Healing Time and Recovery Insights After Nasal Septoplasty Surgery - Otolaryngology

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Nasal septoplasty


Hello, doctor.
How long does it take for the wounds to heal after undergoing septoplasty? Why is my nose still somewhat congested two months after the surgery? A few days ago, I had a good cry due to emotional issues, and now my nose feels even more congested.
Is there a connection between the two? Will it heal on its own? Thank you!

LaLa, 20~29 year old female. Ask Date: 2011/10/14

Dr. Xu Jiazhen reply Otolaryngology


Hello! The septoplasty procedure performed due to nasal congestion can generally resolve most issues related to nasal obstruction.
However, a small percentage of patients experience nasal congestion due to allergies or chronic irritation, which may not respond as well to this surgery.
This can be addressed through revision surgery or medication.
Ultimately, when the surgeon performs the procedure, they aim to accommodate the needs of the majority.
If an individual has specific concerns, it is advisable to discuss them with the surgeon for potential improvements.
For instance, using a high-frequency radiofrequency knife to correct unsatisfactory areas is a feasible option.
However, I would recommend allowing yourself some time to adjust to the new physiological condition before making further considerations.
Thank you for your question.

Reply Date: 2011/10/14

More Info


After undergoing a nasal septoplasty, it's essential to understand the healing process and what to expect during recovery. Typically, the initial healing of the surgical site can take about 1 to 2 weeks, during which the majority of swelling and discomfort should subside. However, complete recovery, including the resolution of any residual nasal congestion, can take several weeks to months.

1. Healing Time: The surgical site generally heals within 10 to 14 days, but complete recovery can take up to 3 months or longer. During this time, it's common to experience some nasal congestion as the mucosal lining heals and adjusts. The nasal passages may feel stuffy or blocked due to swelling, which can persist even after the initial healing phase.

2. Residual Congestion: If you are experiencing nasal congestion two months post-surgery, it could be attributed to several factors. Post-operative swelling can take time to fully resolve, and the nasal mucosa may still be recovering from the trauma of surgery. Additionally, emotional stress, such as crying, can lead to temporary swelling of the nasal tissues, exacerbating feelings of congestion. The emotional response can trigger physiological changes, including increased mucus production and swelling, which may contribute to a feeling of increased nasal blockage.

3. Self-Healing: The body has a remarkable ability to heal itself, and in most cases, nasal congestion will improve as the tissues continue to heal. However, if symptoms persist or worsen, it is crucial to follow up with your surgeon or an ENT specialist. They can assess whether there are any complications, such as scar tissue formation or other issues that may be contributing to your symptoms.

4. Management of Symptoms: To aid in recovery and alleviate congestion, consider using saline nasal sprays or rinses to keep the nasal passages moist and help clear any mucus. Staying hydrated and using a humidifier can also be beneficial. If you experience significant discomfort or if the congestion does not improve, your doctor may recommend additional treatments or medications.

5. Follow-Up Care: Regular follow-up appointments with your surgeon are essential to monitor your healing progress. They can provide personalized advice based on your specific situation and help address any concerns you may have.

In conclusion, while some residual congestion and discomfort are normal after nasal septoplasty, it's essential to monitor your symptoms and communicate with your healthcare provider. They can provide guidance tailored to your recovery and ensure that any complications are addressed promptly. Remember, patience is key during the healing process, and most patients see significant improvement as time goes on.

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