Septoplasty – Turbinectomy

sidenose sidenoseSeptoplasty Surgery Defined – What is Septoplasty? 
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Often the inferior turbinate on the opposite side enlarges, which is termed compensatory hypertrophy. Deviations of the septum can lead to nasal obstruction. Most surgeries are completed in 60 minutes or less, not including recovery time.

Surgeon Septoplasty Surgery Procedure NJ – Septal Deviation Surgery NJ – Septum Deviation Surgery NJ
The procedure usually involves a judicious excision realignment of a portion of the bone and/or cartilage in the nasal cavity. Under general or local anesthesia. Dr. Scaccia works through the nostrils, making an incision in the lining of the septum to reach the cartilage targeted in the operation. Sufficient cartilage is preserved for structural support. After the septum is straightened, it may then be stabilized temporarily with small plastic tubes, splints, or sutures internally. As a physician and surgeon Dr. Scaccia utilizes his Brain Lab’s Vector Vision Image Guided Navigational System. Visualization with his new high definition state-of-the-art endoscopes have allowed for very precise surgeries. Once Septoplasty has commenced, an endoscope is introduced and the brain lab navigational hand piece is inserted in the nose to calibrate the sinus entry site. Photos of sinus procedures and pertinent surgery information can be found on the Sinus Surgery page.

With Brain LAB’s Vector Vision Navigation System – For Septum Surgery and Septal Surgery in Enlarged Turbinate Reduction
Vector Vision™ ENT is an image guided surgery system (IGS), which enables Dr. Scaccia to view FESS (Functional Endoscopic Sinus Surgery) instruments inside the patient’s nose and sinuses during the operation.The images are viewed on a computer monitor, which displays the patient’s CT scan data in a three-dimensional format. The system consists of a powerful computer, infrared cameras and a touch screen monitor.

After Septoplasty Post Operation (Post Op) NJ Septoplasty Recovery NJ
Unless there are unusual complications, there is no swelling or discoloration to the external nose or face with Septoplasty alone. Packing is light but you are able to breathe as soon as you wake up because Dr Scaccia has small breathing tubes inside the packing. One percent of patients can experience excessive bleeding afterwards the risk period lasts up to two weeks. This could require packing or cautery, but is generally handled safely and without compromise of the ultimate surgical result.

Enlarged Turbinate Reduction Surgery NJ Turbinectomy – Nose Turbinate Reduction
There are three turbinates (inferior, middle, and superior) on each side of the nose, and their job is to clean and humidify the air as it moves through your nose into your lungs. Learn more about turbinate hypertrophy by reading below.

Goals Turbinectomy – Turbinate Reduction Surgery
Enlarged turbinate surgery should correct the problem of nasal obstruction by reducing the turbinate size and thereby decreasing airway resistance while preserving the natural function of the turbinates. This should improve nasal breathing and may reduce nasal drainage and post nasal drip.

Surgical Treatment – Turbinate Reduction Procedure
Your surgery may be performed in conjunction with a surgical Septoplasty.

  • Inferior turbinate reduction is usually performed under local or general anesthesia. Dr Scaccia will use endoscopes, a thin tube with a light at the end, to improve visualization and provide a magnified view during surgery. (see photo above)
  • Doctor Scaccia will make an incision in the lining mucosa of the turbinate and carefully removes the underlying bone of the turbinate. Doctor may elect to use a microdebrider to thin the tissue around the nose turbinate. Alternately, they may be cauterized with radio frequency or electrical current (cautery or radiofrequency surgery).
  • Complications associated with inferior turbinate surgery include bleeding, crusting, dryness, and scarring. Doctor may prescribe a saline spray solution to relieve dryness and aid in healing.
  • Turbinate reduction does not involve cutting through the skin, as it is performed entirely through the nostrils. Therefore, most people can go home the same day.

Learn more about Pre Op Care below. Post Op Care is above.

Septal Deviations Turbinate Hypertrophy NJ
Nasal septal deviations are common, and it is rare for doctors to see a perfectly straight nasal septum – the dividing line of cartilage between your two nostrils.

Turbinate hypertrophy is due to an enlargement of the turbinates – the small structures within your nose that cleanse and humidify air as it passes through your nostrils into your lungs.

Symptoms of Septal Deviations – Turbinate Hypertrophy NJ

  • Congested or blocked nasal breathing
  • Breathing trouble at night and snoring
  • Chronic nosebleeds
  • Chronic sinus infections

Causes of Septal Deviations Turbinate Hypertrophy
When septal deviations do cause problems, they are largely due to airway obstruction. It simply feels as though you cannot breathe well through one or both sides of your nose. This tends to bother people more at night. Nasal septal deviations can also cause sinus problems and may contribute to chronic infections.

Patients may also suffer from enlargement of the inferior nasal turbinates. The enlargement of these turbinates can also contribute to nasal obstruction

Diagnosis of Septal Deviations – Turbinate Hypertrophy 
Diagnosing septal deviations – turbinate hypertrophy will include the following:

  • Dr. Scaccia will ask for a complete medical history and will perform a thorough physical examination.
  • Imaging scans will be done including computed tomography (CT) scans.
  • Dr. Scaccia will use an endoscope, a small telescope rod with a lighted end, to examine the insides of your nose. This will allow your doctor to determine the extent of the deviation or turbinate hypertrophy.

Preparing for Endoscopic Sinus Surgery – Pre Op Septoplasty NJ
What do I need to know before having endoscopic sinus surgery?

  • Preoperative prescriptions: Prior to surgery Doctor Scaccia will most likely prescribe several medications that help reduce inflammation. It is important to follow your doctor’s instructions and start the medications at the appropriate times before and after surgery.
  • Preoperative physical: Dr Scaccia will require you to get medical clearance from your primary care physician before surgery. This will require a note from your doctor and in some cases a brief physical examination. Dr. Scaccia will order basic lab tests and studies and your primary care doctor may want additional tests. This ensures that you have medical clearance for a safe surgery.
  • Smoking: Smoking can severely affect the outcome of your sinus surgery. Smoking causes increased scar tissue and poor healing that leads to failure of endoscopic sinus surgery. If you do smoke your surgeon will usually require you to stop smoking 3-4 weeks before surgery and avoid smoking for an additional 3-4 months.

Treatment
Nasal steroids sprays can be used for problems associated with nasal septal deviations and turbinate hypertrophy. These medications help to reduce mucosal inflammation and therefore decongest the nose improving nasal breathing.

However when the septum or turbinate bony structures are causing nasal obstruction or medications fail to improve symptoms, surgery is often required. This surgery may involve straightening the septum (Septoplasty) or Turbinate Reduction (Turnbinoplasty)

For Additional Information on other related surgery procedures visit our Sinus SurgeryBalloon Sinuplasty and Rhinoplasty Pages.