The nose is one of the most important organs and the beginning of our respiratory system. However, the curvature of the cartilage structure within the nose, known as septum deviation, can make breathing difficult. This common condition usually arises from birth or as a result of trauma. Individuals with septum deviation struggle with issues such as nasal congestion, headaches, sleep problems, and chronic sinusitis. Fortunately, it is possible to leave these problems behind with septum deviation surgery.

In this article, we will explore what septum deviation surgery is, how it is performed, the recovery process after surgery, and how the surgery can benefit you in detail. You will see how it can make a significant difference in your health beyond just achieving comfortable breathing.

What is Septum Deviation?

The septum is a structure made of cartilage and bone that separates the nasal cavities. Septum deviation refers to the bending or displacement of this structure. Normally, the septum should be straight; when it shifts to one side, adequate airflow is obstructed from one nostril, creating a chronic sense of blockage on that side of the nose.

What Causes Septum Deviation?

The causes of septum deviation are quite varied. Here are the most common causes:

  • Congenital Disorders: Some people are born with septum curvature. Genetic factors are among the most common reasons for this condition.
  • Trauma: Blows to the face or nose can lead to a curvature of the septum. Sports injuries, falls, or traffic accidents can cause traumatic septum deviation.
  • Aging: With age, nasal tissues weaken, and septum deviation can develop. Natural wear and tear in bone and cartilage structure can also contribute to deviation.

What are the Symptoms of Septum Deviation?

Individuals with septum deviation typically experience the following symptoms:

  • Chronic Nasal Congestion: Difficulty breathing through one or both nostrils.
  • Nosebleeds: Irritation of the mucosa inside the nose due to deviation can lead to nosebleeds.
  • Headaches: The deviated nasal structure can hinder sinus drainage, causing headaches and facial pain.
  • Sleep Apnea: Respiratory problems during sleep are one of the most serious consequences of deviation. This condition leads to decreased sleep quality and feelings of fatigue.

How is Septum Deviation Surgery Performed?

Septum deviation surgery is a surgical procedure that corrects the curved septum inside the nose. This surgery is performed under general anesthesia and typically lasts 1 to 2 hours. Here are the main steps of the surgery:

  • Anesthesia: General anesthesia is applied to the patient before the surgery. This allows the patient to sleep completely during the procedure and feel no pain.
  • Incisions: The surgeon makes small incisions inside the nose to reach the septum. These incisions are not visible from the outside.
  • Correction of the Septum: The curved cartilage and bone tissue are carefully corrected or excess cartilage is removed. Care is taken to ensure that the nasal structure is symmetrical and smooth.
  • Closure: After the surgery, the incisions inside the nose are closed, and special silicone supports are placed inside the nose. These supports help keep the septum in place during the healing process.

Post-Surgery Recovery Process

The recovery process after septum deviation surgery depends on the patient’s overall health and the extent of the surgery. Generally, patients can return to their daily activities within 1 to 2 weeks after the surgery. Here are important points to consider during the recovery process:

  • Initial Days: There may be mild pain, swelling, and bruising in the nose after surgery. This is normal and will pass over time.
  • Complete Recovery: Complete healing inside the nose may take several months. Regular check-ups with the doctor are important during this process.
  • Activities: Heavy physical activities should be avoided in the first week. Care should be taken to prevent injury to the nose.
  • Nasal Sprays and Medications: Nasal sprays and pain relievers recommended by your doctor should be used after the surgery.

Benefits of Septum Deviation Surgery

Septum deviation surgery not only facilitates easier breathing but also has many positive effects on overall health. Here are the main benefits of the surgery:

  • Improved Breathing: After correcting the septum deviation, you can breathe easily through both nostrils.
  • Increased Sleep Quality: Issues such as sleep apnea and snoring are eliminated, providing a better sleep experience.
  • Reduction in Sinus Problems: Proper sinus drainage reduces issues such as sinusitis and headaches.
  • Better Quality of Life: Easy breathing enhances overall quality of life, helping you feel more energetic during sports and daily activities.

Are There Risks Associated with Septum Deviation Surgery?

As with any surgical intervention, there are some risks associated with septum deviation surgery. However, these risks are rare and are usually minimized when the surgery is performed by an experienced surgeon. Here are some possible risks:

  • Infection: Although the risk of nasal infection after surgery is low, it can be controlled with antibiotic treatment.
  • Bleeding: Mild nasal bleeding after surgery is normal. However, in the case of excessive bleeding, you may need to consult your doctor.
  • Loss of Smell: Rarely, the nerves inside the nose may be damaged, leading to temporary loss of smell.

Important Considerations After Septum Deviation Surgery

To ensure a successful recovery process after the surgery, attention should be paid to some important points:

  • Sleeping Position: In the first few days, it is important to sleep on your back to prevent injury to the nose.
  • Nasal Care: The crusting inside the nose should be gently cleaned after surgery. However, it should be done according to your doctor’s recommendations and at specific intervals.
  • Regular Check-Ups: Regular doctor visits after surgery are critical for monitoring the recovery process.

What are the Alternatives to Surgery?

Septum deviation surgery is the definitive solution for curved septum. However, in some cases, temporary relief can be provided with non-surgical methods. These methods include:

Nasal Sprays: Nasal sprays containing corticosteroids reduce inflammation inside the nose, providing temporary relief. However, these sprays are not suitable for long-term use.

Nasal Strips: Nasal strips used during sleep keep the nostrils more open. However, they do not solve the deviation problem at its root.

Who Can Undergo Septum Deviation Surgery?

Septum deviation surgery is generally suitable for individuals aged 18 and older. Since the nasal structure is still developing at a young age, this surgery is usually recommended after the adolescent period. Septum deviation surgery is recommended in the following situations:

  • Individuals experiencing chronic nasal congestion
  • Those with sleep apnea or snoring issues
  • People suffering from sinusitis and headaches
  • Individuals seeking deviation correction alongside cosmetic nasal surgery

Can Septum Deviation Surgery be Done Alongside Aesthetic Nasal Surgery?

Yes, septum deviation surgery can be performed alongside aesthetic nasal surgery known as rhinoplasty. This combination improves the nasal appearance both functionally and aesthetically, facilitating easier breathing while enhancing the external appearance of the nose.

In Summary

Septum deviation surgery is a solution to a serious problem that makes breathing difficult and lowers the quality of life. This surgery not only allows for easier breathing but also improves sleep quality, alleviates chronic conditions like sinusitis, and enhances your overall health. If you are experiencing continuous nasal congestion, headaches, or sleep problems, consulting a specialist about septum deviation surgery can be a significant step for your health.

Remember, healthy breathing is one of the fundamental ways to improve your quality of life. You can take a significant step toward this with septum deviation surgery.

Prof. Dr. Gediz Murat Serin

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    Prof. Dr. Gediz Murat Serin