Nose - very desired organ that performs several critical tasks. Our nose warms up and humidifies the inhaled air, retains dust particles brought in with the air, and neutralizes bacteria that enter from the outside. In addition, thanks to the olfactory region of the nose, we perceive and differentiate various odors.
Septum of the nose
The nasal septum performs important function in our nose, ensuring an even distribution of air flows between the right and left lobes of the nose. With the help of the nasal septum, harmonious fulfillment of the following conditions is achieved: warming, cleansing, moisturizing. With a curvature of the nasal septum, these functions are impaired.
Curvature of the nasal septum - one of the most common diseases of the nasal cavity.
According to statistics, curvature of the nasal septum is quite rare in young children, most often almost half of all adults suffer from this ailment, and in men, curvature of the nasal septum is much more common than in women.
In a baby, the nasal septum is even and straight. Almost all of it consists of cartilage tissue, in which there are islands of ossification. Over time, the nasal septum transforms into a bone one, and the bones grow together. With a man's height and breaking certain processes in the body, the nasal septum begins to bend.
Causes of the curvature of the nasal septum
- uneven growth of the bones of the skull, which leads to the fact that the size of the nasal cavity also changes, the nasal septum becomes cramped in the nasal cavity, and it has to bend;
- traumatic causes(most often they are typical for boys and men): as a result strong blow there is a displacement of the nasal bones, deformation of the nasal septum and improper fusion of the bones, which leads to a curvature of the nasal septum;
- the presence of polyps and tumors of the nasal mucosa, which leads to breathing disorders in one of the nostrils, and then to the curvature of the nasal septum;
- hypertrophy (uneven development of one of the nasal concha), which puts pressure on the nasal septum.
Curvature of the septum of the nose. Symptoms
Curvature of the nasal septum can "give itself out" with the following symptoms:
- asymmetrical shape of the nose (especially noticeable when the nasal septum is curved as a result of injuries);
- persistent chronic rhinitis (disturbed nasal breathing, mucous nasal discharge);
- reflex headaches resulting from constant touching of the curved nasal septum of the nasal mucosa;
- loud snoring at night;
- bleeding from the nose, appearing due to thinning of the mucous membrane in the direction of the curvature of the nasal septum;
- reduced performance, increased fatigue the body due to a reduced supply of oxygen to the blood;
- discomfort during nasal breathing;
- frequent acute respiratory infections with coughing, sneezing, runny nose, fever;
- perspiration, sore throat, cough;
- hearing loss as a result of an inflammatory process in the ear;
- decreased olfactory abilities;
- distraction of attention, memory impairment.
Types of curvature of the nasal septum
The vast majority of adults have slight curvature of the nasal septum. But they do not interfere with proper air circulation through the nostrils and proper breathing.
Known the following types curvature of the nasal septum:
- deviated septum of the nose;
- crest;
- a combination of various types of curvature.
Most often, people have a curvature of the nasal septum in the front. Less common are deformities of the posterior part of the nasal septum.
Configuration of the nasal septum and nasal conchas with septal curvature: a - slight curvature of the nasal septum; b - S-shaped curvature of the nasal septum; c - curvature of the nasal septum at an angle.
Diagnostics of the nasal septum
To find out if you need surgery on the nasal septum, you need to undergo complex diagnostics... Diagnostics includes external examination of an ENT doctor, rhinoscopy, the use of additional laboratory research and analyzes.
External examination by an otorhinolaryngologist allows you to determine the type of nose. In addition, the doctor evaluates nasal breathing. By holding cotton wool separately to each nostril, the oscillation of the villi is examined during inhalation and exhalation.
A person's sense of smell is also assessed for each nostril separately. The patient must with closed eyes identify the smell on cotton wool. If there is a curvature of the nasal septum, then the sense of smell is usually reduced.
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Thanks to rhinoscopy, an examination of the nasal cavity is achieved using special instruments. In his examination, the doctor may use anterior and posterior rhinoscopy.
Anterior rhinoscopy it is used in order to better examine the nasal cavity and the formations present there. It is performed using a nasal dilator and a special probe. With an anterior rhinoscopy, nasal polyps, hematomas, abscesses and tumors in the nasal cavity can be seen.
