Why there is a curvature of the nasal septum, surgery, treatment. Rehabilitation after surgery on the nasal septum

The nasal septum consists of two halves that separate the nasal cavity. The plate consists of bone and cartilage parts. According to statistics, only 5% of people have a perfectly even nasal septum. Therefore, the operation to straighten the nasal septum is one of the most common ENT operations.

Causes of deviated septum

There are several reasons why a deviated septum occurs. Such reasons include the following:

Physiological. Curvature can occur during the growth of the organism. So, the bone part in its development may lag behind the cartilage. Small processes may also develop at the border of bone and cartilage.
Compensatory. The nasal septum can move to the side due to the fact that something is pressing on one of the sides. Polyps or hypertrophied nasal conchas can exert pressure.
Nose injury. It does not have to be a fracture, the curvature can also occur from a severe bruise. Especially if the bruise was received by a child or teenager. Often, nasal injuries occur in boys.

Indications for the operation

The following symptoms may indicate that an operation should be performed:

A slight curvature of the nasal septum is present in many people, but if it does not bring discomfort, then you can not carry out the intervention.

Varieties of septoplasty

Straightening of the nasal septum can be done in several ways.

Classic plastic technique

Performing a septoplasty in the classical way takes about 60 minutes. The procedure can be performed using combined, local or general anesthesia.

In order for the operation to go without complications, you should properly prepare for it. Pay attention to the following recommendations:

refuse food 12 hours before the correction;
2 weeks before septoplasty, reduce the amount of nicotine consumed to a minimum or stop smoking altogether;
immediately before the operation, it is forbidden to take drugs that thin the blood;
surgery can be carried out only 2 weeks after the end of the critical days.

A feature of the classical technique is that the operation is accompanied by profuse bleeding, and the procedure itself is carried out "blindly".

During the correction, the doctor dissects the nasal mucosa, the only way he can get to the septum. Further, all protruding particles and growths are removed. If the deformation is very strong, then the cartilage is drunk, straightened and inserted back. With a slight curvature, the correction is carried out directly in the nasal cavity.

Possible complications such as drooping of the nasal tip or nasal septum.

Bone or cartilage tissue is fixed using a special mesh, which is implanted directly under the mucous membrane. After a year, it resolves itself, so it does not need to be removed. Despite the fact that this technology has many disadvantages, it is carried out quite often.

Endoscopic Correction Procedure

This correction option is performed under local or general anesthesia. The operation is carried out in stationary conditions, and takes from an hour to two.

For the procedure, a special device is used - an endoscope. It is a thin film with fiber optics attached to the end. It is this optics that makes it possible to transmit an image to a monitor.

The algorithm for endoscopic surgery is as follows:

the doctor makes an incision inside the nose;
deformed parts of the bone and cartilage are removed;
the doctor inserts tampons into the nasal passage.

The doctor pulls out these tampons only the next day. Breathing through the nose will be normal only when the nasal cavity is completely healed.

Complications can be as follows:

Laser reshaping of the nasal septum

Local anesthesia is used for the operation. The procedure is performed on an outpatient basis and takes from 20 to 30 minutes. Laser correction method is used to correct a small deformity. The main advantage of this technique is the absence of blood loss and edema. Seams in this case are not superimposed.

Rehabilitation after surgery is almost painless. To minimize the risk of deformity and bleeding, it is recommended to install tight tampons.

The laser procedure has many advantages, but it also has its contraindications. This technique is the safest and most painless. The main disadvantage of the procedure is the high cost.

Radio wave alignment technique

This is one of the most gentle surgical procedures. For the procedure, the Surgitron apparatus and a video endoscope are used.

The process of leveling the nasal septum in this way lasts about an hour, depending on the degree of deformity. During the procedure, only the deformed parts of the septum are removed, so there is a chance to avoid scars.

The postoperative period does not last long. After correction in the hospital, you should stay for 3 days.

Ultrasonic change technology

This technology is used if the change in the nasal septum is small. The essence of the technique lies in the fact that the bone of the septum is exposed to high-energy ultrasound. The recovery period is short.

General features of surgery

Before performing surgery, the doctor prescribes a list of examinations and tests. They are often the same for any type of septoplasty. So, the doctor prescribes the following examinations and tests:

electrocardiogram;
fluorography;
blood test for hepatitis, syphilis and HIV;
biochemical analysis;
consultation with an otolaryngologist;
blood clotting test.

Septoplasty consists of several stages. The first stage is to prepare for surgery and choose the type of anesthesia. Now, in most cases, local anesthesia is used, but for special indications, general anesthesia can be used. The second stage is the actual operation to correct the septum. The third stage is rehabilitation.

Postoperative complications

Often the rehabilitation period passes without complications. However, this is still a surgical intervention, so the risk of complications cannot be ruled out, since any operation is a certain risk.

Complications can manifest themselves in the form of bleeding and infectious diseases that can develop against their background. The risk of bleeding may increase if the patient is taking medications that were prescribed before the operation. Therefore, if you are taking medications that have been prescribed by another doctor, you should consult with a specialist who performs the correction.

Before performing nasal septum alignment surgery, stop taking antibiotics, and you should also start taking drugs that help prevent vascular fragility.

Smoking can create problems during recovery, so until the tissues have healed, such a bad habit should be abandoned.

To minimize the likelihood of complications, you should carefully follow all the doctor's recommendations. Only in this way the recovery period will be quick and as painless as possible.

In rare cases, deformation of the shape of the external nose may occur. Another complication is nerve damage. The overall percentage of complications after such a correction is minimal.

rehabilitation period

Often the recovery period after surgery is smooth and painless. On the first day, the patient walks with special tight tampons. They help reduce the risk of bleeding, and they also fix the normal position of the septum. Therefore, during recovery, you should breathe through your nose.

Some clinics use state-of-the-art silicone tampons, which not only prevent bleeding, but also do not impede breathing. Normal breathing through the nose is possible due to the fact that such tampons have no filling inside. During the removal of tampons, a person does not feel discomfort and pain.

During the rehabilitation period, you should carefully follow all the doctor's recommendations regarding hot drinks, water procedures, smoking and exercise.

To alleviate the condition during rehabilitation, the doctor may prescribe antipyretic and pain medications. In some cases, the doctor may prescribe drips or injections of antibiotics.

After removing the tampons from the nasal cavity, special moisturizing nasal drops should be used. As the nasal passages are cleared, the mucous membrane is gradually restored, and the incisions heal.

Nasal breathing is completely normal only a few weeks after the operation. If the correction was carried out with a laser, then the recovery process will be much faster. The laser even during the operation washes down the edges of all incisions, and also disinfects them well. Therefore, during recovery from laser surgery, tampons are not inserted.

If the patient has chronic and allergic rhinitis, then relapses may occur during recovery. Therefore, the doctor may prescribe additional medications.

Performance after the correction is returned already in 8-10 days. There is practically no external bruising and swelling after such a procedure.

