Septoplasty (Nasal Septum Surgery)

Septoplasty is a specialized surgical procedure in the field of otolaryngology (ENT) performed to correct deviation of the nasal septum. The nasal septum is a structure made of cartilage and bone that divides the nasal cavity into two passages.

Under normal conditions, the septum is positioned near the center of the nose. However, in many individuals, it may be deviated to one side. Significant septal deviation can disrupt airflow and lead to breathing difficulties, nasal dryness, recurrent nosebleeds, sinus-related headaches, and sleep disturbances.

Septoplasty improves nasal function by correcting the structure of the septum and restoring proper airflow. The procedure is typically performed entirely inside the nose, and in most cases, no external incision is made.

When is septoplasty necessary?

Septoplasty is usually recommended when septal deviation causes noticeable symptoms, including:

• Chronic nasal congestion
• Difficulty breathing through one or both nostrils
• Recurrent sinus infections
• Frequent nosebleeds
• Snoring or sleep-related breathing problems
• Sinus pressure headaches

If the deviation is mild and does not cause symptoms, surgery is generally not required.

How the procedure is performed

Septoplasty is typically performed under general anesthesia or local anesthesia with sedation and usually takes between 30 and 90 minutes. The surgeon accesses the septum through internal nasal incisions and reshapes, repositions, or removes the deviated portions of cartilage or bone. The nasal lining is then placed back into position.

In many cases, septoplasty can be performed at the same time as rhinoplasty (cosmetic nose surgery).

Recovery period

Most patients can return to light daily activities within a few days. Nasal swelling and congestion during the first weeks are normal and gradually improve. Full improvement in airflow may take several weeks to a few months.

Doctors commonly recommend:

• Avoiding forceful nose blowing
• Limiting heavy physical activity for a short period
• Using saline nasal irrigation
• Attending follow-up visits

Possible complications

Septoplasty is considered a safe procedure, but like any surgery, it may involve risks such as:

• Bleeding
• Infection
• Persistent nasal obstruction
• Septal perforation (rare)
• Minor changes in nasal shape

Choosing an experienced ENT surgeon and following postoperative care instructions significantly reduces the risk of complications.

Surgical outcome

The primary goal of septoplasty is to improve nasal breathing and function, not to change the appearance of the nose. In most patients, breathing quality and sleep improve noticeably after surgery, and symptoms related to nasal obstruction are reduced.