Septoplasty in Istanbul

Correcting The Deviated Septum

What Does Healthy Nose Work In Our Body?

functions of the nose

Healthy nose has very important tasks that can affect our life. I can summarize functions of the nose as follows:

• Humidification of air taken by nose (outside air)
• Heating the air
• Air purification (cleaning)
• Pressurization of air

In this way, the air taken from outside is adapted to our lungs, keeping allergen, bacteria, viruses, industrial products in it and increasing oxygen absorption in the breathing air. When the nose is blocked by septum deviation or turbinate hypertrophy, many negative effects occur in our body.

 

 

The Nasal Septum and Deviated Septum

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Nasal Septum Deviation

The nasal septum separates the nasal cavity from the vertical axis into two separate cavities. It consists of bone and cartilage and is covered with mucosa. The curvature (or the angulation) of the nasal septum leads to constriction of the intranasal airway, increased airway resistance, and nasal obstruction. You can see the "septum deviation" animation with endoscopic examination images photo on the above.

You can see the mechanism of air passage blockage due to deviation o the septum at the below video.

It is a very common cause of nasal obstruction in the community. Nasal septum deviation does not fixed with medical treatment. It may occur due to genetic causes or trauma. Only treatment option is "septoplasty operation".

Types of Deviated Septum



Normal septum

There is no deviation on the septum surface, it is located as a flat on the midline. If you do not have curvature in the nose septum cartilage, you are in luck, be happy!

"C"- shaped deviation of the septum



"C"- shaped deviation of the septum

In the nasal septum, there is an angulation in the form of the letter "C". There is always less air in one nostril than the other.

"S"- shaped deviation of the septum

In the nasal septum it is an angulation in the form of the letter "S". It usually occurs due to traumatic causes.

Dislocation of septal cartilage



Caudal Septal Deviation

Other same words of this problem are "Caudal septum deviation / Subluxation of septal cartilage / Anterior dislocation of septum / Caudal dislocation of septum ". The caudal part of the septum separates from its place and slides to one side. It usually occurs after trauma to the nose tip region. During surgical correction, reconstruction of the nasal support tissues may be required.

 

Septal spur



Nasal septal spur - Bone spur formation of the septum - Septal spur

"Nasal septal spur" or "bone spur formation of the septum" is a the prominent bony protrusion that grow outward from the back of the nasal septum. In addition to signs of nasal obstruction, it can also cause atypical headaches.

 

Thickening of the nasal septum

This septum deviation type may be due to overriding of broken septal cartilage fragments or organized hematoma after the trauma.

Symptoms of Deviated Septum

Symptoms of Deviated Septum

Deviated septum is mainly cause to nasal air passage blocking thus nasal obstruction. Symptoms of nasal septum deviation can be listed as follows:

• Difficulty breathing
• Blockage of one or both nostrils
• Facial pain
• Headaches
• Postnasal drip
• Decrease in sleep quality
• Mouth open sleep
• Dry mouth
• Gum disease
• Halitosis
• Recurrent upper respiratory tract infections and sinusitis episodes
• Decrease in exercise capacity
• Nose bleeding
• Headache

 

Contact Point Headaches 

Contact Point Headaches - Deviated Septum

Nasal septal spur or other areas of deviated septum can cause to contact with lateral nasal wall or turbinates. This chronic tissue pressure can lead to atypical headache. Upper airway infections can start to this atypical headache. Succesfull septoplasty operation is enough for permanent treatment.





Patients with septum deviation usually sleep by lying to the side where they are deviated.

In small deviations there may be no symptoms and treatment is not necessary.

Diagnosis of Deviated Septum



Diagnosis of Deviated Septum - Diagnosis of Deviated Nasal Septum - Diagnosis of Nasal Septum Deviation - Diagnosis of  Nasal Septal Deviation

Diagnosis of deviated nasal septum can be easily made with bright light with nasal speculum or nasal endoscopic examination. Paranasal sinus tomography only needed in patients with additional possible disease which are cause to nasal obstruction such as polyposis, nasal masses, chronic sinusitis ...etc. Asymtomatic nasal septum deviations may be noted in magnetic resonance imaging or brain - ear tomography, which are taken by incidentally.

Differential Diagnosis of Deviated Nasal Septum

Nasal obstruction and mouth breathing may be the main symptoms of many common diseases, such as rhinitis, sinusitis, septal deviation, adenoid hypertrophy, nasal masses nasal polyps and nasal trauma. Patients with nasal septum deviation are expected to have reduced exercise capacities and sleep quality. In some patients it is a known cause of fatigue or atypical headache that is unexplained. After the deviation surgery, a lot of unrelated positive health effects emerge.

