OP of a nasal septum curvature

introduction

The nasal septum curvature, which is also called septum deviation in technical language, is a deformation of the nasal septum. There are congenital nasal septum curvatures and those caused by trauma. Especially a very pronounced curvature can be very disturbing for those affected because it hinders the nasal breathing and can bring more complaints such as snoring, headaches and nosebleeds.

A nasal septum curve can only be corrected by surgery. This is usually done stationary. In some cases, however, outpatient procedures are also possible. In an operative correction of the nasal septum curvature, it is important that the result is both aesthetically satisfactory and that the function of the nose is not compromised by the surgery.

The operation is carried out in case of severe discomfort and a high level of suffering of the patient. The goal of surgery is to restore nasal breathing and to esthetically correct the outer and inner nasal artery. The complaints should no longer be present after the operation.

The following article deals with the operation of a nasal septum curve and explains interesting aspects, such as the surgical procedure and the risks.

indications

An indication, that is, a reason, for the operation is given only when a nasal septum distortion actually exists. If this is the case, there are several symptoms and clinical findings that justify surgery.

The following section provides an overview of important indications for surgery:

1. A permanent or intermittent obstruction of nasal breathing

2. Obstruction of nasal breathing with sequelae such as snoring, otitis media or mouth breathing;

3. Constant, difficult to stop nosebleeds (epistaxis);

4. Shape changes of the outer nose, which come about through the Nasenschewandwandkurkurung;

5. In addition, a tumor of the nose;

6. To improve respiratory therapy in obstructive sleep apnea;

Severe aesthetic impairment, even without a malfunction of the nose;

8. Malfunction of the nose, such as disturbance of the olfactory function, impaired voice

Course of the OP

There are many different special surgical techniques used to treat a nasal septum curvature. Individual surgical steps are adapted to the individual curvature.

In general, the operation is as follows: The surgery usually takes place under general anesthesia, which is explained in advance by an anesthesiologist. The surgical procedure itself also clarifies the treating surgeon in advance.

For straightening the nasal septum no externally visible cut is required, the access is usually via the nostrils. The surgeon works under the nasal mucosa and removes there parts of the cartilage and bone of the nasal septum. These bent parts are straightened and then returned to their correct position. Finally, two plastic sheets are inserted along the nasal septum to support and shed these.

Often, the nasal conchae are also reduced in size. Nasal turbinates are cavernous bodies in the nose. Since they are often enlarged in a nasal septum curvature and thus additionally limit the function of the nose, a reduction is often useful. This can be done, for example, with a laser or by means of electric current (electrocoagulation).

Furthermore, a piece of the mucosa or the bone can be removed.

Finally, the sections in the mucosa are closed with self-dissolving sutures. After the operation, the nasal cavity is filled with a so-called tamponade, which absorbs wound secretions and blood. In some cases, the tamponade can be dispensed with.

Outpatient treatment

As a rule, the operation of a nasal septum curve is performed in a hospital under general anesthesia. However, there are isolated cases where outpatient surgery can be performed. Whether this is possible, however, the doctor must clarify individually with the patient.

Prerequisite for an ambulatory implementation of the OP is an uncomplicated Nasenscheidwandverkrümmung. Furthermore, the patient must be in good health and have good home care for the days following surgery. Since the patient is not allowed to drive after the operation, he must be picked up by a person, for example a relative.

After the operation, a daily follow-up care should take place in the operations center, which must be easily accessible for the patient. Since a physical care after the operation is very important, the patient should not drive here, but would rather drive. In addition, it must be ensured that the patient arrives immediately in the event of an emergency.

Very old people or people with many diseases are therefore out of the question for an outpatient surgery.

Duration of surgery

As a rule, uncomplicated correction of nasal septum distortion takes about 30 to 40 minutes. The operation can take longer if it is a complicated curvature or, for example, other malpositions of the nose must be mitkorrigiert. In general, however, a duration of one hour is not exceeded. This is usually followed by a hospital stay of 4 to 5 days.

costs

The costs for the operation of a nasal septum curve are borne by the health insurance companies, if there is a functional impairment. This is, for example, impaired nasal breathing or secondary diseases such as sinus disease. Only cosmetic reasons can not be claimed by the health insurance, so that the costs themselves must be borne.

The cost of an operation is very different. For example, in-patient surgeries are more expensive than outpatient procedures. The costs are also dependent on the technology used and the surgical effort. An individual consultation is therefore most sensible. The post-treatments are also expensive, so that the costs can shoot up quickly in a private bill. An approximate estimate on a lower four-digit range appears to make sense.

risks

There are certain risks associated with nasal septum distortion surgery. The surgery may result in injury to nerves, blood vessels, soft tissues, cartilage and bones. Furthermore, an intolerance to the anesthetic agent is possible. Postoperatively bleeding, wound infections and a dry nasal mucosa may occur after surgery. In addition, there is a possibility that despite the operation, the functional and aesthetic result is not optimal.

Especially right after the operation, nasal breathing is obstructed. Headache, sensory disturbances of the nose, olfactory disturbances and a feeling of pressure are possible. Days and weeks after the operation bleeding of the septum (septum hematoma), a hole in the nasal septum (Septumperforation) with sinking of the nose back or an abscess can come. In general, however, the risks are limited in terms of physical protection and good aftercare.

In children, it should be noted that the nose can continue to grow after the operation. This can lead to changes in shape and, in the worst case, deformities. Therefore, it must be weighed carefully whether such a surgery makes sense in childhood and adolescence. As with any surgery, however, the following fact must be considered: Complications and risks are always possible. However, serious complications are rare.


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