Septoplasty - an operation on the deformed nasal septum, the purpose of which is to correct its shape while maintaining the cartilage and bone bases.
The nasal septum is the bone-cartilage plate that divides the nasal cavity into two parts, at first sight, absolutely equal. But over time, it acquires a variety of twists and outgrowths ("crests" and "spikes").
Many people happen nose injury, which resulted in the displacement of cartilage or bone in any direction, thus forming different projections. Also, a deviated septum may occur as a result of birth trauma, or already in the process of growth of the child, when disturbed development of the facial skeleton.
Signs of deformation of the nasal septum, in which septoplasty - the only solution to the problem might be:
- The difficulty of nasal breathing;
- Chronic sinusitis and, in some cases, sinusitis, sinusitis, sphenoiditis, etmoidit;
- Frequent nosebleeds;
- Hearing loss;
- Frequent respiratory infections.
Do I need a septoplasty
Found in one or more of these symptoms, the person should consult a qualified otolaryngologist to set an accurate diagnosis. If the deformation of the nasal septum is negligible, that is, 80% of people are likely to treatment will be carried out without surgical intervention.
Septoplasty is shown only in violation of the nasal breathing. Diagnosis is carried out by rhinoscopy, if necessary X-ray method is used.
In each case, the doctor after examination and appropriate investigation will decide whether nasal septum septoplasty.
Directly surgery is resection (excision) partitions to improve nasal breathing. It can also be used to obtain free access to the nasal cavity for the treatment of inflammation, polyps, tumors or nasal bleeding.
Contraindications to septoplasty
The main contraindications to septoplasty are:
- Old age or disease of the patient, in which the possible complications after general anesthesia;
- The presence of diabetes or other diseases that lead to blood clotting;
- Have the patient of infectious diseases and cancer;
- The presence of any disease in the acute form.
Septoplasty nasal septum
7 days before the planned operation is prohibited aspirin and other anti-inflammatory drugs, and drugs that promote blood thinners. Women should be aware that this operation is not carried out on the eve of menstruation, and only 7-10 days after it. Patients taken blood count, EKG done.
During the septoplasty applicable general or local anesthesia. During the 12 hours prior to administration of anesthesia stops eating.
Operation lasts 1-2 hours and is the excision of the deformed cartilage areas. To preserve the integrity of the mucosa, it is previously peeled. Modern technologies of septoplasty allow excise minimum number of parts of walls that prevent you to set the correct vertical position. In some cases, fragments of cartilage are removed, flat out and then put in its place.
At the present time, using advanced techniques, nasal septum septoplasty is performed using special surgical equipment for minimally invasive surgery.
Endoscopic surgery allows for septoplasty affect the minimum amount of cartilage and tissues, which contributes to good aesthetic results and significantly shortens the period of rehabilitation.
Such an operation is carried out endozonalno, while the facial skin is not cut. Administered through the nasal cavity endoscope (a tube diameter of 2, 4 or 7 mm) fiberoptic optics inside that allows the surgeon to see on the screen the patient's nose from the inside. Endoscopic septoplasty passes with minimal trauma to the patient. After the surgery, in order to avoid the mobility of the nasal septum, it is fixed with special plates (splint). Nasal swabs are introduced, which are also fixed partition and absorb spotting. Tampons are removed after 24-72 hours, depending on the degree of bleeding. Before removing tampons patients have to breathe through the mouth.
Laser septoplasty, in the opinion of medical practitioners today the most progressive and least traumatic way to fix problems with the nasal septum. Interestingly it is the fact that this operation is performed without blood loss and postoperative edema, since the laser when cutting tissue at the same time "glued up" blood vessels. At the same time it produces an antiseptic effect.
Laser septoplasty not used in highly deviated septum.
The recovery period
After septoplasty, in the opinion of patients in the nose swabs are usually completely cover the breath, to breathe through the mouth of this appears dry mouth, headache, watery eyes, and even fever. At this time should be limited to exercise, do not drink hot drinks, do not take a hot bath or shower. To prevent bacterial infection, patients can be treated with antibiotics, antipyretics and analgesics. For weeks after the septum septoplasty is swelling, so the patient to breathe heavily, even after the tampons are removed. During the first 2-3 days after removal sneeze strongly not recommended as it may lead to nosebleeds. Unpleasant events are held in 1-2 weeks. Back to normal physical activity after septoplasty patients were allowed for about a month.
Septoplasty importance is difficult to overestimate, because it is vital for a person to fully breathe it in through your nose, as the quality of the nasal breathing depends on his health. In the nose, the air that we breathe is warmed, humidified and cleaned before it enters the lungs. Scientists have proved that breathing through the mouth can cause exacerbation of asthma, help increase blood pressure, development of myocardial diseases and other diseases.