As a result, it should be noted that there are many options for performing an operation to correct the nasal septum. The most painless and fastest way to eliminate the deformity is a laser procedure, but it is expensive. Therefore, most patients resort to the classical technique.

It is well known that the human body can obtain the oxygen it needs in only two possible ways: by inhalation through the oral or nasal cavity. Although nature has provided us with such a choice, breathing through the nose is still the most physiologically attractive.

This is how, passing through the nasal cavity, the inhaled air becomes the safest for the body.

The nose serves as a kind of filter, on the mucous walls of which approximately 80% of dust particles and various microorganisms that are in the inhaled air settle. Passing through the nasal passages, the air is warmed, approaching the normal temperature of the human body, and moistened.

But in some cases, breathing through the nose can be very difficult, and in some cases completely inaccessible.

There may be several reasons:

Allergic reactions to one or more irritants, expressed in swelling of the nasal passages, preventing the free passage of air through them.
Infectious diseases are leaders among the causes of difficulty in nasal breathing. Reproducing in the nasal cavity, pathogens cause swelling of the mucous membranes, narrowing the gaps in the airways.
Foreign bodies in the nasal cavity. These include both buttons, balls, peas, designer parts and other small objects that are mostly stuffed into their noses by children, as well as various neoplasms, such as tumors, growths or polyps.
Physiological reasons. There are often two reasons for worsening nasal breathing in this case:
1. Problems with the mucosa may be due to its underdevelopment, for example, in premature babies or children in the first months of life. Also, a depressed mucosa can be the result of the abuse of vasoconstrictor drugs. In all these cases, nasal breathing is extremely difficult and causes many inconveniences.
2. Anatomical deformations of the structures of the nasal cavity. The most common problem in this case is the problem of a deviated nasal septum. It is worth noting that people with such a diagnosis in most cases are prescribed an operation to correct the nasal septum, which helps to improve the quality of life of the patient.

A deviated nasal septum provokes the development of a variety of symptoms, which can cause an appeal to an otolaryngologist. After conducting an appropriate examination and interviewing the patient, the doctor will be able to answer the question of whether the nasal septum is really curved and decide whether an operation to correct the nasal septum is required in this case.

One or more of the following pronounced symptoms may be considered indications for surgery to correct the nasal septum:

Periodic unsubstantiated nosebleeds.
Sensation of dryness in the nasal cavity, periodically accompanied by a feeling of tightness.
Injuries that have led to a change in the shape or symmetry of the nose. Often, it is due to injuries that the cartilage and bones of the nose that make up the nasal septum radically change their position. Repositioning of the nose not carried out in time is fraught with incorrect fusion of the septum and, as a result, difficulty in nasal breathing. Such cases are a direct indication for the direction of the patient for surgery to correct the nasal septum.
Snoring often accompanies a person who has a deviated nasal septum, as it interferes with the free flow of air during breathing.
Inflammatory processes of the mucous surfaces and sinuses of the nasal cavity, chronic runny nose. Among them are the most familiar to all diseases, such as sinusitis, pansinusitis and sinusitis. Their occurrence is associated with difficulty in the outflow of rejected mucous membranes, and in case of inflammation and purulent discharge due to the obstruction of the nasal passages, which arose as a result of difficult, non-physiological breathing in the presence of a deviated nasal septum.
Difficulty in nasal breathing can occur on either side of the nose, or include both nasal passages. More often, difficult passage of air is observed on the side from which the cartilage is most deformed. If a person's nasal cavity is large enough, then the diagnosis made to him at the appointment with an otolaryngologist can come as a big surprise.
Frequently repeated rhinitis allergic reactions, accompanied by sneezing, irritation of the nasal cavity, mucous discharge, absence or severe difficulty in nasal breathing.

All of the above symptoms often accompany a deviated nasal septum, which is an indication for septoplasty.

Septoplasty is an operation to correct the nasal septum, during which the doctor aligns the deformed nasal septum with the help of surgical intervention. In this case, the correction is carried out with the fullest possible preservation of the bone and cartilage structure of the septum.

Many people, due to fear, simply cannot decide on an operation to correct the nasal septum. Suffering from constant breathing problems, headaches, bleeding and runny nose, they nevertheless avoid any intervention in every possible way.

Those who are still tired of everyday problems with nasal breathing, but still have not decided to trust the specialists, are advised to read the reviews of patients who have undergone surgery to correct the nasal septum. Overwhelmingly, they describe how their life has changed for the better after the operation. Many of them note that for the first time in years they got rid of persistent nasal congestion, smells again, got rid of already habitual snoring and much more.

Also, a person who decides on septoplasty is faced with the question of choosing a medical institution. Someone prefers public hospitals, where, according to the testimony of a doctor, surgery is performed free of charge, relying on many years of experience and high qualifications of surgeons. And someone prefers private clinics, where the patient can be provided with greater comfort and attention of the staff.

The cost of nasal septum correction surgery in private clinics depends on the country and city in which it will be performed, the medical equipment of the hospital and the qualifications of the medical staff, the type of anesthesia and methods of surgical intervention, as well as additional services chosen by the patient.

The very same operation to correct the nasal septum in the territory of the Russian Federation will cost the patient the following amount:

In Rostov-on-Don, from 17,000 to 25,000 rubles.
In Surgut, the same operation will cost an average of 19,000 rubles.
In Vladimir, you will have to pay for it from 30,000 to 37,000 rubles.
In Moscow, about 40,000 rubles.

In Ukraine, prices are slightly different from Russian ones. So, in Kyiv, an operation to correct the nasal septum will average 7025 hryvnia.

Types of operations to straighten the nose

Since only 5% of people have a perfectly even nasal septum, located in the place provided by nature, it is not surprising that nasal septum surgery is quite common.

The septum of the nose is curved on one or both sides. Curvature are C-shaped and S-shaped, can be located in the front or back of the nose. The nasal septum can not only bend in different directions, it can also be shifted away from the center. In particularly difficult cases, the curvature of the nasal septum can combine various types of defects.

So how is nose and septum alignment surgery performed? In fact, there are several ways to achieve what you want. With each method, surgical access is obtained endoscopically, through the nasal cavity, which excludes cuts on the skin and, accordingly, subsequent scars and scars.

At the beginning of the operation on the nasal septum, the surgeon lubricates the patient's nasal cavity with a special vasoconstrictor solution. This not only reduces blood loss, but also increases the lumen of the nasal passages, which also facilitates access to the problem area to be corrected. After that, the doctor separates the cartilage plate from the outer shells.

Depending on each specific case, the surgeon may:

Carry out resection (cutting off) of the curved part of the cartilage.
Remove the entire deviated cartilaginous septum. Give it an ideal shape and place it back, securing it between the perichondrium flaps and the nasal mucosa with the help of typed connecting sutures.
In some cases, the partition itself can be absolutely even, but at the same time displaced in any direction relative to the center. In this case, the surgeon at this stage of the operation to align the nose centers it and fixes it in a true harmonic position.

