Septoplasty

The septoplasty is an operation on the deformed nasal partition which purpose is correction of its form at preservation of a cartilaginous and bone basis.

The nasal partition represents the osteoarticular plate dividing a nasal cavity into two parts, at first sight, absolutely equal. But over time it gets various bends and outgrowths ("crests" and "thorns").

Many people have nose injuries from which the shift of a cartilage or a stone in any party results, thus various ledges form. Also the curvature of a nasal partition can be caused by a birth trauma or already in the course of growth of the child when development of a facial skeleton is broken.

Signs of deformation of a nasal partition at which the septoplasty – the only solution, can be such:

• Difficulty of nasal breath;
• Snore;
• Chronic sinusitis, and in certain cases antritis, a frontal sinusitis, a sphenoiditis, etmoidit;
• Frequent nasal bleedings;
• Deterioration in hearing;
• Frequent respiratory diseases.

Whether it is obligatory the septoplasty

Having found in itself one or several similar symptoms, the person has to address the qualified otorhinolaryngologist for installation of the exact diagnosis. If deformation of a nasal partition is insignificant that happens at 80% of people, most likely, treatment will be carried out without operative measure.

The septoplasty it is shown only at dysfunction of nasal breath. Diagnosis is carried out by means of a rinoskop, if necessary the radiological method is applied.

In each case the doctor after survey and the corresponding inspection will make the decision on expediency of the septoplasty of a nasal partition.

Directly operation consists in a resection (excision) of a partition for the purpose of improvement of nasal breath. Also it can be applied for the purpose of receiving free access to a nasal cavity at treatment of inflammations, polyps, tumors or nasal bleedings.

Contraindications to carrying out the septoplasty

The main contraindications to carrying out the septoplasty are:

• Old age or diseases of the patient at which complications after use of an anesthesia are possible;
• Existence of a diabetes mellitus or other diseases leading to disturbances of coagulability of blood;
• Existence at the patient of infectious and oncological diseases;
• Existence of any disease in an acute form.

Septoplasty of a nasal partition

In 7 days prior to the planned operation reception of aspirin and other antiinflammatory drugs, and also the drugs promoting blood fluidifying is prohibited. Women should consider that this operation is not performed on the eve of periods but only in 7-10 days after it. At patients the general blood test undertakes, the ECG becomes.

When carrying out the septoplasty the general or local anesthesia is applied. In 12 hours prior to introduction of an anesthesia meal stops.

Operation lasts 1-2 hours and consists in excision of the deformed cartilaginous sites. For preservation of integrity of a mucous membrane, it exfoliates previously. Modern technologies of carrying out the septoplasty allow to excise the minimum quantity of the parts of a partition preventing to establish it in the correct vertical position. In certain cases fragments of a cartilage are taken, utonchatsya and then are located on the former place.

Now, using the advanced techniques, the septoplasty of a nasal partition will be seen off using the special surgical equipment for low-invasive surgery.

Endoscopic septoplasty

Endoscopic the septoplasty allows to mention the minimum quantity of cartilages and fabrics at operation that promotes good esthetic result and considerably shortens the rehabilitation period.

Such operation is carried out endozonalno, at the same time face skin is not cut. Through a nasal cavity the endoscope (a tube with a diameter of 2,7 or 4 mm) with fibrovolokonny optics is entered inside that allows the surgeon to see on the screen the patient's nose as if from within. Endoscopic the septoplasty passes with the minimum injuries for the patient. Upon termination of an operative measure, in order to avoid mobility of a nasal partition, it is fixed by special plates (splinta). Tampons which also fix a partition are entered into a nasal cavity and absorb bloody allocations. Tampons in 24-72 hours depending on bleeding degree are removed. Before removal of tampons patients should breathe through the mouth.

Laser septoplasty

Laser the septoplasty, according to the practicing physicians for today the most progressive and least traumatic way of correction of problems with a nasal partition. It is interesting that such operation is performed without blood losses and postoperative hypostases as the laser when cutting fabrics at the same time "sticks" blood vessels. At the same time it makes antiseptic influence.

Laser the septoplasty is not used at strong curvatures of a partition.

Recovery period

After the septoplasty, according to patients, tampons in a nose usually completely block breath, it is necessary to breathe through a mouth, from it dryness in a mouth, a headache, dacryagogue, and even temperature increase appears. At this time it is necessary to limit exercise stresses, not to drink hot drinks, it is not necessary to take a hot bath or a shower. For prevention of a bacterial infection to the patient antibiotics, the febrifugal and anesthetizing drugs can be appointed. For a week after the septoplasty the nasal partition remains edematous therefore to the patient to pant even after tampons are removed. During the first 2-3 days after their removal it is not recommended to blow nose strongly as it can lead to nasal bleeding. The unpleasant phenomena pass through 1-2 weeks. It is allowed to return to normal exercise stresses after the septoplasty to the patient approximately within a month.

It is difficult to revaluate importance of the septoplasty because for the person it is vital to breathe fully through a nose as his health depends on quality of nasal breath. In a nose air which we breathe is warmed, humidified and purified before hit in lungs. Scientists it is proved that breath through a mouth can be the cause of an exacerbation of bronchial asthma, promote increase in arterial pressure, development of diseases of a myocardium and other diseases.