Septoplasty

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Septoplasty is a procedure performed by our highly skilled sub-specialty trained physicians to address a deviated nasal septum. This procedure involves carefully elevating the mucosal lining that overlies the bone and cartilage of the septum and removing the deviated (crooked) portions that are obstructing the patient’s nasal breathing. In some cases, the cartilage removed can be reshaped/straightened and replaced to help maintain the septum’s strength. Care is taken to only manipulate the portions of the septum that do not provide the support for the external shape nose.

Traditionally, this procedure was performed by surgeons using a headlight and direct visualization. Given their vast experience with minimally invasive endoscopic techniques, our physicians perform endoscopic septoplasties that allow for much improved visualization. This allows them to address all deviations safely and achieve a more complete septoplasty.

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Septoplasty FAQs

I’m congested, does that mean I have a deviated septum?

Not necessarily. There are many things that can cause nasal congestion. It is our duty as sinus specialists to outline the reasons that are specific to you. This is often done with a diagnostic nasal endoscopy (hyperlink).

If I have a deviated septum, do I need a septoplasty?

Not necessarily. It’s important to remember there are many factors that can contribute to nasal congestion and each patient’s situation is unique. The nasal septum is just one piece of the puzzle. Furthermore, some patients report no symptoms despite having a deviated septum.

Can the septum be deviated to both sides?

Yes, one portion may be deviated to one side while another portion can be deviated in the other direction. This is sometimes referred to as an S-shaped septum and can occur during childhood development or due to nasal trauma.

If I’m breathing fine through my nose, does it matter that my septum is deviated?

It depends. A deviated septum can limit the space that is available for nasal breathing. This limitation can render a patient more susceptible to blockage due to inflammation from infection or allergies. A deviated septum can also block the regions where the sinuses empty. This can lead to more frequent and longer lasting sinus infections. Finally, the a deviated septum can cause turbulent airflow which can lead to excessive dryness of the nasal lining and subsequent bleeding or epistaxis (hyperlink). Thus, septoplasty may be recommended by our physicians for any one of the aforementioned reasons even if your nasal breathing is not affected.

If I have my septum fixed, can it become deviated again in the future?

While it is possible, it is extremely rare for the nasal septum to return to its deviated state without additional nasal trauma.

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