At this stage of the operation, the doctor may also perform additional surgical procedures, such as the removal of polyps or cysts, since the separation of operations can lead to complications.

Having brought the nasal septum into proper shape (usually it takes from fifteen minutes to one and a half hours), the surgeon fixes it with tightly twisted turundas - gauze tourniquets, plugging the patient's nasal passages with them.

In some cases, silicone nasal splints equipped with tubes are used for this purpose, through which the patient can breathe immediately after the operation on the nasal septum.

These turundas and splints play the role of a kind of framework that holds the nasal septum in the correct position, allowing it to take root much faster in the corrected state. This support is needed for two days. After this time, the turundas are removed. After half a month, the patient can return to his usual way of life and go to work. The only thing he needs to remember is the ban on lifting weights and excessive physical activity for a month after surgery.

Along with classical surgical interventions, modern medicine also practices operations on the nasal septum, performed using a laser.

However, this type of surgery is only suitable for minor adjustments of the nasal septum in the area of the cartilage. Using a laser, the curved, deformed part of the septum is heated and instantly fixed in the desired position using silicone or gauze swabs. The entire operation takes only twenty minutes and can be performed under local anesthesia.

Also, a great advantage of this procedure is the extremely low blood loss and the high probability of non-development of inflammatory processes in the postoperative period, since when the laser beam comes into contact with the tissues, any wounds seem to “solder” themselves due to coagulation.

Reimplantation- another type of nose alignment surgery. This method is based on the restoration of an unrepairable septum by cartilage grafting. The donor material can be either the human nasal cartilage itself, collected literally piece by piece, or its own cartilage tissues taken from other places. In most cases, the required material is taken from the patient's ear, much less often it is necessary to resort to the removal of cartilage tissue from the lower ribs.

Septorhinoplasty called a paired operation in the nose area, designed not only to correct the nasal septum of a person, but also to cosmetically improve the patient's appearance (reduction, increase, correction of a sagging back, hump or asymmetry of the nose) using plastic surgery.

Ultrasonic cristotomy performed endoscopically using an ultrasonic scalpel. When tissues are dissected by ultrasound, damaged capillaries are instantly baked and clogged at the site of dissection. This serves as a guarantee of low blood loss and blocks access to infections. This type of surgical intervention is most often used in complex operations, when a large number of various deformities need to be corrected.

Comb in the nose: surgery as a way to get rid of

During growth, the human body develops unevenly. Bones and cartilage grow at different rates. One of the consequences of this unevenness can be the formation of ridges and spikes in the nasal cavity, which leads to difficulty in nasal breathing and many other problems.

Also, some traumatic impacts, such as a broken nose or a strong blow, can lead to the development of a ridge in the nose. The operation in such cases will help to correct the current situation and return natural physiological nasal breathing to normal.

To remove the ridge in the nose, the operation of ultrasonic cristotomy or laser removal is most suitable.

Resection of the nasal septum - pros and cons

Resection of the nasal septum is a special type of surgical intervention. A classic for just over two hundred years, this type of surgery is still ubiquitous, although it has many drawbacks, especially when compared to some of the more modern types of surgery.

From the very name of the operation (resection from the Latin “cutting off”), we can conclude that it removes a significant part of the nasal septum.

Submucosal resection of the nasal septum is quite simple in its execution.

Under general anesthesia, the patient undergoes a dissection of the mucosa in the anterior part of the nasal septum from top to bottom and forward.
As a result, the perichondrium, together with the mucous membrane, should completely separate from the cartilage.
It is important to check the depth of the incision on both sides to avoid mucosal tears.
Next, the cartilage wall is almost completely removed. The surgeon leaves only its upper part.
The bone septum is also destroyed and removed.
As a result, the corrected nasal septum consists of the upper remnant of the cartilaginous septum, two flaps of the mucous membrane, periosteum and perichondrium.
The surgeon, carefully connecting the restored septum, fixes the result with tight turundas without suturing.

The resection of the nasal septum itself does not take much time. The simplicity and affordability of the correction, which does not require expensive equipment, makes this type of treatment available in any public hospital free of charge.

It should be realized that with all the simplicity of this type of surgical intervention, there are certain risks and disadvantages:

You should be extremely careful with the nose in the time following the operation, as the septum becomes quite weak, mobile and subject to external influences.
Having almost completely removed the bone-cartilaginous frame of the nose, a person may suffer from a change in its shape, in particular from a saddle-shaped retraction of the back of the nose.
The processes of cellular nutrition of the mucous membranes in the case of resection of the nasal septum are severely disturbed, which leads to disruption of the functions of these tissues and causes dryness and periodic itching.
The postoperative period for resection of the nasal septum is 14-18 days. In case of complications, the attending physician can extend the rehabilitation.

A deviated septum is a very common condition. In fact, a perfectly flat nasal septum is a big exception. But its deformities are not always regarded as a pathology and in most cases do not need treatment.

If the curvature of the nasal septum is expressed strongly enough, then it can lead to a number of complications. In this case, they say about the presence of the disease. Treatment by an otorhinolaryngologist (ENT doctor) is indicated.

According to statistics, the curvature of the nasal septum practically does not occur in childhood. The peak of detection occurs in adolescents aged 13-18 years - a period when there is a rapid growth of the body.

nose anatomy

nasal cavity- the beginning of the respiratory system. Once in the nasal cavity, the air then enters the nasopharynx, from there - into the larynx, trachea, bronchial system, and, finally, into the pulmonary alveoli, where gas exchange occurs between air and blood.

The structure of the nose:

nostrils- inlets through which air enters the nasal cavity;
elementary department of the nasal cavity - a space that is divided into the right and left halves by a vertical nasal septum;
nasal passages - located posterior to the initial section of the nasal cavity, there are lower, middle and upper nasal passages, which are respectively limited to the upper, middle and lower nasal concha;
choanae - two openings through which the nasal cavity communicates with the nasopharynx.

The walls of the nasal cavity:

Anterior superior wall formed by the bones of the skull (process of the upper jaw, nasal bones) and nasal cartilages.
Inferior wall - floor of the nasal cavity, - formed by the palatine processes of the upper jaws (hard, or bone, palate), as well as the soft palate.
Lateral walls of the nasal cavity formed mainly by the ethmoid bone.
Nasal septum, which divides the nasal cavity in half, is formed in the back by the vomer, and in the front by cartilage.

The inside of the nasal cavity is lined mucous membrane. It is richly supplied with blood and secretes a large amount of mucus. In the region of the upper nasal passage in the mucosa there are many sensitive nerve receptors - this region is called the olfactory region.

nasal turbinates- bone formations that are located in the back of the nasal cavity and divide it into three nasal passages - upper, middle and lower. The superior and middle nasal conchas are processes of the ethmoid bone. The inferior nasal concha is an independent small bone.

The nasal passages communicate with the paranasal sinuses:

superior nasal passage communicates with the posterior ethmoid sinuses and the sinus located in the sphenoid bone.
middle nasal passage communicates with the anterior and middle ethmoid sinuses, with the maxillary sinuses (sinuses located in the bodies of the maxillary bones).

