Submucosal resection of the nasal septum: features of the operation, consequences and treatment

Difficulty breathing is a common problem in people of all ages. Often, its cause is the curvature of the nasal septum, which prevents the ingress of air into the body. Unfortunately, it can only be corrected by surgical intervention. Submucosal resection of the nasal septum is considered a safe operation, with a minimum of contraindications and complications. септопластика ? What is septoplasty ? Who should not do it? How much does it cost to fix the nasal septum? What do the patients leave after the procedure? Let's try to answer these questions in our article.

Indications for operation

As a rule, the curvature of the nasal septum is not a reason for urgent surgical intervention. Some patients may live for years with a partial lack of normal breathing, without seeking help from a specialist. However, the pathology is corrected immediately after its detection. With age, submucosal resection of the nasal septum is more difficult to tolerate due to the weakening of the cardiovascular system. There are also several serious indications, which, if found, can not be delayed with surgery. We list the main of them:

• Partial or complete absence of air permeability in the nasal passages due to their deformation or thickening;
• Visual distortion of the tip of the nose;
• Regular bleeding from the nose, arising without any apparent cause;
• Correction of the consequences of a strong fracture of the nose ;
• Frequent and prolonged otitis and sinusitis;
• Pathological snoring, which prevents the patient from sleeping normally;
• слезовыводящих путей из-за искривленной перегородки; The worsening of the work of tear ducts due to a curved septum;
• Resection is carried out as a preliminary stage of the operation to open the frontal or nasal sinus, eliminate the defects of lacrimal sacks;
• The procedure is prescribed if it is necessary to draw an ear catheter through the nose of the patient to blow the Eustachian tube.

Contraindications

At the same time, the technique of submucous resection of the nasal septum is not suitable for all patients. It has a number of contraindications, under which it is impossible to carry out the operation. не только свести ее результаты к нулю, но и обернуться тяжелыми последствиями для организма. They can not only reduce its results to zero, but also lead to serious consequences for the body. Doctors do not recommend choosing surgical intervention for patients with the following limitations:

• Chronic diseases of the heart, liver or kidneys, which are in the stage of exacerbation;
• Any diseases due to which the process of blood coagulability is disrupted;
• Acute infectious diseases;
• Patient's age: the operation is recommended for patients from 20 to 50 years of age, but in some cases, resection is prescribed for children older than 6 years;
• Malignant neoplasms of any stage;
• Severe mental illness.

Preparing for an operation

Submucosal resection of the nasal septum is a serious surgical intervention that requires special preparation. To ensure that there are no contraindications to the patient, the doctor appoints him a series of procedures. The patient should undergo a fluorography, go to an anesthesiologist and an otolaryngologist, and take blood and urine tests. It is necessary to find out the level of coagulability of the blood, and also to exclude from the patient the presence of such diseases as hepatitis, HIV, syphilis and tuberculosis. For the elderly, it is recommended to undergo a complete examination of the cardiovascular system and liver.

A week before the surgery, the patient should stop taking medications that affect blood clotting. 8 hours before the procedure, it is forbidden to take even light meals. Men also need to shave their mustache or beard on their own, so that getting hair into the wound does not provoke infection.

How is the operation performed?

Depending on the complexity of the pathology, the operation is performed under local or general anesthesia. As a rule, the patient is laid on the couch and rubbed his face with a soap solution and alcohol. There are no external incisions, submucosal resection of the nasal septum does not require, therefore there are no visible scars after the operation on the face. The whole procedure is carried out through the inside of the nose. дикаина . It is smeared throughout the operation with anesthetic preparations, for example a solution of dicaine . не более часа. The duration of the procedure usually depends on the degree of curvature of the nasal septum, but most often it takes less than an hour.

The surgeon independently conducts the entire operation, sometimes resorting to the help of an assistant or a nurse. With special devices he performs a miniature incision inside the nose. Next, he finds the pathological part of the septum and removes excess elements of cartilage and bone tissue. The doctor aligns the septum, placing it strictly in the center. Then a small internal seam is applied to the incision site, and the nasal cavity is filled with tampons, oiled with anesthetic ointment. They also help to eliminate possible bleeding.

