Procedure of the surgery
There are many different special surgical techniques that are used to treat a deviated septum. Individual surgical steps are adapted to the individual curvature. In general, the operation is performed as follows: The operation is usually performed under general anesthesia, which is explained in advance by an anesthesiologist.
The operating procedure itself is also explained in advance by the treating surgeon. No externally visible incision is required to straighten the nasal septum, access is usually via the nostrils. The surgeon works under the nasal mucosa and removes parts of the cartilage and bone from the nasal septum.
These curved parts are straightened and then repositioned in their correct position. Finally, two plastic sheets are inserted along the nasal septum to splint and support it. Often the nasal conchae are also reduced in size.
Nasal conchae are erectile tissue located in the nose. Since they are very often enlarged in a nasal septum curvature and thus additionally restrict the function of the nose, a reduction in size is often useful. This can be done, for example, with a laser or with the help of electric current (electrocoagulation).
Furthermore, a piece of the mucous membrane or bone can be removed. Finally, the incisions in the mucosa are closed with self-dissolving sutures. After the operation, the nasal cavity is filled with a so-called tamponade, which collects wound secretions and blood. In some cases, however, the tamponade can be dispensed with.
Outpatient treatment
As a rule, the operation of a nasal vaginal wall curvature is carried out on an inpatient basis under general anesthesia. However, there are individual cases in which an outpatient operation can be performed. Whether this is possible, however, the doctor must clarify individually with the patient.
The prerequisite for an outpatient procedure is an uncomplicated nasal vaginal wall curvature. Furthermore, the patient must be in good general health and must be able to demonstrate good home care for the days after the operation. Since the patient is not allowed to drive after the operation, he/she must be picked up by a person, for example a relative.
After the operation, daily follow-up care should take place in the operation center, which must be easily accessible for the patient. As physical rest after the operation is very important, the patient should not drive, but rather be driven.It must also be guaranteed that the patient comes immediately to the clinic in case of an emergency. Very old people or people with many illnesses are therefore rather out of the question for an outpatient operation.
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