What is Septoplasty (Cartilage Deviation Surgery)?

The nasal septum is the anatomical structure inside the nose, which is located in the midline, dividing the nose into two compartments. The nasal septum consists of primarily cartilage and partially bone. Under normal conditions, it must divide the nose into two equal compartments, so that equal breathing from both nostrils can be possible. However, 70-80% of people have a deviation in their septum, which can be inherently structural or can develop as a result of traumas experienced over time. Such patients are diagnosed with “septum deviation”. The surgical procedure performed to correct such deviations is called septoplasy.

woman with septoplasty

Are you a suitable candidate for septoplasty?

Having a nasal curvature alone does not mean being a suitable candidate for septoplasty. Septoplasty is required in cases where deviated nasal septum is accompanied by symptoms such as nasal congestion, difficult nasal breathing, snoring, recurrent nosebleeds, nose-bleeding, frequent sinus infections, constant runny nose or chronic headache.

Except for special cases, patients are recommended to wait until the completion of their bone and face growth, which corresponds to 18-20 years of age. If there is a nasal fracture or deviation due to an acute trauma, a surgical procedure may be needed at an earlier age.

Preoperative Period

The patient should stop alcohol consumption and smoking at least 3 weeks before the date of surgery to accelerate the post-operative recovery and minimize the surgical risks. The patient should also stop taking blood-thinning drugs such as aspirin before the operation.

Surgical Process

Septoplasty can be performed under general or local anesthesia, depending on the technique used in the operation. Today, general anesthesia, as a more modern technique, is often preferred to local anesthesia techniques that were widely used in the past. We, like many others, prefer the general anesthesia technique, because it highly increases the comfort of our valued patients, in particular.

In the operation, a small incision is made on the columella to access the internal tissues and the excess bone tissue is removed through this incision. If there are no serious problems in the cartilage tissues, they are corrected inside the nose and then the operation is completed. If the structural problems in the cartilage tissues are so serious that they cannot be operated inside the nose, it is possible to reshape the cartilage tissues outside the nose, and then place them back.

If the nasal deviation is not related to the internal structures alone, and if there is also a bone deviation at the outside, the technique called the “open technique” is used, in which the operation is performed after lifting the skin of the nose from the bone and cartilage. Septoplasty operations take approximately 1 hour. It is usually possible to be discharged from the hospital the next day after the operation.

Postoperative Period

Protection of the nose from blows and traumas is one of the most important things to care about after the operation. Taking a blow to the nose during the bone healing process may adversely affect the success of the operation, and it may also cause the recurrence of the deviation. If problems such as excessive bleeding, confusion, bad odor, inflammatory discharge, and extreme pain are experienced after the operation, it is necessary to consult the physician without delay.

Until the removal of the nasal packing, a pink-colored watery nasal discharge may leak from the edges of the nasal packing, and may also be felt as post-nasal drainage. This is normal and will end after the removal of the nasal packing. Nasal packing that is not self-dissolving are removed after1 to 3 days. No swelling or bruising is observed on the face. After the removal of the nasal packing, it is possible to return to work. Full recovery takes 3 to 6 weeks on average.

Septoplasty Prices

The price of septoplasty operations vary depending on the experience of the surgeon who will perform the procedure, the clinical environment where the operation will be done, and the quality of the materials that will be used in the operation. You can call our clinic to get detailed information and  make an appointment.