SEPTOPLASTY: DEVIATED NASAL SEPTUM SURGERY in Dubai, UAE

• Twitter
• Facebook
• Instagram
• YouTube
• WhatsApp

Septoplasty simplified

What is “deviated septum” that requires septoplasty surgery?

Nasal septum is the cartilage wall which separates the both nasal passages located on the mid-line. Its cartilage structure in the anterior part continues as a bone when it goes down 4-5 cm deep.

Normally, the nasal septum must be flat and vertically straight. When the septum is not straight, it is referred to as a septum deviation. Among the population, 70% of the people have a deviated septum.

While mild deviation does not manifest itself, severe deviation leads both to impairment of the nasal appearance and breathing difficulty. Mild deviations may not require any treatment. On the other hand, severe deviations requires septoplasty surgery to improve breathing quality.

Although most people have a deviated septum, most of them are unaware of this because they are not experiencing any distress. Furthermore, since they have had this problem for years, they suppose that it is normal even if they take lesser breaths.

Deviation of the vertical axis of the nose, curvature or skew cast a dark shadow over the beauty of the face. The person who is unable to breath easily due to nasal obstruction probably has a crooked nose as well. (Ref. Septoplasty for nasal obstruction due to a deviated nasal septum in adults: a systematic review)

Why do you need septoplasty surgery?

Breathing difficulty is related to the degree of septal deviation. In case of severe deviation, nasal congestion leads to discomfort. Severe septum deviation leads to nasal congestion as well as deforming the nose shape.

Causes of nasal obstruction due to deviated septum

Deviated septum causes the nostril to appear more narrow on one side, and to widen on the other side. Although “C” shaped deviations are more common, “S” shaped deviations are not rare.

During the breathing, airflow lessens on the narrowed side, in contrary, increases on the widened side. That causes airflow imbalance, therefore unilateral airway obstruction. As time goes on, nasal turbinate begins reactional growing on the widened side to establish a new balance (Nasal turbinate hypertrophy). Enlarged turbinate causes the before wider nostril area to narrow, therefore lessens the airflow in which the nostril had more airflow previously. Consequently, both nasal passages narrow, and bilateral nasal airway obstruction occurs.

Deviated septum which initially may not cause any distress leads to nasal congestion in the future as triggering the nasal turbinate hypertrophy. Turbinate hypertrophy also causes snoring during sleep.

What will I aim in nasal septum surgery?

My objective is to make you happy by relieving the breathing. So, getting rid of nasal congestion will improve your life quality.

Some patients seek a solution as they experienced a failed septoplasty before. Under-correction of the deviated septum, therefore, persisting nasal congestion is the most common complaint of the patients consulting me. Sometimes, their corrective septoplasty challenges are even more complex than the primary surgery. Therefore your first surgery is crucial. The goal is to achieve the best outcome in a single shot.

Where will I perform your septoplasty?

Joint Commission International (JCI) works to improve patient safety and quality of health care in the international community by offering education, publications, advisory services, and international accreditation and certification. It is the recognized global leader in healthcare accreditation with the highest standards built on maximum safety and minimum risk.

There are a couple of hospital options that I affiliated with, which accredited by JCI. I will perform your surgery at either one of the distinguished, cutting edge hospitals in Dubai. You may opt for one during the consultation.

Diagnosis of deviated septum before the septoplasty

Complaint of breathing difficulty and physical examination are the diagnostic criteria. Usually, these two criteria confirm the diagnosis. However, in case of surgeon needs further details regarding the type of septal deviation before the septoplasty, X-Ray and CT are also helpful.

Functional septorhinoplasty

If there is a difficulty in breathing, deviated septum that causes a nasal congestion should also be corrected concurrently during the rhinoplasty.

Septorhinoplasty is the procedure which cosmetic nose surgery is combined with the functional correction of the deviated septum. Especially in deviation cases that reflect on appearance, the nose never looks straight unless the septal deviation is corrected. For this reason, septoplasty is an integral part of the nasal surgery.

