SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

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Septal and Turbinate surgery

  • Septal surgery is operation on your septum. The septum is a thin piece of cartilage and bone inside the nose between the right and left sides. In some people this septum is bent into one or both sides of the nose, blocking it. Infrequently this is because of an injury to the nose, but in most people it just grows that way. Septoplasty is the surgery to straighten the septum to increase nasal airway and improve your breathing through the nose. This if done alone by itself, does not alter the outside appearance of your nose.

    • If you have a blocked nose because of the bend in the septum, an operation will help.
    • Sometimes we need to straighten out a bent septum to give us room to do other things, such as sinus surgery. The operation is not meant to change the way your nose looks.
    • In some cases, a bent septum may occur with a twist in the outside shape of the nose. In these cases, septal surgery may be combined with nose re-shaping surgery (septorhinoplasty) to straighten the nose.
  • Turbinate are normal structures that run along the length of your nose. Frequently they could swell up and block your nose. In such situations, I trim them (turbinoplasty), usually in addition to septoplasty to further improve space inside your nose to help your breathing.

  • The operation takes about 30-45 minutes and is done while you are asleep.

    The operation is usually all done inside your nose – there will be no scars or bruises on your face. I make a cut inside your nose and straighten out the septum by taking away some of the cartilage and bone and moving the rest of the septum back to the middle of the nose. Once the correction is done, the septum is held in its place with some stitches.

    In certain cases, the deviated septum rectification may need work on the external nasal framework i.e. Rhinoplasty. I will discuss this if required during our consultation.

  • Not really, but sometimes the front of your nose can be a bit tender for a few weeks. It may take up to three months for your nose to settle down and for your breathing to be clear again. Try to stay away from dusty or smoky places.

  • After the operation I will give you Otrivine drops or spray to reduce any bleeding and to clear up your nose. Please use this for one week.

    It is vital that you stop smoking for at least 2 weeks before and 4 weeks following the surgery.

    There will be some stitches inside your nose – these will dissolve and usually fall out by themselves.

    Nasal Saline Spray: Nasal saline mist spray must be used every 2-3 hours after surgery and can make your nose more comfortable after surgery.  These sprays are over-the-counter medications and can be purchased in any pharmacy. 

    Nasal Irrigations:  You will start the Nasal irrigations the day after surgery.  This must be performed at least twice daily.  At first, they will feel strange if you haven’t done them before.  Soon, however, they will become quite soothing as they clean out the debris left behind in your sinuses after surgery.  You can expect some bloody discharge with the irrigations for the first few days after surgery.   

    • You can make up the mixture using this recipe: mix ¼ teaspoon of non-iodised salt with ¼ teaspoon of baking soda in 250mL of room temperature tap water – Use a squeeze bottle to flush the solution gently through one nostril and allow it to come out through the other nostril or from your mouth.
    • Alternately, the “Sinus Rinse” system is available at many pharmacies with prepared packets of salt-baking soda mixture.
    • Do not blow your nose for about a week, or it might start bleeding.
    • It is vital that you stop smoking for at least 2 weeks before and 4 weeks following the surgery.
    • If you are going to sneeze, sneeze with your mouth open to protect your nose.
    • you may get some blood coloured watery fluid from your nose for the first two weeks or so – this is normal.
    • Your nose will be blocked both sides like a heavy cold for 10-14 days after the operation.
  • You can expect to go home the same day. You will need to rest at home for at least a week

  • Septal surgery is safe, but there are some risks.

    • Sometimes your nose can bleed after this operation, and we may have to put packs into your nose to stop it. This can happen within the first 6 – 8 hours after surgery or up to 5 – 10 days after surgery
    • Rarely you may need to return to the operating theatre with another general anaesthetic to stop the bleeding.
    • Infection in your nose is rare after this operation but if it happens it can be serious, so you should contact my secretary if your nose is getting more and more blocked, sore and there is discoloured foul discharge.
    • Rarely the operation may leave you with a hole in your septum (septal perforation) inside the nose going from one side of your nose to the other. This can cause a whistling noise when you breathe, crusting with blockage or nosebleeds. Most of the time it causes no problems at all and needs no treatment. Further surgery can be carried out if necessary to repair a hole in the septum.
    • Very rarely you may find that the shape of your nose has changed slightly, with a dip in the bridge of your nose. Most people do not notice any change, but if you are not happy with it, it can be fixed with surgery.
    • Very rarely, you can have some numbness of your teeth, which usually settles with time.

    Acknowledgement


    The information has been taken from ENT UK www.entuk.org with some modifications to reflect my practice.