In the ethmoid bone there are many small cavities - sinuses, which are usually divided into three groups: posterior, middle and anterior.

The sphenoid bone is located at the base of the skull and is practically invisible from the outside. She has a body in the form of a cube, from which "wings" extend to the sides. Inside the body is an air cavity - the sphenoid sinus.

Functions of the nasal cavity:

conduction of air into the nasopharynx and larynx;
moistening the air with the secretion of glands located in the mucous membrane;
warming the air flow - the venous plexus located under the mucosa is responsible for this function;
protection of the respiratory tract from mechanical irritants: hairs and mucus in the nose trap dust particles and bring them out;
protection against infection: nasal mucus traps pathogens and removes them from the nasal cavity, has bactericidal qualities;
The olfactory region of the nasal cavity is responsible for the reception (perception) of odors.

The main function of the nasal septum is the correct distribution of air flows between the right and left halves of the nasal cavity. The significance of this mechanism was established in a series of studies using magnetic resonance imaging and computed tomography.

The nasal septum divides the inhaled air into two equal streams, which ensures their linear movement along the respiratory tract. Optimal conditions are achieved for the nasal cavity to perform its functions (warming, cleansing, humidifying the air). If the configuration of the nasal septum is violated, these functions are also violated.

In a newborn baby, the nasal septum is always straight and even. It is still difficult to distinguish between the bone and cartilaginous parts in it: almost all of it is cartilage, in which there are several foci of ossification. Gradually, they turn into bones and grow together. Violation of this process leads to the occurrence of curvature of the nasal septum. The initial causes of emerging violations are not always possible to accurately establish.

Causes of deviated septum

Classification of the causes of the curvature of the nasal septum

Physiological causes: associated with heredity and dysplasia of the skull bones.	Traumatic causes	Compensatory reasons: the nasal septum is deformed due to the presence of other pathological formations in the nasal cavity.***
Uneven growth of the skull. The human skull consists of the facial and cerebral sections. The facial skull is formed from the upper and lower jaws, zygomatic, palatine bones, etc. The medulla of the skull is represented by the frontal, temporal, parietal, occipital, ethmoid, and sphenoid bones. If uneven growth of the facial and cerebral parts of the skull is noted, then the dimensions of the nasal cavity also change. It becomes "cramped" for the nasal septum. As a result, the latter has to bend.	According to statistics, deviated septum is more common in teenage boys and men. This is the contingent among which injuries of the skull and face are most common. As a result of a strong blow, the nasal bones are displaced. It can lead to curvature of the nasal septum, even if it is minor. The most severe deformities are caused by improper fusion of the bones of the nose after a fracture.	Hypertrophy(overdevelopment) of one of the turbinates. The enlarged shell puts pressure on the nasal septum and causes it to shift.
Uneven growth of the skull. The human skull consists of the facial and cerebral sections. The facial skull is formed from the upper and lower jaws, zygomatic, palatine bones, etc. The medulla of the skull is the frontal, temporal, parietal, occipital, ethmoid, sphenoid bones. If uneven growth of the facial and cerebral parts of the skull is noted, then the dimensions of the nasal cavity also change. It becomes "cramped" for the nasal septum. As a result, the latter has to bend.		Polyps and tumors of the nasal mucosa. If they reach a sufficiently large size, they disrupt the breathing of one nostril. Deforming, the nasal septum tries to compensate for this condition.
Excessive development of the rudiment of Jacobson's organ. This cause of the curvature of the nasal septum is extremely rare. Jacobson's organ is developed in reptiles, which, with the help of it, are able to literally “taste the air”. A person has only its rudiment, represented by a cluster of nerve formations behind the olfactory region. If this rudiment is developed excessively, then it limits the space for the growth of the nasal septum, a curvature occurs.		Persistent stuffiness of one side of the nose. The curvature of the nasal septum in this case is an attempt to adapt to breathing through one nostril, to make it more complete.

*** In this case, it is often difficult to figure out whether the violation of nasal breathing is the cause of the curvature of the nasal septum, or its consequence.

Disorders that occur when the nasal septum is deviated

Difficulty in nasal breathing

Pathological mechanisms that lead to difficulty in nasal breathing when the nasal septum is deviated:

Narrowing of the nasal passage on the side of the convexity of the septum. A decrease in the volume of space on one side leads to difficulty in passing the air flow up to the complete inability to breathe through one nostril.
Violation of air dynamics inside the nasal cavity. Normally, during inhalation, the air in the nose rises and passes through the middle and partially upper nasal passage. During exhalation, it goes into the lower nasal passage. With a curvature of the nasal septum, a violation of the air flow even through one nasal passage leads to difficulty breathing. Despite the fact that the other two nasal passages on the same side may have a normal lumen.
Narrowing of the nasal passage and respiratory failure on the side of the concavity of the deformed nasal septum. Often, the symptoms here are even more pronounced than on the side of the bulge. As a result of the expansion of the nasal passage, compensatory hypertrophy (growth) of the turbinates occurs. Over time, they become so large that they begin to make breathing difficult.
The reaction of nerve endings (receptors) of the mucous membrane of the nasal cavity. Normally, the air flow in the nose is uniform. When the nasal septum is deviated, turbulence occurs in it. They irritate sensitive receptors located in the mucous membrane. A reflex protective reaction occurs: the vessels of the mucosa expand, its edema occurs, and a large amount of mucus is released.
Suction of the wing of the nose to the septum. This is often noted in the curvature of the septum in the front. The wing of the nose constantly adjoins the septum tightly, as a result, the passage of air is sharply hampered.

Changes in the nasal mucosa

Normally, the mucous membrane of the nasal cavity produces a certain amount of mucus, which moisturizes the air and performs protective functions. On the surface of epithelial cells are cilia. They constantly make movements, thanks to which dust and other small particles are removed from the nose.

As a result of turbulence, the air in the nasal cavity constantly hits the mucous membrane in a certain place. Here it thickens, epithelial cells lose cilia. Protective functions are violated, the process of cleansing the mucosa from foreign particles and mucus. The secreted mucus dries up, forming crusts.

The mucous membrane of the nasal cavity becomes more vulnerable to pathogens.
Rhinitis develops - runny nose, constant nasal congestion.

Oxygen starvation of organs and tissues

The supply of sufficient oxygen to the lungs and blood largely depends on how free nasal breathing is. When the nasal septum is deviated, gas exchange in the pulmonary alveoli is disturbed. There is a general oxygen starvation of the body.

Mouth breathing

Nasal breathing for humans is the only normal. If it is violated as a result of the curvature of the nasal septum, oral breathing is activated. It is inferior in many respects.

Disadvantages of mouth breathing:

Not moistened and not warmed air enters the lungs: as a result, gas exchange in the alveoli is not carried out as efficiently as during nasal breathing. Less oxygen enters the blood.
The protective properties of nasal mucus are switched off from work. The likelihood of developing a respiratory infection increases.
Mouth breathing can eventually lead to adenoiditis - inflammation of the pharyngeal tonsil.

