Thursday, April 11, 2024

Recovering From Deviated Septum Surgery

What You Need To Know

How long is the recovery from a deviated septum surgery?
  • Endoscopic sinus surgery is an outpatient procedure performed while the patient is asleep under general anesthesia.
  • Endoscopic surgery may be used to remove nasal polyps and tumors, treat chronic sinus infections, and address other types of sinus problems.
  • The doctor uses a device called an endoscope, along with other tools, to access and treat the problem area through the nostrils.
  • Minor bleeding, pain, congestion, discharge and fatigue are common after the surgery, but should go away in one to three weeks.

What To Expect After A Septorhinoplasty

You might need to take some precautions to avoid bleeding and swelling in the first few weeks after your surgery. Your surgeon will let you know how many of these things you need to do and for how long. Some common after surgery instructions include:

  • Keeping your head elevated while youre sleeping.
  • Avoiding blowing your nose.
  • Avoiding wearing clothes you need to pull on over your head.
  • Avoiding jogging and other intense cardiovascular activities.

It will take your nose about 3 to 6 months to stabilize. As your septum stabilizes, you might see changes in your breathing and the shape of your nose. Some people see changes for a year following surgery.

Would I Do It Again

If you asked me the first seven days, Id tell you not only no, but hell no and Id rather sleep with a Breathe Right Strip the rest of my life.

Told you Id be real with you. The way my body handles surgery and recovery, I had immediately regretted getting it. I had one hour of sleep, I cried and I was so emotional and I just wanted to sleep.

But after day 7 when the gunk got sucked out, that helped me breathe and I was a normal person. The few days that followed, it got much better and was uphill.

Today its been months and I can sleep like a regular person! It has been so wonderful to sleep on any side I want, its freeing! I dont feel like Im choking in my sleep and my energy level is up. A good nights sleep really does determine your mood and how the next day goes! So was it worth it? Yes, even though it was so hard, but unfortunately, it came at a small cost.

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How To Take Care Of Yourself After Septoplasty

After you have been discharged from the hospital, it is of utmost importance that you clear doubts related to the following-

  • Warning symptoms to look out for that require immediate medical attention
  • Changes to the medication and their proper dosage
  • Exercises that can be carried out
  • Management of the pain
  • The procedure to reduce the risk of infection near the wounds

The initial days of recovery after a septoplasty are crucial as the wound is still fresh and requires a lot of attention and care. Therefore, follow the below-mentioned tips to soothe out the pain and discomfort.

  • Rest properly throughout the first day.
  • Make sure that you do not rub or touch the nose by mistake.
  • Even if it feels congested, do not blow your nose as this can cause bleeding.
  • Sneeze through the mouth instead of the nose
  • To reduce the pain and swelling, apply an ice pack or a few ice cubes wrapped in clean cloth or towel near the wound.
  • To reduce swelling and congestion, put two pillows under the head when you sleep at night.
  • Avoid activities that might make you fall such as bending over or playing any sports.
  • Avoid visiting dusty or smoky places.
  • Do not take a shower within 24 hours of the surgery.
  • Stay indoors or prevent going to a crowded place to prevent catching an infection.
  • Do not put pressure on the face while doing activities such as straining during bowel movements.
  • How Long Does It Take To Recover From Deviated Septum Surgery

    What To Expect After Deviated Septum Surgery

    Most people need about a week of downtime after surgery.

    For the first week, because of surgical swelling, going to feel very stuffy, like a bad sinus infection, warns Dr. Portuese. You may also notice numbness or aching in your upper teeth.

    To manage the discomfort, you can use ice packs, saline rinses, and over-the-counter pain medication or whatever your doctor prescribes for you.

    Avoid ibuprofen and aspirin, warns Dr. Portuese. Theyre blood thinners and can lead to nosebleeds.

    Most surgeons use silicon based stents for about one week following the surgery. The splints usually have a tunnel, enabling the patient to breathe through them during this recovery phase, says Dr. Jacob Sedgh, a plastic surgeon in Los Angeles, California. Most pain and discomfort is reported during the first week while the splints are sutured inside the nose. Many surgeons prescribe an oral antibiotic and a low grade narcotic pain medication during this time.

    After a week, youll have the stents removed. This may feel like gentle tugging but shouldnt be painful.

    Keep your head elevated for at least the first week. You’ll also need to avoid smoking, hot drinks, spicy food, and alcohol for a week or two. And try not to blow your nose until your surgeon says you’ve healed enough for it to be safe.

    Most patients resume work and regular activity in the second week, says Dr. Sedgh. Theres usually minimal pain at this phase.

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    How Long Does Deviated Septum Surgery Recovery Take

    Depending on the complexity of the problem, the recovery time varies from 3 days, with no external swelling and very limited nasal obstruction, to a week or more when you undergo complex septal reconstructions.

    This picture shows how the nose will be like when it fully recovers from a deviated septum surgery. The result is quite good, so take good care of yourself to help with a good recovery for best outcome.

