, and a history consistent with a cause and diagnosis of nasal obstruction. Usually, they also want documented usage of non-surgical intervention which primarily consists of attempts to use nasal steroid sprays. Dr. Patel is dedicated to making an accurate diagnosis and advising if and when surgery is NOT necessary.
Septoplasty is a surgical procedure to correct defects or deformities of the septum, the partition between the two nostrils. Commonly, the procedure is performed to correct a deviated septum. While a small deviation of the septum is commonplace, if the condition is severe, it may impede airflow through the nostrils. This may cause difficulty breathing and poor nasal drainage from the sinuses, both of which are problematic.
In adults, the nasal septum is composed of both cartilage and bone. The function of the nasal septum is to support the mucous membranes of the nose and to regulate air flow. Septoplasty is commonly performed to help relieve nasal obstruction and in some cases it may be a part of other surgical procedures including sinus surgery or nasal tumor or polyp removal. Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage or bone within the nose. Though there are a significant number of interventions both alone and in combination that are used to improve nasal breathing, below is a list of questions most commonly asked in regards to the most common: a septoplasty
The septoplasty is performed as an outpatient procedure and either a general or local anesthetic may be used. During a septoplasty, the surgeon straightens the septum and repositions it to the center of the nose. The procedure may involve removing a small part of the septum itself. A septoplasty may also be performed in conjunction with a rhinoplasty in order to ensure that the reshaping of the nose does not result in a reduction of the amount of breathing space or in conjunction with sinus surgery to assist in post-surgical drainage. Any incisions are stitched closed with dissolvable stitches. After the procedure, Dr. Patel does not use splints or packing inside the nose.
Recovery From Septoplasty
Most patients return home the same day of the procedure. Patients may experience some swelling and nasal drainage. Most patients are advised to refrain from any strenuous or physical activity for one to two weeks after the procedure. Patients are also advised to elevate their heads while sleeping for at least two weeks and nose blowing should also be avoided for two weeks after septoplasty. Bleeding from the nose is normal the first few days after a septoplasty and will slowly decrease in amount. Though some of our patients breathe better immediately after surgery, there will be swelling and congestion for 1-2 weeks and until this resolves breathing may be worse than before.
Risks Of Septoplasty
As with any surgery, there are risks associated with septoplasty which include bleeding, infection and an adverse reaction to the anesthesia. Risks specific to septoplasty may include:
- Excessive bleeding
- Change in the shape of the nose
- Septal perforation
- Decreased sense of smell