Nerve disorders

With the curvature of the nasal septum, constant irritation of the nasal mucosa occurs. This leads to complications that are reflex in nature.

Reflex disorders in the curvature of the nasal septum:

Bronchial asthma- there is a kind of disease, the main cause of which is a neuropsychic imbalance.
spasms of the larynx, manifested in the form of short attacks of suffocation.
Convulsive epileptic seizures.
Reflex sneezing and coughing.
Dysmenorrhea in women- Violation of the frequency and duration of menstruation.
Disorders of the eyes, heart and other organs.

Violations from neighboring organs

Eustachian tube and middle ear disorders. The nasal cavity passes into the nasopharynx, on the mucous membrane of which there are pharyngeal openings of the auditory, or Eustachian, tubes on the right and left. The Eustachian tube connects the nasopharynx with the middle ear cavity (the tympanic cavity, which contains the auditory bones: anvil, stirrup, hammer). A chronic inflammatory process as a result of the curvature of the nasal septum leads to the fact that mucus and infectious agents can enter the auditory tube and tympanic cavity.
Inflammation of the paranasal sinuses - sinusitis. A direct connection between the curvature of the nasal septum and the development of inflammatory processes in the paranasal sinuses has been proven. Such patients often develop sinusitis (inflammation of the mucous membrane of the maxillary or maxillary sinus) and frontal sinusitis (inflammation of the frontal sinus).
Inflammation of the lacrimal ducts and lacrimal sac. The tear that is produced by the lacrimal glands normally flows into the nasal cavity through the nasolacrimal canal. It can serve as a route for the spread of infection.

Types of curvature of the nasal septum:

deviated nasal septum
crest
a combination of two or three types of curvature

Varieties of the actual curvature of the nasal septum:

in vertical or horizontal plane
in the anterior or posterior part of the nasal septum
one-sided and two-sided
with the capture of the cartilaginous part of the septum (there are so-called dislocations of the cartilage when it is separated from the bone), the vertical plate of the ethmoid bone (forms the anterior part of the bony nasal septum) or the vomer (forms the back of the nasal septum)
S-shaped, C-shaped, in relation to the bone crest of the upper jaw.

More often there are curvature of the nasal septum in the anterior part. Less commonly, the coulter located behind is captured. The rear edge of the coulter is almost always exactly vertical.

Ridges and spikes are usually located on the upper or lower edge of the opener. They can have different lengths, they are directed in different directions. Sometimes they protrude into the mucous membrane on the opposite side. Most often, spikes and ridges consist only of bone tissue. Sometimes their tops can be represented by cartilage.

But even a slight curvature of the septum in the anterior part can create air turbulence, which then intensifies and significantly disrupts nasal breathing.

Symptoms of a deviated septum

Complaints that are presented at the doctor's appointment by patients with a deviated nasal septum:

Difficulty in nasal breathing. The symptom can be in varying degrees: from a slight violation to the complete inability to breathe through the nose (in this case, the patient breathes through the mouth). However, the absence of this complaint is not a sign that the curvature of the nasal septum is also absent. If the deformation occurred at a young age, then the body can compensate for it for some time. The patient does not complain of difficulty in nasal breathing. If the nasal cavity is large, then there are no difficulties either.
Chronic rhinitis - runny nose. It manifests itself in the form of nasal congestion, constant mucous secretions. Sometimes the patient does not go to the doctor for a long time, because he believes that he has frequent colds, and the whole point is to reduce immunity.
allergic reactions. The changes that occur in the nasal cavity as a result of the curvature of the nasal septum are always accompanied over time by a violation of local defense mechanisms and immunity. This is manifested not only in a decrease in resistance to infections, but also in the appearance of allergic reactions. Allergic rhinitis is a common problem among individuals with a deviated septum. Chronic rhinitis is betrayal- a condition against which bronchial asthma often develops. The patient complains to the doctor that nasal congestion and discharge occur mainly during contact with an allergen, for example, pollen from certain plants.
Headache. A spike, ridge, or deviated nasal septum may come into contact with the nasal mucosa and exert pressure on it. Constant irritation of nerve receptors leads to the development of reflex headaches.
Dryness in the nose, discomfort and discomfort during nasal breathing. A symptom that develops as a result of prolonged irritation and inflammation in the nasal cavity.
Nosebleeds. They are also the result of irritation of the mucous membrane. On the side where there is a bulge on the nasal septum, the mucous membrane is very thinned. Even with a slight impact, it is easily damaged.
Snoring at night as a result of nasal obstruction.
Increased fatigue, decreased performance, decreased resistance to physical exertion. These symptoms are associated with impaired nasal breathing and insufficient oxygen supply to the blood from the lungs.
Frequent infections that occur with symptoms of acute respiratory infections (runny nose, cough, sneezing), fever.
Symptoms of chronic inflammation of the pharynx and larynx: perspiration, dryness and sore throat, cough.
Symptoms of inflammation in the middle ear: pain, hearing loss.
Violation of the shape of the nose. This symptom is typical for the curvature of the nasal septum of traumatic origin.
In severe cases, the patient and his relatives note periodic convulsive epileptic seizures, visual impairment, heart pain and increased blood pressure, shortness of breath and other symptoms. They can also be associated with deformities of the nasal septum.
Deterioration of memory, thinking, absent-mindedness. Schoolchildren with deviated nasal septum have reduced school performance over time.

Diagnostics of the curvature of the nasal septum

Diagnosis of curvature of the nasal septum by an ENT doctor includes an external examination, rhinoscopy, - the appointment of additional tests and laboratory tests.

Visual inspection

Assess the appearance of the patient's nose. With a traumatic curvature of the nasal septum, it is changed.

Nasal breathing is assessed separately for the right and left nostrils. The patient is asked to close the left nostril with a finger, and a piece of cotton wool or thread is brought to the right. Look at its oscillation during inhalation and exhalation. Then the manipulation is repeated for the left nostril.

To assess the sense of smell, one nostril is also clamped, and a piece of cotton wool soaked in a solution of an odorous substance is brought to the second. The patient is asked to take a breath and name the smell. Usually, when the nasal septum is deviated, the sense of smell is reduced, on one or both sides.

Rhinoscopy

Rhinoscopy– examination of the nasal cavity with the help of special tools.
There are anterior and posterior rhinoscopy. Anterior rhinoscopy is most commonly performed. Back - according to indications.

How is an anterior rhinoscopy performed?

Anterior rhinoscopy is performed using a special nasal dilator (see picture).
The doctor asks the patient to slightly raise his head, lifts his nose tip and inserts the instrument into the nostril. Using a button probe (see picture), the otolaryngologist can better examine the nasal cavity and assess the consistency of the formations inside.
Anterior rhinoscopy is performed separately for each nostril.

Disorders that can be distinguished from a deviated septum during anterior rhinoscopy:

polyps mucous membrane
hematomas- hemorrhages under the mucous membrane, which, reaching large sizes, can make nasal breathing difficult
tumors in the nasal cavity
abscess- an abscess.