Posterior rhinoscopy - This is an examination of the nasopharynx and nasal cavity from the side of the mouth. It is made with a spatula and a special mirror.
What is the operation on the septum of the nose for?
Indications for surgery to correct the nasal septum may be as follows:
- external cosmetic defect;
- Difficulty breathing through the nose
- rhinitis in chronic form;
- inflammation of the middle ear (otitis media), resulting from the curvature of the nasal septum;
- persistent headaches;
- sinusitis, ethmoiditis, which appeared due to a deviated nasal septum.
Treatment of curvature of the nasal septum
Is surgery necessary for a deviated nasal septum? If you are very worried about its consequences, then it is better to decide on this operation.
In our clinic, low-traumatic correction of the nasal septum is possible using various modern techniques.
Surgical treatment, for example, laser surgery for curvature of the nasal septum, is carried out in order to normalize nasal breathing, restore the anatomy of the nasal cavity. In our clinic, a septoplasty operation is performed, which consists in partial removal of the deformed cartilage, and, if necessary, of the bony part of the septum. Correction of the nasal septum with the help of surgery allows the alignment and thinning of the curved cartilage, i.e. modification. The modified cartilage becomes flexible and pliable, allowing the surgeon to put it back in place and straighten the nasal septum.
With local curvatures of the nasal septum (thorn, crest, tubercle), minimally invasive endoscopic septoplasty is possible. Laser surgery to straighten the nasal septum is also considered one of the sparing techniques.
In cases where a patient with a deviated septum complains of external deformity of the nose, rhinoplasty is possible.
Our clinic employs highly qualified otolaryngologists and plastic surgeons with extensive experience in the field of aesthetic medicine. Entrust your health to professionals, and soon you will forget about all the consequences of the curvature of the nasal septum! As a result of a successful operation, the halves of the nasal cavity become symmetrical, and nasal breathing becomes free.
The price of surgery for nasal septum curvature is found.
Septoplasty - correction of the curvature of the nasal septum. This procedure refers to plastic surgery, during which the specialist corrects the shape of the nasal septum. The causes of curvature can be different, but most often they can be divided into:
- congenital;
- traumatic.
Despite the word "plastic", the correction of the curve of the nasal septum occurs only in the presence of certain medical indications, and the aesthetic factor here is far from being the main role... The main indications for septoplasty:
- congenital or acquired curvature of the nasal septum;
- constantly recurring persistent ARI;
- inflammation paranasal sinuses;
- snore;
- violation of nasal breathing;
- neoplasms in the nasal cavity;
- foreign objects, such as piercings;
- nosebleeds.
It should be noted that the curvature of the nasal septum necessarily needs treatment, regardless of the cause that caused this pathology. The process can lead not only to unpleasant consequences, for example, to snoring, but also life-threatening - short-term respiratory arrest.
Correction of the nasal septum in the "Open Clinic" network
In the century modern technologies just enter in the search bar: nasal septum correction, Moscow, and search system will give out a list of clinics that perform such operations. However, don't go after low cost or proximity. medical center To home.
Online " Open clinic»Septoplasty is performed by experienced specialists who are constantly improving their skills, including abroad. We use the latest endoscopic equipment, and operating rooms are equipped in accordance with high international medical standards... The main thing for us is your health, which is formed from the experience of the doctor, the reputation of the clinic and the staff of highly qualified medical personnel.
Surgery to correct the septum of the nose
Surgery to correct the septum of the nose is called septoplasty. This is a kind of gentle correction of the nasal septum. V recent times Septoplasty has become fashionable as a plastic intervention for purely aesthetic purposes. But in medicine, there are certain indications for this intervention:
- Violation of nasal breathing;
- Chronic acute respiratory infections;
- Swelling of the nasal mucosa;
- Inflammatory diseases sinuses;
- Traumatic injury nose;
- Congenital pathologies development;
- Snore;
- Nosebleeds;
- Aesthetic medicine.
