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1. SEPTOPLASTY
BY- DR. ANAMIKA TRIPATHI

2. CONTENTS
 ANATOMY AND PHISIOLOGY OF NOSE
 DEFINE SEPTOPLASTY AND RELATED TERMS
 DISCUSSION OF DNS
 SEPTOPLASTY
 POST-CARE THERAPY

3. ANATOMY AND PHYSIOLOGY OF NOSE
Nasal Septum
The septum is the wall of bone and cartilage that divides your nose into two separate nostrils.
A deviated septum occurs when your septum is moved to one side of vour nose

4. CAUSES OF NASAL SEPTUM DEVIATION
1. Abnormal pressure applied to the nasal septum resulting in its deviation to one
side or another
2. Abnormalities acquired during the formation of the nasal septum
3. High arched palate
4. Race (its believed some races like Caucasians have more incidence ofDNS)
5. Hereditary
6. Trauma of the nose (blow to the nose)

7. CLINICAL FEATURES OF DNS
1. Difficulty breathing.
2. Nosebleeds
3. Infection of middle ear
4. Anosmia (lack of smell)
5. Nasal obstruction
6. Sinusitis
7. Epistaxis
8. External deformity
9. facial pain

8. DIFFERENTIAL DIAGNOSIS
• Polyps
• Septal Hematomas
• Hypertrophied turbinates

9. TREATMENT OF DNS
• Submucous Resection of Nasal Septum (SMR)
• Septoplasty
• Opiod analgesics and Antibiotics

10. SEPTOPLASTY
• Septoplasty- is the surgical procedure to correct the
shape of the deviated septum of the nose
• It is done to correct defects or deformities of the septum.
• It is performed to correct obstructions related to the nasal
septum.
• The goal of septoplasty is to improve breathing through the
nose and also to prevent sinus infections.

11. CONDITIONS THAT MAY
SUGGEST SEPTOPLASTY

12. • Nasal airway obstruction
• Can lead to mouth breathing, chronic nasal infection, or obstructive sleep apnea.
• Nasal septal deformity
• Headaches caused by septal spurs
• Chronic and uncontrolled nose bleeds
• Chronic sinusitis associated with a deviated septum
• Tumor excision
• Deviated nasal septum causing nasal obstruction and recurrent headaches
• Deviated nasal septum causing obstruction to ventilation of paranasal sinuses and middle ear
resulting in recurrent infections
• Recurrent epistaxis from septal spur18 of 28

14. • Anesthesia: local or general anesthesia.
• An incision is made in the lining of the septum Steps :
Infiltration
Incision: Freer's incision- a unilateral hemi-transfixation incision at
the caudal border of the septumto reach the cartilage.
Exposure: the mucoperichondrial and mucoperiostealflap is
elevated on only one side
The septum may then be stabilized with small plastic tubes, splints
or nasal packs to prevent bleeding.

15. Separate septal cartilage from vomer and ethmoid plate
 Inferior strip of cartilage is removed
Correct the bony septum by removing deformed parts
Minor deviations of cartilage are corrected by criss cross incision which
breaks spring action of cartilage
Nasal packing

18. POST-OPERATIVE COMPLICATIONS
 Bleeding
 Septal haematoma
 Damage to surrounding structures
 Septal abscess and deformities
 Septal Perforation
 Depression of bridge
 Retraction of columella
 Infection- sinus and middle ear
 Numbness of the upper teeth

20. Patient should drinks and eats soft food.
Avoid all moderate and heavy physical activity, including sport
for couple of days after the operation and avoid bending.
Avoid smoky, dusty and dry atmospheres.
If temperature is increasing nasal or have a facial pain a few
days after the operation, patient should consult doctor.
Improvement in nasal breathing may take a few weeks.