If anterior rhinoscopy is difficult due to severe swelling of the nasal mucosa, the doctor first instills a 0.1% solution of adrenaline into the patient's nostrils. It constricts the blood vessels and makes the nostrils free for inspection.

How is posterior rhinoscopy performed?

Posterior rhinoscopy is an examination of the nasopharynx and nasal cavity from the choanal side. To do this, the doctor asks the patient to open his mouth, moves his tongue with a spatula and inserts a special mirror into the nasopharynx.

Additional instrumental studies in the curvature of the nasal septum

Study	Indications
Skull x-ray	assessment of the condition of the paranasal sinuses; detection of anomalies from the bones of the skull; identification of existing deformities after a nose injury.
CT scan	Identification of ridges and spikes that are located in the back of the nasal septum and are not visible during rhinoscopy.
Endoscopic examination of the nasal cavity It is carried out using a rhinoscope - a thin probe, at the end of which there is a miniature video camera. It is inserted into the nostril and pushed a little deeper. Most patients tolerate the study well. Local anesthesia of the nasal mucosa is performed using anesthetic sprays.	Identification of formations in the nasal cavity that are inaccessible for examination during anterior and posterior rhinoscopy.

Laboratory research methods for curvature of the nasal septum

Type of study	Purpose
General blood analysis	General clinical routine study, which allows you to identify signs of the inflammatory process.
Appointed only for special indications:
Bacteriological examination of nasal swabs and secreted mucus.	Identification of the infectious process and the appointment of rational antibiotic therapy.
Cytological examination of smears and mucus from the nose	Suspicion of an oncological process.
Allergy tests and immunological blood tests.	Deviation of the nasal septum, complicated by an allergic condition. Allergen detection.

Treatment of deviated septum

Deviated septum is treated surgically. The main type of surgery that is performed in most cases is septoplasty.

Indications for surgery for deformities of the nasal septum:

Obstruction of nasal breathing on one or both sides. Surgical intervention is absolutely indicated, provided that the difficulty in breathing is caused precisely by the deformation of the nasal septum.
Chronic rhinitis- inflammation of the nasal mucosa.
Otitis and eustachitis (inflammation of the middle ear and the auditory, or Eustachian, tube), the initial cause of which is a violation of the shape of the nasal septum.
Inflammation of the paranasal sinuses (sinusitis): sinusitis, ethmoiditis (inflammation of the cells of the ethmoid bone). Surgery is indicated if these complications are caused by a deviated septum.
Frequent recurring headaches.
External cosmetic defects. Sometimes, in rare cases, after fractures, the back of the nose is simultaneously aligned and septoplasty is performed.

Contraindications to septoplasty for deviated septum:

old age. With age, respiratory failure due to the curvature of the nasal septum is partially compensated. Therefore, the symptoms of the disease become less pronounced. In older people, atrophy of the nasal mucosa occurs, so the operation is difficult, the risk of complications is high.
Violation of blood clotting. For example, septoplasty is contraindicated in people with hemophilia.
Severe diseases of the cardiovascular system.
Diabetes.
Mental illness.
Malignant tumors.
severe infections.
The general serious condition of the patient.
For children and persons over 48 years of age, the operation can be performed, but the indications for it at this age are narrowed.

Preparation for septoplasty

The primary diagnosis of a deviated septum is usually established by an otolaryngologist in a clinic. If the doctor considers that surgical intervention is necessary, then he writes out a referral to the patient to the hospital.

In the emergency department, the patient is examined and the date of hospitalization is set. Prior to this, it is necessary to pass a standard set of tests. This can be done at a local clinic.

A couple of weeks before the upcoming operation, the patient should give up bad habits, avoid hypothermia and infections. It is necessary to cure bad teeth and eliminate other foci of inflammation in the body.

During the operation, a large amount of blood can be lost due to the fact that the nasal mucosa is richly supplied with blood. For women, it is better to plan the operation 2 weeks after menstruation.

An additional examination may be scheduled before the operation in the hospital. If the intervention is planned under general anesthesia, then on the day of the procedure, you should not eat or drink in the morning. In an hour, the patient is given premedication - medications are administered that help prepare the body for anesthesia.

Surgery for deviated nasal septum

Septoplasty(nasal septoplasty) can be performed under general or local anesthesia. In children, only general anesthesia is used. The patient is placed on the operating table in the supine position.

Surgical intervention does not involve incisions on the face - access is through the nostril. The surgeon dissects the mucous membrane, separates it from the nasal septum, makes a plastic surgery and sutures it.

After the operation, turundas (tampons) soaked in a solution of a hemostatic (hemostatic) drug are placed in the nose. The patient must wear them during the day.

Today, it is widely practiced to install silicone splints in the nose, which help the new septum to maintain the desired shape.

The curvature of the nasal septum in some cases is combined with the asymmetry of the ethmoid bone, a change in the shape and size of the turbinates. These disorders must also be corrected during the operation.

Endoscopic laser septoplasty

Modern technique of surgical correction of deviated nasal septum.

Advantages of laser septoplasty:

minimal tissue trauma;
blood loss during surgery is minimized;
the laser has antiseptic properties;
rehabilitation measures in the postoperative period are minimized.

Postoperative period

Within 1 - 2 days after surgery, the patient is forced to wear turundas in his nose. This causes discomfort, as nasal breathing becomes impossible during this time.

On the 2nd - 4th day, nasal breathing is restored completely.

After the operation, the otolaryngologist regularly examines the patient, removes dry crusts from the nose, rinses with saline or sea salt solution, and conducts a nasal shower.

If in the postoperative period the patient is concerned about pain, then analgesics (painkillers) are prescribed.

Antibiotic therapy is prescribed to prevent infectious complications.

After the patient is discharged from the hospital, he is observed for a month by an ENT doctor in the clinic.

The most common complications after septoplasty surgery:

formation of large hematomas(hemorrhage) under the mucous membrane;
nosebleeds;
perforation of the nasal septum- the formation of a hole, a defect in it;
submucosal abscess formation- abscess;
purulent sinusitis;
nose deformity- most often there is a retraction of his back as a result of the fact that the surgeon performed a resection of the septum too high.

Can a deviated septum be treated without surgery?

To combat the symptoms of complications of the curvature of the nasal septum, vasoconstrictor drops, antibiotics, sprays, and nasal lavages are used. These methods bring temporary relief, but they are not able to eliminate the cause of the problem. It is possible to get rid of it completely and prevent further progression only with the help of surgical intervention.

Is it possible to prevent deviated septum?

The causes of disruption of the growth of the nasal septum and its deformation can not always be identified. Therefore, at the moment there is no effective prevention of the disease.

How does a deviated septum manifest in children? What are the treatments?

Deviated septum is less common in children than in adults. However, this anatomical feature can seriously impair the child's breathing, causing oxygen starvation, and causing a delay in physical development.