The modern technique for performing septoplasty is limited to minimal intervention - a small part of the curved septum is removed, in some cases it is necessary to thin sections of the cartilage. Today, there are two main operations to correct the septum of the nose:
- Instrumental septoplasty
- Endoscopic septoplasty
Modern endoscopic techniques have made septoplasty the most effective and most gentle method of treating nasal septum curvature.
Correction of the septum of the nose without surgery.
The advantages of this method are obvious:
- low invasiveness;
- lack of edema;
- postoperative infection is impossible.
Despite the fact that laser septoplasty is an effective and gentle procedure, it has contraindications, like any other medical procedure:
- oncology;
- violation of blood clotting;
- infectious diseases;
- severe somatic pathology;
- tuberculosis;
- diabetes;
- age up to 18 years.
Correction of the nasal septum is a gentle operation during which the structure of the nose remains intact.
Price for nasal septum correction
The cost of nasal septum correction in different clinics in Moscow can vary significantly. The price will depend on many factors: the complexity of the intervention, the amount of work, the type of anesthesia. In addition, despite the fact that septoplasty is one of the most simple species interventions in ENT surgery, the experience of a specialist plays an important role.
The answer: "How much does it cost to correct the nasal septum" will also be influenced by the type of equipment used for the intervention, the presence of a pre- and postoperative hospital. The Open Clinic network has advanced endoscopic equipment, as well as a comfortable modern hospital equipped with everything necessary for the prompt rehabilitation of the patient.
Why should you come to us?
In the Open Clinic network:
- Operations are performed in any ENT areas.
- Our operating rooms are equipped with the most modern equipment for endoscopic procedures.
- Operations are carried out by highly qualified specialists with extensive experience in their specialty.
We provide a comfortable pre- and postoperative hospital.
Causes of deformation of the nasal septum
Deformity may appear as a result of dislocation of the nasal septum in a child during childbirth or as a result of uneven development of the body, which does not correspond to the growth rate of the cartilaginous and bone skeleton. With physiological curvature, the septum shifts to the side or spines and ridges form on it. Traumatic deformity occurs as a result mechanical damage- with a fracture of the bones of the nose. Compensatory curvature of the septum is manifested due to the simultaneous violation of the anatomy of several formations in the nasal cavity.
Indications for septoplasty
Indications for septoplasty include:
- disturbed nasal breathing caused by a deviated nasal septum;
- chronic mucosal edema or sinusitis (inflammation of the paranasal sinuses);
- severe susceptibility to colds;
- regular nosebleeds;
- itching and dryness in the nose, the presence of pain in the face;
- noisy breathing, snoring.
Contraindications
Contraindication to performing septoplasty is the presence of diseases that impair blood clotting, cancer and infectious diseases, severe course diabetes mellitus... Also, the operation is not performed in severe pathologies. internal organs, diseases in the stage of exacerbation.
Stages of the
Preoperative period. A few days before the surgery to correct the nasal septum, he stops taking aspirin and other anti-inflammatory drugs, as well as blood thinners. Tests are being taken, among which general analysis blood, ECG, etc. It is forbidden to eat less than 12 hours before the operation.
Surgery. Septoplasty is performed under general or local anesthesia... In the nose, incisions are made, then to access the cartilaginous part of the septum, a section of the mucous membrane rises together with the perichondrium. All manipulations are carried out on the cartilage of the nasal septum. Next, incisions are made to separate the cartilage from the bone. After that, a section of the mucous membrane rises along with the periosteum, and curved places are revealed. Fragments of bone and cartilage that prevent the septum from being centralized are removed. All deformed areas are corrected. The duration of septoplasty is from 30 to 90 minutes, depending on the individual structure and condition of the nasal septum.
Postoperative period. On the first day after septoplasty, to avoid bleeding, tampons are installed in the patient's nose, excluding nasal breathing. The first few days remain insignificant. pain, removed by analgesics, which are prescribed by a doctor. The duration of the recovery period for nasal breathing is 2 to 6 weeks. A patient with a corrected septum should avoid physical activity, hypothermia and overheating for 4 weeks, exclude alcoholic beverages, hot food from the diet for 2 weeks. In the hospital and after discharge, the doctor takes care of the nasal cavity, which promotes good healing... This stage of treatment is no less important than the operation itself.
