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Nasal Deviation Surgery

Nasal deviation surgery

Nasal Deviation is displacement of the nose (externally) or the septum (internally) off the center, thus causing severe health issues. In this article, before telling nasal deviation surgery (septoplasty), we can explain how the healthy nose structure should be.

In a healthy nose structure, two separate air cavities are expanding towards the back. This expanding section allows the incoming air to warm, moisten and send to the olfactory area. In addition, particles larger than 5 micrograms taken by air are captured and filtered with the help of mucoid secretions on the mucosa inside the nose. Thus, the air transferred to the lung is a certain quality and clean. The health of our airways and lungs is related to the quality of the air taken.

The area we call as septum in the nose is a cartilaginous and bony structure that divides the nose into two air cavities, and located in the middle of the nostrils. In the nose with deviation, this structure is not where it should be. The midline position may be more or less bent to the side. The crooked bone causes problems with the breathing when inhaling and exhaling and basically prevents the air flow.

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Why does nasal deviation occur?

Nasal Deviation can occur due to hereditary features or asymmetrical face shapes. In addition, nasal deviation may occur later in life as a result of injuries from the outside to the nose, especially in the childhood or puberty. Nose development is known to continue until the age of 18. Blows in the nose during childhood can cause shift of 1 millimeter. If these shifts are not taken into account, they continue to grow as the nasal structure develops.

What problems does deviation cause?

Since nasal deviation affects a vital function such as breathing, it can cause many problems. We can list the problems caused by the nose deviation as follows;

  • With nasal congestion, the person breathes through the mouth. Therefore, the air is not heated and moisturized like from the nose and the quality of the air going to the lung decreases. This causes problems in the lungs and respiratory tract.
  • Due to poor quality of the air, organs such as throat, larynx and lung are trying to improve the air quality. This can cause reactions.
  • Snoring problem occurs.
  • As the quality of breathing decreases, the quality of sleep decreases and its order is disrupted.
  • Many conditions such as headache and weakness during the day can be encountered.
  • Excess weight gain may occur.
  • Diabetes can occur.
  • Heart conditions can occur.

A person who cannot breathe through the nose will have to breathe through the mouth. There are some negative aspects of breathing through the mouth. We can list these negative aspects for you as follows;

  • Dry mouth.
  • Bad breath.
  • Problems in the teeth and gums.
  • Restlessness.
  • Anorexia.
  • Sneezing crises.
  • Weakness in smell.
What are the symptoms of nasal deviation?

Nasal deviation is a problem that patients can see easily from outside of the nose. Nasal curvature shows itself in this way. But in some cases, some symptoms also occur inside the nose. We can itemize these symptoms as follows;

  • Double or unilateral nasal congestion.
  • Breathing through the mouth.
  • Mouth open sleep.
  • Sleep apnea and snoring.
  • Tiredness.
  • Continuous recurrence of sinus infection.
  • Pain in the nose and middle part of the face.
How to Decide for the Deviation Surgery (Septoplasty)?

The nose, a structure consisting of bones, cartilage and tissues, is a whole that should not be separated internally and externally. Before the deviation surgery, the nose should be examined internally and externally and problems should be identified. It should be determined whether there is a deviation sign outside the nose. If there is such a problem in the nose, the process should be handled together.

Nasal curvature is a problem that is generally evident outside of the nose. Performing only intranasal deviation surgery causes the patient’s intranasal cartilages to disappear, and subsequent extra-nasal deviation surgery becomes quite difficult. The patient should be consulted in this regard. If the patient requires an external intervention for nasal bone curvature, internal and external deviation of the nose should be operated together.

How is Deviation Surgery (Septoplasty) Performed?

Nasal deviation surgery is a type of surgery that can be performed under general or local anesthesia. After anesthesia, an incision is made on the patient’s nose and the perichondrium is reached through this incision. While the perichondrium is elevated the crooked cartilage is removed. It is extremely important not to damage the intact ones when taking those cartilage out.

Is Deviation Surgery Performed With Closed Rhinoplasty?

Many deviation operations can be carried out by the Closed Technique. In this technique, whole surgery is performed through the nostrils without cutting the tip of the nose.

After Deviation Surgery (Septoplasty)

It is extremely important to follow all post op recommendations of your Doctor after the surgery and to avoid any kind of injury or trauma to the nose.

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Assoc. Prof. Dr. TAS addresses both deviated septum and nose in one surgery by the Closed Atraumatic Rhinoplasty. If you would like to get more information and book an appointment please reach TAŞ Clinic via Whatsapp contact number : +90 543 456 36 93.

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Avatar of assoc. Prof. Dr. Suleyman tas
Assoc.Prof.Dr. Suleyman TAS

2 comments on “Nasal Deviation Surgery

Avatar of malik

Hello Doctor Tas, can the deviation reoccur? Your results of the crooked noses treatment are so impressive.

Avatar of assoc. Prof. Dr. Suleyman tas

Hello Malik, thank you for a nice question. All operated noses especially crooked noses shouldn’t get an injury or trauma on the nose, which may harm the shape and accordingly increase a risk of the recurrent deviation. To read more about my technique for the treatment of the crooked noses called as “The Alignment of the nose in rhinoplasty; Fix down concept” please click on the link

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