Septoplasty

Definition

Septoplasty is a surgery to straighten a deviated septum . The septum is the wall that separates the right and left sides your nose. It’s made of cartilage and bone. It’s lined with a thin mucous membrane.

A normal septum is straight and centered. A deviated septum is bent or off-center. The deviation can happen:

During development before birth
As your nose grows
After an injury

Septoplasty can also be done during other procedures such as rhinoplasty or sinus surgery.

Reasons for Procedure

Septoplasty may be an option if the deviated septum blocks the airway. This can cause:

Breathing problems
Sinus infections
Sleep apnea
Repeated nose bleeds
A runny nose
Headaches

Deviated Nasal Septum

Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review possible problems such as:

Numbness in the tip of the nose or upper front teeth
Bleeding
Infection
Scarring
Septal perforation—a hole in the septum
No changes in symptoms
Poor cosmetic outcome

Your chances of problems are higher for:

Smoking
Drinking
Chronic disease such as diabetes or obesity

What to Expect

Prior to Procedure

Leading up to your surgery, talk to your doctor about:

All the medicines you take. You may need to stop some up to 1 week in advance.
The type of anesthesia. Depending on the type, you may have to stop food and drink the night before. Your healthcare team will give you instructions.

Anesthesia

Local or general anesthesia may be used. Local anesthesia will numb the area. General anesthesia will put you to sleep.

Description of the Procedure

A cut will be made inside the nose. The lining of the septum will be lifted up and out of the way. The bend will be straightened out by moving it or reshaping it. The bent piece may need to be cut off. Next, the lining will be replaced over the top of the septum. Gauze may be placed in the nose to soak up any blood. A plastic splint may be used to keep the septum in place while it heals.