A deviated nasal septum creates an unpleasant physical problem for a person. Since breathing through the nose is difficult, you always have to breathe through your mouth. If during wakefulness this creates only discomfort, then during sleep you can suffocate.
To prevent this from happening, you need to urgently consult a doctor, who is likely to prescribe an operation on the nasal septum. There is no alternative to this. There is no painless or sparing method, although the patient does not feel pain during surgery.
Affordable prices for nasal septum surgery in "First Surgery"
The cost of surgery is not as affordable in every hospital as in the First Surgery clinic. Here, specialists first establish the exact diagnosis and causes of the curvature of the nasal septum, and then select a method of treatment.
Today, doctors can offer two types of operations:
- Endoscopic correction. This method allows you to restore correct position partitions. Tissue damage is insignificant, which noticeably shortens the recovery time. There are no visual defects. The cost of nasal septum surgery by endoscopic correction is also kept at an affordable level.
- Classical septoplasty. It is performed by a surgeon whose main instrument is a scalpel.
Indications for septoplasty:
Today, many are interested in how much an operation on a nasal septum costs. It all depends on the knowledge and experience of specialists. Before resorting to such radical measures, you should find out in what cases it is required surgical intervention:
- Difficulty or impossible breathing through the nose. If the septum is curved on one side, it means that difficult breathing will be felt in one nostril;
- chronic or acute inflammation sinuses. Curvature of the septum reduces the outflow of mucous secretions. The mucus stagnates, and therefore, the infection develops and the inflammatory process begins;
- snore;
- recurrent ear blockage;
- tendency to respiratory diseases;
- constant dryness is felt in the nasal cavity;
- periodic nosebleeds.
Septum correction nose surgery price in Moscow
Before surgery, the doctor examines the patient for contraindications, which are:
- diabetes;
- poor blood clotting;
- cardiovascular diseases;
- sharp inflammatory processes bronchi;
- the presence of tumors.
Endoscopic or traditional nasal septum surgery at First Surgery Hospital is ideal. Here, doctors have accumulated the necessary experience, each in their own specialization. After establishing accurate diagnosis and the causes of the pathology, the doctor directs the patient to the following examinations: the patient must receive an electrocardiogram, X-ray and donate blood for research.
If the patient is ill and is taking aspirin or antibiotics, then one week before the operation, he should stop taking these medications. The duration of the operation does not exceed one hour. It all depends on the choice of the method for correcting the septum of the nose.
Surgery to correct the nasal septum (septoplasty) is considered the least traumatic type of surgery. It allows for the correction of bone and cartilage tissue through the nostrils, without scars and scars on the face. The procedure quickly and effectively improves the patient's quality of life, eliminates numerous problems and restores natural breathing through the nose.
Septoplasty does not change the shape of the nose and does not belong to cosmetic surgery, but if necessary, it can be combined with rhinoplasty.
Reasons for displacement of the nasal wall
The nasal septum is a vertical osteochondral plate separating nasal cavity in half. Its defect causes a displacement of the wall relative to the axis horizontally or vertically. In this case, the deformation can be both one-sided and two-sided or S-shaped.
The causes of the curvature of the nasal wall can be very different. They are usually divided into the following groups:
- Physiological deformities. They arise as a result of a facial presentation of the fetus, obstetrics with the imposition of forceps, or uneven development of the facial bones in adolescence... The defect can be caused by a hereditary factor.
- Traumatic displacement... More common in men and boys adolescence... Occurs as a result of being hit or dropped.
- Compensatory cause... The presence of chronic ENT diseases often leads to the curvature of the nasal wall.
Whatever factors and reasons were caused this pathology, its complete correction today is possible only with the help of an operation.
Who needs septoplasty
An indication for surgical intervention may be constant difficulty breathing, chronic runny nose, nosebleeds, hearing and vision impairment. A curved nasal septum is the cause of frequent and severe ENT pathologies, which often turn into a chronic form.
