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Deviated Septum Surgery Recovery
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The severity of nasal septum deviation is closely related to the type and degree of the deviation. Categorized by the direction of deviation, deviated nasal septum can be divided into C-type, in which the septum deviated to one side of the nose, and S-type, in which the septum deviated to both sides of the nose. When we look at the various different shapes of septum deviation, we will find that deviated nasal septum has two common shapes, which are the semi-circular protrusion or sharp protrusion. Trauma caused by external factors will often lead to septal cartilage dislocation and protrusion in the nasal vestibule. A high septal deviation will usually cause the protrusion part in close contact with the middle turbinate, which will result in obstruction in the nasal tract. Patients with severe septal deviation have significant differences in the size of their two nasal cavities. In case there is obvious stenosis of one side of the nasal cavity, the opposite side often has compensatory symptoms such as turbinate hypertrophy.
Deviated septum surgery
Surgical correction is the most effective treatment for deviated nasal septum. In case that the patients are having nasal polyps or turbinate swelling at the time of the surgery, they need to first correct the problems of nasal polyps and turbinate before they take deviated septum surgeries. It should be noted that deviated nasal septum surgery is not necessary if the symptoms such as nasal congestion and epistaxis disappeared or improved for the better. The typical surgical procedures are usually submucous resection of nasal septum and nasal septum reconstruction. The former is a type of surgery that is mostly used in the past, however, it has the disadvantages of smaller surgical field and is not very effective in the treatment of complex cases. Nasal septum reconstruction, on the other hand is more popular in recent years due to its effectiveness in the treatment deviated septum.
What are the main symptoms of deviated nasal septum?
The main symptoms of deviated nasal septum are as follows:
1, Patients have persistent nasal congestions. Deviation of one side, such as C-type, will lead to nasal congestion at one side of the nasal cavity, while two sides deviation, such as S-type, will cause nasal congestions at both sides. This is the most common symptoms of nasal septum deviation, sometimes patients with severe nasal congestions have hyposmia (decreased sensitivity to odors).
2, Patients usually have reflex headaches. If part of the deviation is located near the middle turbinate or the inferior turbinate, the protrusion will touch the turbinate and this often leads to ipsilateral headache and may become one of the reasons for nasal neuralgia.
3, Patients will have increased nasal secretions. Septal deviation will stimulate the glands to secrete sticky mucus.
4, If the deviation part is located near the middle turbinate, it may cause the relocation of the middle turbinate or nasal mucosal hypertrophy. In the long run, it will cause nasosinusitis and many other symptoms, such as tinnitus and hearing loss due to the obstruction in the eustachian tube.
5, Patients may have epistaxis (bleeding in the nose) or vasomotor rhinitis (a type of chronic rhinitis).
When is deviated septum surgery necessary?
Deviated septum surgery is suitable to patients having one of the following symptoms:
- nasal septum deviation has caused long-term nasal congestion.
- high nasal septum deviation inhibits sinus drainage, causing chronic sinusitis.
- septal deviation has caused repeated nasal bleeding, or secretory otitis media.
- nasal septum deviation has caused reflex headache.
- significant nasal septum deviation has caused vasomotor rhinitis .
Care after deviated septum surgery
It should be noted that, nasal mucosa will slowly fall off after the surgery, it is normal for patients to have fallen nose tissues and blood streaked mucus when blowing their nose. Patients also need to undergo medical checkups regularly after the surgery. Typically, shortly after the surgery, the nasal mucosa will become swelling and the patients will have burining sensations and more severe nasal congestion within 3 days after the surgery. However, these is no need to worry, because it usually takes about 3 to 4 weeks for the recovery of the inferior turbinate mucosa, and the recovery will not affect your normal life. There are also some tips for post-operative care:
1. Try to avoid sneezing shortly after the surgery, if you can not help sneezing then open the mouth while sneeze.
2. Do not blow your nose too hard within 24 hours after the surgery to avoid injuries that may occur.
3. Do not press the dorsum within half a month after the surgery.
4. Do periodic medical checkups after the surgery.
5. Generally, there will be nasal congestion a month later after the surgery, this is a normal situation, some people even take longer to recover.