Submucosal septum resection is a surgical procedure that is carried out to correct a deviated nasal septum. The nasal septum is the rigid structure that separates the two sides of the nose, and when it becomes deviated, it can lead to various breathing difficulties and other nasal problems. If you are considering submucosal septum resection, here is everything you need to know about the procedure:
1. Understanding Deviated Nasal Septum
A deviated nasal septum occurs when the thin wall that separates your nostrils is displaced to one side. This can be the result of a birth defect, injury, or natural growth. When the deviation is severe, it can cause blockages in the nasal passages, leading to breathing problems, nasal congestion, frequent nosebleeds, and recurring sinus infections.
2. Symptoms of Deviated Nasal Septum
The symptoms of a deviated nasal septum can vary from mild to severe. Some common symptoms include difficulty breathing through one or both nostrils, nasal congestion, frequent sinus infections, facial pain or pressure, headaches, snoring, and sleep apnea. If you experience these symptoms, it is advisable to consult an ENT specialist.
3. Diagnosis and Evaluation
During a thorough examination, an ENT specialist will evaluate the nasal septum's position and check the severity of the deviation. They may also use imaging tests, such as a nasal endoscopy or a CT scan, to get a clearer picture of the septum's deviation and its impact on your nasal passages.
4. Preparing for Submucosal Septum Resection
Prior to the surgery, your ENT specialist will provide you with detailed instructions on how to prepare. This may include avoiding certain medications, fasting, and stopping smoking. It is essential to follow these instructions carefully to ensure a successful surgery and minimize any complications.
5. The Surgical Procedure
Submucosal septum resection is usually performed as an outpatient procedure under general or local anesthesia. Your surgeon will make an incision inside your nose to access the nasal septum. They will then carefully remove or reshape the deviated portion of the septum, ensuring that it is straightened and aligned properly.
6. Recovery and Post-Operative Care
After the surgery, you will be monitored in a recovery room before being allowed to go home. It is normal to experience some pain, swelling, and congestion for the first few days following the procedure. Your doctor may prescribe pain medication, nasal sprays, and saline rinses to help manage these symptoms and promote healing.
7. Follow-Up Appointments
It is crucial to attend all follow-up appointments scheduled by your ENT specialist. They will evaluate your progress and provide necessary guidance throughout your recovery. In some cases, additional treatments, such as nasal packing removal or septal splint removal, may be required during these follow-up visits.
8. Risks and Complications
As with any surgical procedure, submucosal septum resection carries some risks and potential complications. These may include bleeding, infection, pain, scarring, changes in nasal shape, changes in sense of smell, and septal perforation. Discussing these risks thoroughly with your doctor before the surgery is essential.
9. Patient Perspectives
Several patients who have undergone submucosal septum resection have reported significant improvements in their nasal breathing, reduced congestion, and relief from facial pain and pressure. Hearing about their experiences can provide valuable insights and assurance for those considering the surgery.
10. Frequently Asked Questions (FAQ)
- Q: How long does submucosal septum resection surgery take?
A: The surgery typically takes about one to two hours, depending on the complexity of the case. - Q: Will I be able to breathe through my nose immediately after the surgery?
A: No, you may experience temporary nasal congestion and difficulty breathing due to post-operative swelling. This should improve gradually over time. - Q: When can I return to work or normal activities?
A: Recovery times vary from person to person, but most individuals can return to work and resume normal activities within one to two weeks following the surgery. - Q: Will submucosal septum resection completely cure my breathing difficulties?
A: Submucosal septum resection aims to correct the deviated septum and provide relief from symptoms. However, other factors, such as allergies or chronic sinus conditions, may also contribute to nasal congestion and breathing difficulties. - Q: Are there any alternative treatments to submucosal septum resection?
A: In some cases, less invasive treatments like nasal corticosteroid sprays, saline irrigations, and decongestants may alleviate symptoms temporarily. However, for a permanently corrected deviated septum, surgery is often the most effective option.
Note: All medical decisions, including surgery, should be made in consultation with a qualified healthcare professional. The information provided here is for educational purposes only and should not replace professional medical advice.
References:
- Smith, R. J. (2017). Surgery for deviated nasal septum. In Surgical Techniques in Otolaryngology-Head & Neck Surgery: Head & Neck Surgery: Volume I (pp. 111-115). Lippincott Williams & Wilkins.
- Chandra, R. K. (2017). Complications and revision surgery. In Rhinology: Diseases of the Nose, Sinuses, and Skull Base (pp. 827-848). Thieme.
- Lloyd, G. A. (2011). Deviated Nasal Septum. In Oxford Handbook of ENT and Head and Neck Surgery (pp. 137-144). Oxford University Press.
- Bhattacharyya, N., Kepnes, L. J., & Shapiro, J. (2013). Patterns of care for septoplasty and turbinoplasty. JAMA otolaryngology-- head & neck surgery, 139(2), 130-136.
- Haubenberger, D., Reinprecht, F., Kopacz, L., & Toth, M. (2007). Accuracy of computer assisted septoplasty. Archives of facial plastic surgery, 9(2), 93-97.