Causes of deviated septum in children:

Injuries during childbirth;
Blow on one side of the nose;
Discrepancy between the growth rates of the bone and cartilage of the nose in adolescence.

Signs of pathology. Outwardly, the changes may not be visible and both sides of the nose appear symmetrical. On examination, the doctor discovers that the child has one side of the nose narrowed, and the air in it practically does not circulate. This is accompanied by swelling of the mucous membrane of the respiratory tract, which gradually loses its protective properties. Due to a decrease in local immunity, the child suffers from prolonged colds and otitis media.

Symptoms of a deviated septum in children:

Respiratory failure on the affected side. Parents note that periodically one nostril is completely blocked. In some cases, because of this, the child only sleeps on one side in order to optimize breathing.
Prolonged or chronic colds . Frequent sinusitis and sinusitis are associated with increased susceptibility of mucous membranes to infection. Hypertrophied (overgrown and thickened) mucosa is the basis for the formation of a polyp - an outgrowth that blocks the nasal passage.
Frequent tonsils (adenoids), which can cause snoring and coughing.
Headache - a sign that the central nervous system is deficient in oxygen.
Smell disturbance. It develops gradually and is associated with damage to sensitive receptors on the nasal mucosa.

Treatment of deviated septum in children. Not all children with a deviated nasal septum need treatment. Correction of the defect is necessary if the child's breathing is significantly impaired, and there is evidence that the curvature leads to frequent otitis media and sinusitis.

Conservative therapy(treatment without surgery for deviated septum) is the main focus in children under 15 years of age. Its purpose is to restore impaired breathing and the functions of the mucous membrane of the respiratory tract.

intranasal glucocorticosteroids (Mometasone, Fluticasone, Beclomethasone) eliminate allergic rhinitis and drug rhinitis caused by prolonged use of vasoconstrictor drops. Use once a day, preferably in the morning.
Cromons . Cromoglin - cromoglycic acid in the form of a spray is used to treat allergic rhinitis 4 times a day.
Antibacterial drugs (Isofra, Polidex, Bioparox) - topical application of antibiotics stops the growth and reproduction of bacteria on the mucous membrane and in the sinuses.
Sprays mucolytics - (Sinuforte, Rinofluimucil) are used to thin mucus and facilitate its removal from the sinuses.
Moisturizing sprays - (Salin, Aqua-Maris) moisturize the mucous membrane, cleanse it of microorganisms, and help strengthen local immunity.
Vasoconstrictor drops and sprays - (Naphthyzin, Farmazolin, Knoxprey). Narrow blood vessels, reducing swelling of the mucosa, restore nasal breathing. Drops reduce swelling of the tissues of the nose, increasing the lumen through which air passes.

Surgical treatment of deviated nasal septum in children. In childhood, they try to avoid surgery, fearing that it may affect the formation of the nose in the future. Doctors recommend postponing surgery until the age of 15-16. The earliest age of patients is 6 years. Surgery is resorted to when it is not possible to restore nasal breathing by other methods.

The operation is preceded by a thorough examination, blood and urine tests, X-ray or tomography, endoscopic examination, cardiography.

Choice of anesthesia depends on the age of the child and the extent of the operation. As a rule, children under 5 years of age need general anesthesia. For children of school age, the operation is performed under local anesthesia.

essence of the operation. The surgeon makes an incision inside the nose. On the one hand, it separates the mucous sheet from the cartilage. The cartilage itself is then separated from the bone and adjusted. If necessary, bone defects are corrected: spikes, growths, bone ridges, and a space is formed for cartilage installation. In conclusion, the surgeon returns the cartilage, perichondrium and mucous membrane to its place, after which it sutures the wound.

In some cases, when the cartilaginous part of the septum is thinned and unable to support the shape of the nose, there is a risk of subsidence of the nose or drooping of its tip. In this case, cartilage fragments are attached to a special polydioxane mesh, which serves as a support for them. The mesh is not felt by the patient and dissolves on its own after about a year. During this time, the cartilaginous septum restores its density and can independently maintain the shape of the nose.

The procedure itself lasts 30-45 minutes. It is quite unpleasant, but painless due to anesthesia. After the operation, you will have to spend 1-2 days in the hospital. At this time, the medical staff should make sure that the recovery is going according to plan, and there is no risk of complications.

Laser treatment of deviated septum. Due to the fact that in children the curvature mainly occurs in the cartilaginous part, the best option is endoscopic laser surgery. They are practically bloodless and less traumatic. The laser heats the cartilage to a temperature of 70 degrees, after which the cartilage becomes plastic, and it is aligned. Special tampons are inserted into the nasal passages, which give the septum the correct shape. However, this treatment has been practiced for only a few years, so there is no data on how heating can affect the condition of the cartilage in the future.

Another option for laser plastic surgery is a traditional operation, which is performed using a laser scalpel. This reduces blood loss and minimizes the risk of developing infectious complications. In addition, the laser tool damages nerve fibers less, so the child suffers less pain in the postoperative period.

Laser surgeries have a significant drawback - they are performed only in large medical centers and their cost often exceeds $1,000.

What is the cost of surgery for deviated septum?

The operation to straighten the nasal septum can be done for free. To do this, you need to contact the clinic at the place of residence, where the doctor will give a referral to the hospital. In the ENT department, you will be put on a waiting list and after the examination, the operation will be performed free of charge, within the framework of compulsory medical insurance (compulsory health insurance). However, in this case, there may be costs for anesthesia and medicines necessary for the operation. Both highly experienced and highly qualified surgeons and novice doctors work in city and district hospitals. This must be taken into account when choosing a specialist who will perform the operation, since the result of treatment largely depends on the work of the surgeon.

In private ENT clinics and medical centers where highly qualified specialists operate (surgeons of the highest category and professors), the price of surgery for deviated nasal septum depends on the qualifications of the doctor. So, the operation, together with a preliminary examination, anesthesia and stay in a 1-2-bed ward, will cost 300-700 USD.

Price of laser surgery in private clinics it comes from 500 to 2000 USD. Laser treatment of nasal septal curvature is a bloodless and low-traumatic method, after which the patient can return to a normal lifestyle almost immediately. However, it has one significant drawback - laser septoplasty can only be used if the cause of respiratory failure is the curvature of the cartilage of the nasal septum. In adults, this happens very rarely. In them, cartilage deformations in 90% of cases are combined with bone growths, and in this case the laser will not be enough.

The cost of radio wave septoplasty comes to 1000 USD Instead of a scalpel, a high-frequency radio wave beam is used, which vaporizes soft tissue cells like a laser. The radio wave scalpel coagulates the vessels, preventing bleeding and has a bactericidal effect. According to the method, this intervention is no different from a traditional operation, and the same surgical instruments are used to correct cartilage and bone.

Aesthetic correction deviated nasal septum (rhinoplasty) costs from 600 to 4000 USD, depending on the clinic and the extent of the operation. Plastic surgeries are not included in the list of CHI, so they are paid in all medical institutions.