    Recovery Day By Day: Deviated Septum Surgery + Recovery

    A septoplasty is when you have the bone inside your nose that obstructs airflow. It makes you tired, you might feel like you can only breathe fully from one nostril, and you can have other side affects like I did. A septoplasty is fixing your septum, not a cosmetic nose job like a rhinoplasty.

    Some confuse the two because sometimes people need both procedures or truthfully use the septum as an excuse to get a rhinoplasty. I say listen, if youre going to go through this trouble, DO IT if you already are going to be uncomfortable, you may as well!

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    Timeline For Deviated Septum Surgery Recovery

    How long does it take for a septum to heal after surgery? It usually takes about 3 months for a nasal septum to fully heal. But you should start to notice some improvements in your symptoms and breathing within 1-2 weeks of surgery. Heres the typical timeline for recovery from deviated septum surgery:

    Can You Fix A Deviated Septum Without Surgery

    Deviated Septum Surgery and Recovery

    While you can manage the symptoms of a deviated septum with home treatment, its usually not possible to fix a deviated septum without surgery. The exception is a deviated septum caused by a recent injury.

    If youre able to see an ear, nose and throat doctor within 48 hours, its possible that they may be able to push the septum back in place. But dont try to fix your nasal septum yourself since you may cause additional damage.

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    Who May Need Endoscopic Sinus Surgery

    Endoscopic sinus surgery can help people who experience nasal congestion, pain, drainage, difficulty breathing, loss of sense of smell or other symptoms due to:

    The goals of endoscopic sinus surgery include:

    • Reduce the number and severity of sinus infections
    • Improve sinusitis symptoms
    • Improve the drainage of the sinuses
    • Improve airflow through the nose
    • Improve the sense of smell
    • Allow access for nasal rinses to reach the sinus cavities for cleaning and medication delivery

    What Happens Before Septoplasty

    Youll meet with your healthcare provider to discuss your septoplasty. Theyll give you a list of preoperative instructions, which you should follow closely.

    Your provider will need to know about all medications youre currently taking, including nonprescription drugs, supplements and herbs. Before surgery, you should stop taking drugs like aspirin, ibuprofen, naproxen and certain herbal supplements, which make it harder for blood to clot. You should also tell your provider if you have allergies or bleeding problems.

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    What Is The Success Rate Of Septoplasty

    According to the results of a 2018 study, the success rate “varies from 43% to 85%, indicating more than 15% of septoplasty patients fail to relieve their symptom.”

    That said, 94% of RealSelf members say their procedure was Worth It. I can finally breathe through both nostrils! says jsmith05, a RealSelf member who had a septorhinoplasty to correct her breathing after breaking her nose.

    Tips To Follow During Septoplasty Recovery

    How to Speed Up Deviated Septum Surgery Recovery

    Septoplasty is the procedure to straighten the deviated nasal septum. The full benefits of septoplasty can be expected only after a few months. It is performed on an outpatient basis so that the patient can go back home on the same day. But often after discharge, they are unable to figure out how to take care of the nose to ensure minimum pain and discomfort during the recovery.

    This blog will guide you in recovering faster after a septoplasty. In addition to recovery, it also discusses the time period to recover fully as well as when to visit the doctor if there are any specific symptoms.

  • When to go to the hospital?
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    Will Septoplasty Help You Breathe Better

    Once the swelling has gone down, you’ll be able to breathe much more freely.

    We tell patients who have functional nasal surgery such as a deviated septum and turbinate reduction that they will not be able to breathe out of the nose for one week, says Dr. Porteuse. Youll have restriction the second week, and you start breathing better by the third week after the surgical procedure.”

    How Can I Take Care Of Myself After Septoplasty

    Initial healing time for septoplasty is about one week. Your surgeon will provide you with specific postoperative guidelines, which you should follow closely during this time. Below are some general instructions to help you recover quickly and comfortably.

    Activity level

    • After surgery, rest at home for several days. You can resume light activities after one week if you feel up to it. Avoid strenuous physical activity for one month. This includes going to the gym, swimming and contact sports.
    • Avoid nose blowing, and sneeze with your mouth open for the first week.
    • If your provider packed your nostrils with splints, avoid getting the splints wet in the shower. Your provider will remove them in approximately one week. If you dont have splints, you can bathe the day after surgery.

    Diet

    • Unrestricted. Resume your normal diet as tolerated.

    Pain control

    • Take over-the-counter pain relievers, such as acetaminophen and ibuprofen .
    • If necessary, you can alternate acetaminophen and ibuprofen every three hours to control your discomfort.

    Fever

    • If you develop a low-grade fever , take acetaminophen.
    • If you have a high fever or if your fever lasts for more than two days call your healthcare provider.

    Antibiotics

    • Your provider may give you antibiotics. You should start these the day of your surgery and complete the entire course .

    Surgical dressing

    Keeping the surgical site clean

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    Deviated Septum Surgery Recovery

    The nasal septum is the wall made of cartilage in the front and thin bone in the back between the nostrils and separates the two nasal passages. It helps direct airflow and support the nose. If the bone or cartilage is not right, this will lead to a condition called a deviated septum. It becomes difficult to breathe with a crooked septum. This may also be the reason behind sleep apnea and snoring. You may have to undergo a surgery to treat your deviated septum. Keep reading to find out different things that will help accelerate deviated septum surgery recovery.

