Septoplasty: Your Questions Answered on Surgery and Recovery - Otolaryngology

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Consultation for Septoplasty Surgery


Hello Doctor, I recently underwent an examination and was diagnosed with sleep apnea, and it was determined that I have a severely deviated septum on one side, so surgery has been recommended.
However, I am a bit afraid of the surgery and have a few questions:
1.
What is the least painful and most recommended type of surgery? (Is it powered rotary knife, laser, radiofrequency, or something else?)
2.
Is the surgery time-consuming?
3.
Will I need to be hospitalized?
4.
What are the possible complications? (Is there a risk of frequent nosebleeds? Damage to the nasal mucosa?)
5.
Will the septum likely not deviate again?
Thank you, Doctor, and I appreciate your guidance.

Ben, 40~49 year old female. Ask Date: 2022/03/10

Dr. Zheng Jueyi reply Otolaryngology


Hello, the details of the surgery may vary depending on the procedures of each hospital and the preferences of each physician.
For related questions, it is advisable to consult directly with the surgeon for more accurate information.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2022/03/10

More Info


Understanding Septoplasty: Your Questions Answered on Surgery and Recovery
Dear Patient,
Thank you for reaching out with your questions regarding septoplasty, especially in the context of your diagnosis of obstructive sleep apnea due to a deviated septum. It’s completely normal to feel apprehensive about surgery, and I’m here to provide you with the information you need to make an informed decision.

1. Types of Surgery: The most common surgical procedure for correcting a deviated septum is septoplasty. While there are various techniques, including powered instruments, laser surgery, and radiofrequency ablation, the choice of technique often depends on the surgeon's expertise and the specific anatomy of your nasal passages. Generally, traditional septoplasty is effective and widely performed. The use of powered instruments can enhance precision, but the pain levels are typically similar across techniques. Most patients report manageable discomfort post-surgery, which can be controlled with medication.

2. Surgery Duration: The duration of a septoplasty can vary, but it typically lasts between 30 minutes to 1 hour. This can depend on the complexity of your case and whether any additional procedures (like turbinate reduction) are performed simultaneously.
3. Hospital Stay: In most cases, septoplasty is performed as an outpatient procedure, meaning you can go home the same day. However, if you have other health concerns or if the surgery is more complex, an overnight stay may be recommended. Your surgeon will provide guidance based on your specific situation.

4. Possible Complications: As with any surgery, there are potential risks and complications. Common issues include:
- Nasal Bleeding: Some bleeding is expected post-surgery, but it usually resolves within a few days. If you experience excessive bleeding, you should contact your doctor.

- Nasal Mucosa Damage: There is a risk of damage to the nasal lining, which can lead to crusting or dryness. Your surgeon will provide post-operative care instructions to minimize this risk.

- Septal Perforation: In rare cases, a hole can develop in the septum, which may require further treatment.

- Persistent Symptoms: Some patients may still experience nasal obstruction or other symptoms after surgery, necessitating additional interventions.

5. Recurrence of Deviation: After a successful septoplasty, the septum should remain straighter. However, factors such as trauma or certain medical conditions can potentially lead to a recurrence of deviation. It’s important to follow post-operative care instructions and attend follow-up appointments to monitor your recovery.

In conclusion, septoplasty is a common and generally safe procedure that can significantly improve your quality of life, especially if you are experiencing breathing difficulties due to a deviated septum. It’s essential to discuss all your concerns with your surgeon, who can provide personalized advice based on your health history and specific needs.
Please feel free to reach out if you have more questions or need further clarification. Your health and comfort are our top priorities.

Best wishes for your upcoming surgery and recovery!
Sincerely,
Doctor Q&A Teams

[Your Contact Information]

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