Correction of nasal septum with laser

Modern surgery of the nasal septum, the accesses and types of which previously provided for mandatory incisions and stitches, took a long way forward. Now patients can choose a laser resection, which is considered the least stressful procedure. Only local anesthesia is used, and the procedure itself takes only half an hour. In this case, the entire operation is performed not by surgical instruments, but by a laser beam.

Painless is the main advantage of this method. The patient does not suffer from bleeding and unpleasant sensations during the overgrowth of the sutures. In addition, he can conduct a rehabilitation period at home, and not in a hospital hospital. A significant disadvantage is the high cost of the procedure, as well as its ineffectiveness in some pathologies of the nose.

Submucosal resection of the nasal septum: postoperative period

As a rule, the procedure does not require the patient to stay in hospital for a long time. The next day the person is sent home, but he will have to return to the dressings regularly during the week. Reviews note that the most unpleasant during rehabilitation is the need to constantly breathe through the mouth, since the nasal passages are laid with tight tampons. Patients are advised to exclude hot food and drinks from the diet, drink more mineral water, and purchase hygienic lipstick to prevent lip dryness. After surgery, you need to limit and heavy physical activity.

Submucosal resection of the nasal septum is a quick operation, however the rehabilitation period after it may take several weeks. Every day the patient is injected with a strong anesthetic, because of which the body temperature sometimes slightly increases. People also complain of headaches and the appearance of severe tearing. The next day the doctor takes out tampons from the nasal sinuses. After that, several days can not blow your nose so as not to provoke bleeding. During the following receptions the doctor clears the nasal passages, removes the crusts and lubricates the mucosa with analgesic ointment. The patient needs to regularly dig in a physiological saline solution. Vasodilating drugs during this period, on the contrary, are strictly prohibited.

Approximate cost of the operation

Another factor, because of which patients do not dare to perform such a procedure, as submucosal resection of the nasal septum - is the price. септопластику примерно за 50 000 рублей. TsKB UDP RF (Central Clinical Hospital) in Moscow, for example, proposes to make septoplasty for about 50 000 rubles. In addition, you will have to pay the cost of anesthesia, preoperative studies and hospital stay. However, it is possible to conduct a procedure cheaper in other medical institutions, where the price for a simple resection can be about 20,000 rubles. The operation will cost much more expensive in private and plastic clinics of the capital. In them, as a rule, the amount can reach 150,000 rubles. True, it will include all necessary surveys and services.

Possible complications after surgery

Submucosal resection of the nasal septum, the nuances of which are described in detail in this article, is not considered a dangerous procedure, therefore the risk of complications is minimal. Most often, patients complain of bleeding and abscesses after surgery. However, with proper treatment, they can be quickly eliminated. Much more rarely, patients mention damage to nerve endings, loss of smell or the appearance of scarring on the nasal mucosa. Sometimes, to eliminate complications, a second operation may be required. To avoid unpleasant consequences, choose only the checked clinic and the qualified doctor having many positive recommendations.

Submucosal resection of the nasal septum: patient feedback

септопластику . To finally decide on the operation, many patients are eager to learn about the reviews of other people who have already done septoplasty . Most often, the opinions of patients about this procedure are exceptionally positive. They note its effectiveness, since they no longer have to suffer from difficulty breathing. After resection, there is no need to regularly use drops for the nose. The entire procedure is performed under local anesthesia and takes no more than an hour, which is also an advantage for patients.

According to users, a long recovery period is the main disadvantage of resection of the nasal septum. At this time, the nose, the lower part of the face and teeth can be very sore. Normal breathing does not appear immediately. Patients confronted with poor-quality local anesthesia complained of unbearable pain during the operation itself.

Summing up

Submucosal resection of the nasal septum, whose price fully justifies its effectiveness, is considered a common procedure, shown in many diseases of the respiratory system. However, it is necessary to conduct it only in a high-quality clinic from a verified surgeon in order to minimize the risk of possible complications. септопластику при наличии противопоказаний, ведь иногда последствия резекции могут не только не улучшить состояние больного, но и усугубить дооперационные симптомы. It is not necessary to do septoplasty in the presence of contraindications, because sometimes the consequences of resection can not only not improve the patient's condition, but also aggravate preoperative symptoms.