    What Does Deviated Septum Surgery Cost

    Deviated Septum Surgery (Septoplasty) for Difficulty in Breathing

    We are blessed that Benjamin has incredible insurance, zero deduction, so this surgery which would have been around $1500 didnt cost us anything. I did pay $250 for the surgery center fees. Please know what your insurance coverage is no one looks out for you like YOU do because they were going to charge us the full price since we didnt meet our yearly deductible until Benjamin said, NO we have a ZERO deductible plan and then the office checked with the insurance and said they made a mistake .

    Benjamin said that a bill will usually be $3,000 but depending on your insurance you might just have to pay only 20% which is around $600. Once you have a consultation with an ENT surgeon they can tell you the final cost and fees.

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    What Should I Expect During My Septoplasty Recovery

    Since septoplasty is an outpatient procedure, you will be able to go home the same day of your surgery after the anesthesia has worn off. During your septoplasty recovery, packing may be placed inside your nose to provide support during the healing period.

    If a rhinoplasty is performed at the same same time, external bandages or a splint will also be placed on the outside of the nose. The packing can be removed by your physician in the office a day or two after surgery. The splints can be removed by your physician in the office shortly after surgery.

    The initial swelling subsides within a few weeks, but it may take a few months for you to expect the full benefits of septoplasty. During the initial healing period, there may be minor pain and difficulty breathing. Your physician will prescribe appropriate pain medication. Over-the-counter pain medication such as aspirin or ibuprofen should be avoided as these drugs may thin the blood. Your physician may also recommend irrigation using saline to wash away any crust or surgical debris.

    You will be given specific instructions that may include:

    • How to care for your surgical site following surgery.
    • Medications to apply or take orally to aid healing and reduce the risk of infection.
    • Specific concerns to look for at the surgical site or in your general health.
    • When to follow up with your plastic surgeon.

    Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.

    Achieving A Speedy Recovery

    In addition to your overall health and other individual factors, the pace of your recovery will depend on how closely you follow your surgeons preoperative and postoperative instructions. To achieve a speedy recovery, make sure to take any vitamins and medications your surgeon gives you. Also make sure to follow your surgeons postoperative instructions very closely.

    In addition, there are steps that your surgeon can take during surgery to encourage a speedy recovery.To reduce bruising and swelling, the best surgeons use special tissue glues and sutures that dissolve, the combination of which have made it unnecessary to use nasal packing.

    In cases where the septum was particularly crooked prior to surgery, placing internal splints can help speed up the recovery process.

    Skilled nose surgeons also avoid fully closing the incisions inside the nose this makes it possible for fluid to drain more easily between the stitches and speeds up the recovery process by eliminating the need for drains.

    The use of high-definition 3D scopes can also diminish swelling and bruising because it enables the surgeon to avoid irritating tiny blood vessels and sensitive internal nasal tissues.

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    Whats The Procedure For A Septorhinoplasty

    During a septorhinoplasty, youre unconscious and fully sedated. The surgeon makes a cut from inside the nose and gently lifts the cartilage and bone in the septum.

    The part of the cartilage that causes any deviation is removed or reshaped and any other structures that affect breathing, such as the nasal turbinates may be addressed as well. The remaining bone and tissue are put back in place and into a straight position.

    While the incision is still open, the surgeon may also:

    • reshape the cartilage at the tip of the nose
    • shave areas of bone to remove a hump
    • break and reset the nasal bones to correct any deviation and improve the appearance of the nose

    The surgeon then closes the incision and packs the nose with gauze to help stop bleeding.

    You might have splits or soft plastic sheets placed inside your nose to help your septum heal straight. In most cases, you can go home once the anesthesia wears off. If there are splints or packing, the surgeon will remove this in the office at an appointment following surgery.

    All surgeries carry some risks. The possible risks of a septorhinoplasty include:

    • excess bleeding
    • a bad reaction to anesthesia
    • temporary numbness in your gums, teeth, or nose

    Its important to tell your surgeon about any medical conditions you have to reduce your risk of complications. Rheumatologic conditions like lupus or osteoarthritis, smoking, and some medications can increase the risk of poor wound healing.

    How Long Does Swelling Last

    Turbinate Reduction, Septoplasty

    How long the swelling lasts depends on the incision type, the details of your procedure, and how your body reacts.

    If the deviated septum was removed with an incision inside the nose, then no swelling should be expected, says Dr. Anthony Bared, a plastic surgeon in Miami, Florida. If an incision was made underneath the noseopen approach to septoplastyin order to sometimes correct a very deviated septum, then you can expect some swelling.

    With the open approach, swelling will go down significantly within the first month and slowly resolve over the next three to six months, as the nose continues to heal.

    RealSelf Tip: Avoid high-sodium foods while youre recovering. Salt causes you to retain fluid, says Dr. Bayed, and this can make swelling worse.

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