How does it feel after surgery for a deviated nasal septum?

The patient's feelings after surgery on a deviated nasal septum depend on the drugs that were used for anesthesia and the degree of intervention. So, a person who had the cartilaginous part of the septum corrected under local anesthesia will endure the postoperative period much easier than a patient who had to undergo surgery on the bone structures of the nose under anesthesia.

When to see a doctor:

rebleeding;
severe pain in the nose 5-7 days after surgery;
temperature rise;
purulent discharge from the nose.

Tell your doctor about all health problems - this will help you take timely measures and prevent possible complications.

Partial or almost complete removal of the nasal septum is one of the ways to treat its displacement and deformation. Resection is the removal of the altered part of the nasal septum.

When the septum is displaced, it is far from always necessary to partially remove it.. Indications for resection of the nasal septum are:

Significant and permanent disruption of normal nasal breathing, when the deformity of the nasal septum is an objectively established cause of this problem;
Moderate respiratory distress at a young age, since over the years in such patients, due to chronic oxygen starvation, the risk of diseases of the nervous and cardiovascular systems may increase;
If the examination reveals a partial or complete absence of air movement through one of the nasal passages (even if the patient does not yet have complaints related to this problem);
Preliminary preparation and provision of surgical access for other operations (on the lacrimal sac, ethmoid labyrinth, frontal sinus, etc.) and manipulations (sometimes when blowing the Eustachian tube).

If the curvature of the nasal septum is a noticeable cosmetic defect (congenital or post-traumatic), then the removal of the nasal septum is also required, which the surgeon can combine with conchotomy.

Description of the operation to remove the nasal septum

Resection of the nasal septum is performed using incisions on the mucous membrane inside the nasal cavity. Therefore, there are no traces of the operation on the face. The altered area can be removed in the traditional way or with the use of a laser. The doctor can also combine laser technologies with classical surgery to quickly reduce blood loss from damaged vessels of the nasal mucosa.

Usually, the operation to partially remove the nasal septum lasts from 30 minutes to an hour. The resulting large defects of the septum the surgeon fills with a graft in the form of a bone plate or an implant made of artificial material. That is, after resection of the septum, septoplasty is immediately performed.

Conchotomy

It is a partial removal of the walls of the turbinates, which are located on the side walls of the nasal cavity. A conchotomy is not a nasal septal surgery, but may be performed in conjunction with a septal resection to improve respiratory function. The essence of the operation is to remove areas of growth of the mucous membrane and, if necessary, bone tissue in the region of the lower and middle turbinates.

The growth of the mucous membrane of the turbinates is a common problem associated with deformity of the nasal septum. Therefore, to fully restore normal nasal breathing, the surgeon has to combine two operations (septum resection and conchotomy).

Description of the conchotomy operation

As with the removal of the nasal septum, conchotomy is most often performed under local anesthesia, but can also be performed under general anesthesia.

In addition to the traditional excision of altered tissue areas using a special conchotome instrument, other methods are also used: laser, ultrasonic or cryogenic effects on individual parts of the nasal concha.

Postoperative period

To speed up recovery after removal of the nasal septum and conchotomy, you need to follow all the recommendations of your surgeon, and also adhere to the following rules:

In the first 1-2 days after the operation, refuse hot food and drinks;
Drink more liquid;
Try to avoid excessive overexertion, heavy lifting, prolonged tilting of the head.

Septoplasty is the correction of a deviated nasal septum. This procedure refers to plastic surgery, during which the specialist corrects the shape of the nasal septum. The causes of curvature can be different, but most often they can be divided into:

congenital;
traumatic.

Despite the word "plastic", the correction of the crooked nasal septum occurs only if there are certain medical indications, and the aesthetic factor here plays a far from the main role. Main indications for septoplasty:

congenital or acquired curvature of the nasal septum;
constantly recurring stubborn acute respiratory infections;
inflammation of the paranasal sinuses;
snore;
violation of nasal breathing;
neoplasms in the nasal cavity;
foreign objects, such as piercings;
nosebleeds.

It should be noted that the curvature of the nasal septum necessarily needs treatment, regardless of the cause that caused this pathology. The process can lead not only to unpleasant consequences, for example, to snoring, but also life-threatening - short-term respiratory arrests.

Correction of the nasal septum in the network "Open Clinic"

In the age of modern technology, it is enough to simply enter in the search line: correction of the nasal septum, Moscow, and the search engine will return a whole list of clinics that perform such operations. However, do not chase the low cost or the proximity of the medical center to the house.

In the Open Clinic network, septoplasty is performed by experienced specialists who are constantly improving their skills, including abroad. We use the latest endoscopic equipment and operating rooms are equipped to the highest international medical standards. The main thing for us is your health, which is made up of the experience of the doctor, the reputation of the clinic and the staff of highly qualified medical personnel.

Nasal septum correction surgery

The operation to correct the nasal septum is called septoplasty. This is a gentle correction of the nasal septum. Recently, septoplasty has become fashionable as a plastic intervention for purely aesthetic purposes. But in medicine, there are certain indications for this intervention:

Violation of nasal breathing;
Chronic acute respiratory infections;
swelling of the nasal mucosa;
Inflammatory diseases of the sinuses;
Traumatic injuries of the nose;
Congenital pathologies of development;
Snore;
nosebleeds;
Aesthetic medicine.

The modern technique of septoplasty is limited to minimal intervention - an insignificant part of the deviated septum is removed, in some cases it is necessary to thin sections of cartilage. To date, there are two main operations to correct the nasal septum:

Instrumental septoplasty
Endoscopic septoplasty

Modern endoscopic techniques have made septoplasty the most effective and most sparing method of treating a deviated septum.

Correction of the nasal septum without surgery.

The advantages of this method are obvious:

low trauma;
no edema;
postoperative infection is impossible.

Despite the fact that laser septoplasty is an effective and gentle procedure, it has contraindications, like any other medical procedure:

oncology;
blood clotting disorder;
infectious diseases;
severe somatic pathology;
tuberculosis;
diabetes;
age up to 18 years.

Correction of the nasal septum is a gentle operation during which the structure of the nose remains intact.

Price for nasal septum correction

The cost of correcting the nasal septum in various clinics in Moscow can vary significantly. The price will depend on many factors: the complexity of the intervention, the amount of work, the type of anesthesia. In addition, despite the fact that septoplasty is one of the simplest types of interventions in ENT surgery, the experience of a specialist plays an important role.

The answer: "How much does it cost to correct the nasal septum" will also be influenced by the type of equipment used for the intervention, the presence of a pre- and postoperative hospital. The Open Clinic network has advanced endoscopic equipment, as well as a comfortable modern hospital equipped with everything necessary for the speedy rehabilitation of the patient.

Why should you come to us?

In the Open Clinic network:

Operations are carried out in any ENT directions.
Our operating rooms are equipped with the most modern equipment for endoscopic interventions.
Operations are carried out by highly qualified specialists with extensive experience in their specialty.

We provide a comfortable pre- and post-operative hospital.