Septoplasty where there is a deviation of the nasal septum, with respiratory insufficiency. The outcome is satisfactory from the very beginning, even if altered by the inevitable post-operative swelling, which regresses in the following months
L’esito è soddisfacente fin dai primi tempi, anche se alterato dall’inevitabile gonfiore post-operatorio, che regredisce nei mesi successivi
In most cases of septoplasty, the incisions are made inside the nostrils without leaving marks on the outside. In particular cases (especially in reoperations) or in particularly complex deviations, it is necessary to make a small external incision in correspondence with the columella (the skin bridge that separates the nostrils). These incisions allow the surgeon access to the structures that make up the nose, cartilage and bone. In septoplasty we work on the cartilage (quadrangular lamina) and bone (vomer, ethmoid) structures. Sometimes the removal of the deviated portion is sufficient, in other cases the complete removal of the septum and its re-grafting is necessary. In some cases it is necessary to add tissues (more frequently cartilaginous grafts) to ensure the stability of the septum and to correct the possibly compromised nasal valve. The duration of the intervention varies from 1 to 2 hours; in more complex cases (reoperations or use of grafts) it can last more than two hours.