Reasons to undergo:
In people with a deviation of the nasal septum and hypertrophy of the lower nasal concha, nasal breathing worsens. The amount of air passing through the nasal passages becomes smaller, nasal breathing becomes insufficient, and they have to resort to the use of vasoconstrictive drops or breathe through the mouth. The most common complaints are difficulty in nasal breathing, inability to breathe without drops, frequent sinusitis, problems with smell, snoring, mouth breathing, headaches, fatigue, sleepiness, problems with the throat caused by dryness of mucous membranes of the oropharynx. Vasoconstrictive drops, in turn, do not affect on the nasal septum, since the septum is cartilage covered with a mucous membrane and acts on the sidewalls of the nose (lower nasal concha), and their frequent use is addictive due to a change in structure the concha itself. The result of septoplasty is an improvement in nasal breathing, and as a result, an improvement in the quality of life.
Often, no other investigations are required in addition to the otolaryngological examination. If you suspect a concomitant pathology (the presence of adenoid vegetations, polyps, cysts), additional research may be necessary in the form of endoscopy of the nasopharynx or computed tomography of the paranasal sinuses.
If this operation is recommended to you, you must undergo a standard set of laboratory tests for hospitalization and anaesthesia. The minimal set of tests includes a complete blood count, blood biochemistry, glucose, coagulation testing, a general urinalysis, blood type and Rh factor, chest X-ray, electrocardiography, given that all people are different and their health status is not the same, other tests may also be necessary as well as consultations of a pulmonologist or a cardiologist. The operation takes place under general anaesthesia, so it is necessary to exclude alcohol intake, minimise smoking, and not to overeat the night before the operation. You will have to take comfortable things with you to the hospital: a tracksuit, several T-shirts, underwear, replaceable shoes or slippers, personal hygiene products, leisure facilities (books, laptop), based on the fact that you will need to spend there 2-3 days. It is best to give valuables to relatives on the operation day or to warn medical staff about their presence.
If the operation is scheduled for the first half of the day, then you cannot eat or drink that day, since the operation and anaesthesia are performed on an empty stomach. If the operation is scheduled for lunch or after lunch, then the last meal (without meat) should be 6 hours before the operation, the last intake of plain water, in the amount of 100 ml should take place 4 hours before the operation. In the ward, you will need to change clothes and wait for you to be called upon. The most unpleasant thing for you will be 1 injection into a vein. And that’s all. There will be no more discomfort and pain. You will be put on a table and bounded, but not so that you do not run away, but so that you do not fall off the table when you are under anaesthesia. A mask will be put on your face and you will fall asleep.
Immediately after surgery:
After the operation, tampons will be inside your nose. Tampons can be different (with and without tubes, laminated and with added hemostatic), but you do not need to count on nasal breathing on the first day. Under the nose, there may be a bandage that performs exclusively hygienic function. Until complete awakening, you will be under the control of doctors and only after that, you will be transferred to the ward, so if you were told that the operation lasts for about an hour and a half, this does not mean that you will be in the ward immediately after its completion. This may take another 1-2 hours. After you arrive at the ward, you will be allowed to drink in 1.5-2 hours.
Postoperative period in the clinic:
Usually, the day after surgery, nasal tampons are removed. This procedure is not painful, as we use Merocel nasal tampons for tamponades, which are 8-10 cm long and not the usual 2 meters of gauze. These tampons resemble foam rubber. After removing the tampons, you will go to the ward, where you will need to lie on your side for an hour. After that, you can get up and walk. After 6-8 hours or the next day, a nose toilet is done. Only after the first toilet of the nose it is possible to assess the condition of the mucous membrane, the severity of oedema, the presence of discharge in the nose and decide when you can go home.
Postoperative period at home and recommendations:
When you have crossed the threshold of your home, you must adhere to and follow the doctor’s recommendations, since the greatest number of complications occurs at home. You are at the stage of recovery, but this does not mean that you are already healthy. Therefore, you need to behave appropriately in accordance to undergone surgery. You will have to visit a doctor for dressings and nose toilets. The necessary medication therapy is usually prescribed individually for each patient at discharge.
After surgery: Rinse nose with saline 2-3 times per day (Pshyk, Humer, Aqua Maris); Use Aecol solution drops for the nose 3 times a day.
You can: Take a slightly warm shower, go for a walk, breathe air, eat warm food.
You cannot: Take baths, play sports 14 days after surgery, consume hot food and drinks, carbonated drinks.