A deviated nasal septum can impair nasal breathing. Such functional limitations can, of course, also be improved during a rhinoplasty.
Duration of treatment | Approx. 20 minutes | |
---|---|---|
Anesthesia | General anesthesia | |
Stay | Outpatient or 1-2 nights | |
Dressing | No | |
Nasal packaging | No nasal tamponades necessary | |
Showering | Morning after operation | |
Wash hair | 3. day after surgery | |
Suture removal | Self-dissolving | |
Socially acceptable | Usually after 1 day | |
Sport | After 2 weeks | |
Wear glasses | Immediatly | |
Costs | In combination with rhinoplasty |
Infants are exclusively nasal breathers in the first few months of life. If nasal breathing becomes severely restricted after birth, rapid action is sometimes required, including surgery to improve nasal breathing. Fortunately, this is not as serious in adults, as air can alternatively reach the lungs through the mouth. The most common cause of poor nasal breathing is a deviated nasal septum. Poor nasal breathing can severely limit quality of life and cause numerous problems. For one thing, the sense of smell is often impaired, as odor molecules can no longer reach the olfactory cells in the upper part of the nose. As a result, not only are smells perceived less effectively or not at all, but the delicate sense of taste, which always works in conjunction with the olfactory organ, can also function with limitations. Therefore, if you frequently add spices, you may also have a problem with your nasal septum.
The inside of the nose is lined with mucous membrane. As the name suggests, this produces mucus. However, if this fluid cannot drain normally due to a severely deviated nasal septum, pain and inflammation of the paranasal sinuses (so-called sinusitis) can occur. The reduced flow through the nose and the resulting reduced ventilation of the paranasal sinuses can also result in headaches and facial pain.
If you breathe more through your mouth than through your nose, your throat dries out more quickly, and the mucous membranes are more susceptible to pathogens, thus increasing the risk of gingivitis, pharyngitis, and colds. Likewise, breathing through your mouth while sleeping is usually louder and can significantly impair your partner's sleep quality due to loud snoring. Furthermore, acute deviated nasal septums are often a cause of frequent nosebleeds.
The nasal septum consists of several parts: The front part is made of cartilage, which is covered with mucous membrane on both sides. This makes the front half of the nose more mobile than the back part. The mucous membrane is extremely important in the front part because the cartilage does not have its own blood vessels and its blood supply is provided by this mucous membrane. If the mucous membrane is damaged, for example, by nose picking, drug use, or extensive nasal surgery, the cartilage can also be damaged and, in the worst case, a hole can form in the nasal septum.
The further back part of the nasal septum is bony. Sharp bends, so-called spurs, are often found here. These often extend deep into the nostril and sometimes even pierce the opposite mucous membrane. This can cause chronic diffuse facial pain.
The nose grows in parallel with longitudinal growth during childhood, with a growth spurt during puberty. Afterward, the nose and nasal septum grow only slowly.
It is believed that impacts to the nose during childhood or later can affect the growth plates, which can result in a deviated nasal septum and the entire nose. Genetic factors also play a major role in the development of a deviated nasal septum.
A deviated nasal septum is a common finding, but not every deviated nasal septum directly leads to impaired nasal breathing. If enough air flows past the deviated area, breathing is not restricted. Treatment is only advisable when your nose is so blocked that it is difficult to breathe and you have to breathe through your mouth.
Impaired nasal breathing is not only uncomfortable but can also lead to more serious problems:
The problems caused by a deviated nasal septum can usually be successfully resolved by straightening the nasal septum, a procedure known as septoplasty. It is important that the nose's important supporting function is not compromised.
Unfortunately, in Germany, nasal septum surgeries are often performed by inexperienced surgeons who are not specialized in nasal surgery. In our practice, we frequently see the consequences of overly aggressive surgery on the nasal septum, which then compromises the stability of the nose. External and internal deformities can result. Patients' complaints are usually not resolved.
If an experienced specialist performs septum surgery, the risks described above are extremely low, and the procedure can be considered very safe.
Modern septum straightening is gentle on the tissue, maintains the stability of the nose, and improves its function.
No additional incision is necessary for rhinoplasty to straighten the nasal septum. With septum straightening alone, a small incision inside one nostril is sufficient to access the deviated nasal septum. From there, the deviated cartilage is reshaped so that it assumes a central position within the nose. As little cartilage and bone as possible are removed to ensure sufficient stability of the nose.
If the nasal septum is severely deviated, for example, after an accident, complex corrections to the nasal septum may be necessary.
For example, if the nasal septum consists only of individual broken pieces, it may be necessary to remove the entire nasal septum and, after straightening, reinsert it into the nose – a procedure known as extracorporeal septal reconstruction.
In such cases, it may be necessary to insert additional cartilage to stabilize, for example, the auricles or ribs.
Great resultDespite my fear of surgery, I decided to schedule a consultation with Dr. Wilke in Hamburg. I felt very comfortable during the appointment. His competent manner helped build trust right away. Everything went well with the nose surgery, and I am very satisfied with the result. Dr. Wilke is very friendly and there for his patients.
09.2022 - Google
Friendly and very competent doctorDr. Wilke performed a nasal septum correction and a reduction of the nasal turbinates on me. Both the pre- and postoperative care was very good. Dr. Wilke took sufficient time to explain the procedure and, with his friendly and calm manner, built a trusting relationship.
August 16, 2022 - Jameda
Very competent doctor Dr. WilkeI've had problems breathing properly through my nose since 2015. I was dependent on nasal spray and used it every day! In September, I had my surgery with Dr. Wilke and am more than satisfied with his work. He takes a lot of time, no matter what questions you have. They are answered in detail so that you understand everything. I wholeheartedly recommend him!!!
October 26, 2021 - Jameda
Most deviated nasal septums probably result from a blunt injury to the nose, possibly unnoticed in childhood.
A deviated nasal septum can only be diagnosed through a nasal examination, known as rhinoscopy, by a specialist, usually an ENT doctor.
Septum surgery in my practice in Hamburg offers the advantage of being both safe and gentle.
You should not take any medications that affect blood clotting before the surgery. You should also be healthy for the surgery and not, for example, have a cold.
As a practice specializing in cosmetic rhinoplasty, I only perform septum surgery in combination with rhinoplasty. Septum surgery is performed under general anesthesia and takes approximately 20 minutes. The nasal septum is gently moved into the desired position and stabilized there. Tampons are therefore not necessary.
Due to the gentle surgical technique, which leads to a safe and stable result, tampons are not necessary.
The surgery is performed under general anesthesia, so patients feel no pain. After the operation, pain is rare and often only mild.
After septum surgery, you should avoid sports, saunas, and strenuous physical work for two weeks. During the first few days, you should keep your upper body slightly elevated at night, for example, with an additional pillow. If you need to sneeze, do so with your mouth open to reduce pressure in your nose. You should also avoid blood-thinning medications such as Aspirin®, Diclofenac®, Ibuprofen®, and Voltaren® for about one week after the surgery. Smoking reduces blood flow to the small vessels that are important for wound healing, so I recommend stopping smoking during the healing phase. Good care of the nasal mucosa promotes healing both before and after surgery. I recommend starting nasal care with ointments and oils one week before surgery.
At my practice in Hamburg, I am specialized in nose surgeries, so the risks of nasal septum surgery are very low. Swelling and crusting may occur during the healing phase.
The costs of nasal septum surgery are usually covered by health insurance.