If your surgeon carries out cosmetic nose surgery alone in cases of deviated septum, neither the nose looks beautiful nor your breathing relieves. The goal of the septoplasty combined with rhinoplasty is to achieve a beautiful nose shape as well as to improve breathing. Successful nose surgery must provide the patient with both a beautiful nose and ease of breathing. (Ref. Quality of life after functional aesthetic septorhinoplasty)

Details of septoplasty in Dubai (Nasal septum resection)

Nasal septum is the main support of the nasal roof. It keeps superficial cartilages on standing position. Therefore the septum is the substantial element of the nasal skeleton for both cartilage and bones.

If a part of the nasal septum requires removal for correction of the deviation, maximum attention should be paid. The remaining septum is essential to support the other structures of the nose. This is a basic principle of the septoplasty.

If your surgeon removes nasal septum recklessly more than the limit, poor outcomes such as nasal roof depression or nasal tip dropping are inevitable. Removing a part of the nasal septum is the most crucial maneuver of the septoplasty. Careless septum resection may result in catastrophe which needs secondary rhinoplasty for correction.

How will I perform the deviated septum surgery?

For this reason, I approach conservatively to the nasal septum during the septoplasty. I always pay attention to preserve the nasal septum as far as possible.

During the septum resection, I remove less than half of the nasal septum and leave minimum 1 cm width bridge on the anterior and lower part without detaching its connections. 1 cm cartilage bridge is able to carry the nasal roof.

Some surgeons think that the more cartilage is removed, the more airway will expand so that breathing would be much better. However, excessively removing the cartilage is not a feat. The important thing is not how much cartilage is removed, but how much cartilage is left intact. Real mastery is to straighten the septum as removing the skew part of septal cartilage as limited as enough to defeat cartilage memory. Over-resection of the nasal septum is one of the most common reasons for secondary rhinoplasty necessity.

I did not give this information to make you worry, but to make you aware. If nasal septum surgery is carried out as obeying the basic principles of septoplasty by a master plastic surgeon, you will not experience such poor results.

How is the correction of nasal septum deviation?

Correcting the nasal septum deviation takes about 1 hour and may last longer depending on the severity of septal deviation. Although some surgeons perform the nasal septal surgery under local anesthesia, I prefer general anesthesia for comprehensive and thorough correction.

Since the septal deviation type exhibits diversity, the correction methods also vary according to the type of deviation. If there is turbinate hypertrophy accompanied by septal deviation, turbinate reduction is also necessary.

You may leave the hospital on the same day after septoplasty and resume your usual life.

After the septoplasty procedure completion, I will place a nasal pack into both nostrils to keep the septum on the mid-line.

How is the recovery period after deviated septum correction?

A little blood oozing may come from the nostrils in the first day, it is normal after deviated septum surgery. It stops the next day.

You should visit me 2 days after the septoplasty surgery to take the nasal pack out. Just after the nasal pack removal, you will experience ease of breathing. As the tissue swelling reduces day by day, the airway will enlarge, therefore breathing will be much better after 1-2 months.

What are the risks and complications of deviated nasal septum surgery?

The complication rates of septoplasty are the compilation of medical literature data. The rates may vary depending on the severity of the deviation and surgeon’s experience. That does not mean you will experience all those complications.

Nasal septum perforation is a rare complication of nasal septum surgery. It is a kind of a window between the nostrils arising from septal mucosa defect. Small-sized septum perforations that do not lead any functional problem are ignorable and do not require a specific treatment. However, since large perforations disrupt the airflow dynamics, they require further surgical repair.

Nasal mucosa synechiae, that is adhesions of nasal lining may occur following the nasal septum surgery. Intranasal buffering, which is kept 2 days following the procedure, also prevents the nasal mucosa adhesions. Despite the intranasal buffering, if synechiae occurs, simply cutting the mucosal bridge solves the issue.

Post-operative bleeding (not blood oozing, I mean active bleeding), may occur after nasal turbinate reduction if it is reduced when cutting with scissors. However, turbinate reduction with a laser or radiofrequency device without using scissors does not cause bleeding.

Over-resection of the nasal septum may lead to nasal shape disfigurement that needs secondary corrective septoplasty, as I mentioned above. (Ref. Septoplasty complications: avoidance and management)

 

Checklist before having septoplasty in Dubai, UAE

IMPORTANT ! Before getting the appointment, check your medical conditions yourself.

---

---

GET APPOINTMENT

Get ready to look and feel best with septoplasty surgery… You deserve…

Useful links:

Surgical management of the deviated septum: techniques in septoplasty

Go To Top

---