People with a deformed wall often complain of nocturnal snoring. it dangerous condition causes spontaneous respiratory arrest and in obese people with atherosclerosis and high blood pressure can result in a stroke.
Snoring overweight people can lead to stroke
The most suitable age for nasal septum correction surgery is 14 years or older. In children, septoplasty is performed only in last resort when the benefits outweigh the risk of malformed nasal bones in the future.
Contraindications to surgery
Like any operation, septoplasty has its advantages and disadvantages. Despite the simplicity of execution and low invasiveness, the procedure has a number of contraindications:
- hemophilia;
- diabetes;
- pathology of the cardiovascular system;
- severe infectious diseases;
- cancerous alertness.
Manipulation is rarely done in the elderly and old age and in the presence of mental illness.
Varieties of septoplasty
Nasal septum surgery modern medicine is performed in several ways. For complex deformities requiring the removal of a part of the lateral wall or its restructuring, endoscopic septoplasty is indicated. With minor defects in the septum, you can do it alternative method- laser septoplasty.
The procedure does not require a long stay in the hospital and is performed with anesthesia. Minimal tissue damage ensures quick and trouble-free healing.
Submucosal resection
The oldest way to correct defects in the nasal wall. The classic surgery to straighten the nasal septum is a resection of small areas of the lateral wall that interfere with it normal functioning... In this case, the epithelium is gently exfoliated, which allows you to maintain its integrity and reduce bleeding. The procedure is performed under general anesthesia.
Submucosal resection is the oldest and most traumatic way to correct the nasal septum
Surgery for curvature of the nasal septum at the site of injury requires the elimination of deformed areas, followed by the formation of the lateral wall anew. With proper preparation for the removal of defects and the right attitude, the operation is painless and with minimal damage.
Endoscopic septoplasty
This term means the correction of the median nasal wall using video equipment, which allows precise and less traumatic manipulations.
Typically, this operation to align the septum lasts 20-40 minutes. Its duration depends on the degree of curvature of the plate, the presence of spines and ridges. Pain relief can be either general or local. Before the intervention, the patient is given premedication, which reduces the level of anxiety and prepares the patient for further manipulations.
Endoscopic septoplasty is a modern and low-traumatic way to correct the nasal wall
Modern methods of endoscopy allow avoiding cosmetic defects and make the recovery process quick and easy. Therefore, endoscopic septoplasty is considered the most rational way to eliminate defects.
V medical practice sometimes the method of isolated correction of ridges and spines is used. However, this type of resection did not take root, since it is technically difficult and more often combined corrections are required.
Laser septoplasty
Surgery to correct the septum with a laser is usually performed under local anesthesia. With a special tool, the surgeon heats up the cartilage tissue and gives them the correct shape. If the lateral wall has grown abnormally, the specialist evaporates the excess tissue with a laser, leveling the septum. Then it is fixed in the desired position with silicone splints.
The operation takes 25-30 minutes and is performed on an outpatient basis. Its effectiveness and low invasiveness makes it possible to do without bleeding and infection. However, laser septoplasty has a number of contraindications and is not always effective in difficult cases.
Laser septoplasty is the most modern look surgical intervention
Other types of septoplasty
In addition to the most common methods of leveling the septum curve discussed above, there are other ways to eliminate defects in the lateral wall:
- Septorhinoplasty. Combined intervention, including laser correction and plastic appearance nose.
- Ultrasound kristotomy. Performed with an ultrasonic knife, it gives an almost bloodless result.
- Replantation. It is a reconstruction of the septum using cartilage transplantation.
Adjust if necessary external form nose, you can always combine rhinoplasty with any septoplasty option.
Preparation for the operation and its implementation
Before the operation to align the nasal septum, the patient is prescribed a number of examinations, including a complete blood count, MRI of the nasal plane, rhinoscopy, X-ray of the skull, computed tomography... You can pass all tests and undergo an examination at the polyclinic at your place of residence.
Then the patient is admitted to the hospital, preferably one day before the operation. These hours are devoted to preparing for the intervention. When meeting with the anesthesiologist, you should choose the type of pain relief (local or general anesthesia), talk about the portability of various medical supplies... If appointed general anesthesia, on the day of the operation in the morning you can not eat or drink.
During the procedure, defects of the septum are eliminated, including displacement of fragments of the lateral wall, its bending or detachment. The growths, spines and ridges are removed, the cartilage tissues are straightened relative to the central axis. Then absorbable sutures are applied to the area of intervention.
After the operation, the nose is fixed with a bandage
After the completion of the operation to straighten the septum, silicone splints are inserted into the nasal cavity or the nasal passages are tamponed with turundas. No tamping or suturing is required for laser surgery. A plaster cast or gauze bandage is applied outside.
Contraindications and complications
Even with low invasiveness and trauma, septoplasty, like any surgical intervention, carries a share of risk. The consequences of the operation are most often associated with the possibility of bleeding or wound infection.
To prevent unwanted complications, it is necessary to strictly follow all the prescriptions and recommendations of the doctor.
In some cases, septoplasty can lead to a change in the shape of the nose or damage to the nerve endings of the mucous membrane. However, most often the intervention takes place without any complications.
Rehabilitation
The postoperative period is not very difficult. It usually runs smoothly and is almost painless. In the first 24 hours, the patient has tampons (silicone or gauze) in the nose, which help to stop the blood and maintain the correct position of the nasal wall.
To eliminate pain, the patient is prescribed analgesics. In addition to them, the following may be prescribed:
- hemostatic agents;
- antipyretic;
- antimicrobial drugs.
After endoscopic surgery on the nose from the hospital are discharged after 1-3 days. Full recovery respiration usually occurs after a few weeks. All this time, the patient should be observed by an ENT doctor and carefully follow his recommendations.
The recovery process after endoscopic septoplasty takes several days
If talking about laser correction, then here the recovery process is much easier. After it, as a rule, no admission is required medications and being in the hospital.
If the patient suffers from allergic rhinitis, during the rehabilitation process, exacerbations may occur, which will require additional treatment.
Sick leave after endoscopy is closed on day 10. By this time, the edema and external bruises, if any, have disappeared. With proper nasal care recovery period ends quickly and does not cause any problems for the patient.
How to decide on an operation
Svetlana
I suffered from a stuffy nose for a long time, practically all 28 years of my life. What I just didn’t think about. And low immunity, and the damp Leningrad climate, and ... Yes, I thought about everything until I went to the ENT doctor. He finally said that the crooked septum of the nose was to blame. Scheduled an operation. I was terribly afraid. I don't remember the process itself. Six months have passed, and what I want to say. Yes, scary, yes, unpleasant, but worth it. The nose breathes perfectly, I feel all the smells, the headache has stopped constantly. I'm happy.
Olga
I will share my observations, I hope it will help someone. I am 30 years old, young woman. After several years of torment, she decided to have an operation. The nose completely stopped breathing, a nasty runny nose appeared, not strong, but without a handkerchief it did not go anywhere. Did septoplasty on nasal septum... Now the nose is breathing and everything is fine. And why did you suffer for so many years? Everything turned out to be not at all as scary as I was told and I imagined. So don't be afraid and make up your mind. It certainly won't be worse than it is.
Natalia
As far back as I can remember, since childhood, my nose is always in snot and blooms from herpes. And on the right does not breathe at all. I went to the ENT and found out that I have a curvature of the septum. She agreed to the operation without hesitation. I decided to do it under local anesthesia and greatly regretted it. It was painful. Highly. True, it all ended quickly, but I gotoooooo… over there. After the operation, people walk around like cucumbers, and I'm alone with a swollen face and bitten lips. Now, however, the nose is breathing, the runny nose and herpes have passed, which I am incredibly happy about. But it's better to do it under anesthesia. Otherwise, everything is fine, healed quickly.
As you can see, the opinions are mostly positive. After the operation, the state of health changes dramatically, and new sensations appear. People get rid of rhinitis, their sense of smell returns, leaves headache... Therefore, do not delay with septoplasty and do not be afraid. A good attitude and accurate implementation of the doctor's recommendations will help to make the intervention painless and the recovery quick.
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