How Much Does a Septoplasty Cost in Istanbul?

Septoplasty price in Istanbul can change according to the hospitals or clinics. Total septoplasty operation cost (one day staying in hospital, all tests, all instruments, all doctor fees are included in this price) of septoplasty in Istanbul is about 1750 - 2500 Dollars for reasonably priced hospitals.

Septoplasty Operation Definition

Septoplasty Operation

Septoplasty is performed to correct the curvature of the nasal septum in the nose. Only removal of curved cartilage tissues and the preservation of the remaining supporting cartilage tissues are the primary purpose of current minimal traumatic techniques.

How Can You Contact With Dr. Murat Enöz For Septoplasty Operation in Istanbul?

If you want to contact with Dr.Murat Enoz about deviated septum surgery my WhatsApp number is 00905336550199 and my email: muratenoz@gmail.com. We can meet with WhatsApp calling when we have the right time.

Septoplasty Operation Technique



Septoplasty Operation Technique - Surgcal Technique of Septoplasty Operation

Septoplasty can be performed under local anesthesia or general anesthesia. Usually closed surgical septoplasty operations are preferred. The total processing time is between 15 and 20 min. Firstly local anesthetic drug injection is made on both septum surfaces. Vertical Killian incision is made through the the nostril. The bilateral cartilage membranes (perichondrium) is elevated (submucopericondrial dissection). Only the curved cartilage segments and base crest are removed. The incision site is sutured with absorbable suture materials. painless pure silicone splints or absorbable materials are placed in both nasal cavities. The operation is terminated.

 

Can You Breathe Through The Nose After The Septoplasty Surgery?

Yes you can breathe through the your nose after the septoplasty operation.

I prefer to use "internal nasal silicone splint", which is usually made of pure silicone in the nose after surgery.

internal nasal silicone splints

The advantages of these products are:

• The patient can breathe after the surgery
• Removal of silicones causes very little pain
• They prevent adhesion (synechia) in the nose
• They are not suitable for bacterial reprocessing

They are usually removed within five to ten days.

However, in some patients clothes can blocked silicone holes totally. Please be patient and use spray and nasal humidifier drops which given by me.

How to Silicone Nasal Splints Remove?

You can see the "Nasal Splint Removal Video" on the below (you can see the rhinoplasty patients postoperative at 6.th day and columellar suture (stitches). You can't see these sutures on columellar incision because of septoplasty operation is performed through nasal hole):

Post-Operative Instruction For Septoplasty



Deviated Septum Surgery (Septoplasty)

• Nausea is normal in the general anesthesia awakening period
• It is ideal to start eating with a soft and lukewarm diet 4 hours after surgery
• Do not use other medicines like aspirin, a blood thinner after surgery, without consulting with me
• sporting activities that will increase your blood pressure is dangerous first 10 days. You can walk to the rhythm of the evening
• Protect your nose from the first 2 weeks of heat exposure and trauma
• Do not touch the non-sterile city water and shampooed bath water into the nose for the first 3 weeks after the operation
• Do not put anything in the nose or remove the silicone in the nose
• It is normal to have post-operative nose bleeds like dripping or slow leaking, especially in the first 3 days, from front side and back side of the nose
• Do not pressured blowout from your nose without consulting your doctor. It can cause to nose bleeding
• If you feel to sneezing, please try to open mouth when you sneeze to prevent increasing nasal blood pressure. You can use allergy drugs after the talking with me
• Medications to be used after surgery: Pain relief tablet, Antibiotic, Ocean water spray, Nose moisturizing drops. I will describe each drug to you.
• Do not miss a 7-day check-in appointment and an office visit!

Septoplasty Before And After Photos

You can see on the below endoscopic exam photos before and after the septoplasty surgery and you can see the nose tip photo before and after the open septoplasty (normally, septoplasty surgery is performed with closed technique and nose shape does not change. Open septoplasty surgery is performed in only selected cases and after the surgery nose tip shape may be changed):

Risks And Complications Of Septoplasty

Although the possibility of postoperative complications is very rare, the most frequent complications of septoplasty are deformities, infections, and perforations. Here are some possible complications with the photographs:

Nasal septum perforation

Nasal Septal Perforation - Nasal Septum Perforation

The presence of a hole in the nasal septum is called "nasal septum perforation" and it can occur after the deviated septum surgery. Traumatic surgical intervention, nasal buffer removal trauma (I am using only silicone splints and it reduced to mucosal damage when removal from nasal cavity), postoperative infection or  traumatic picking nose may cause to nasal septal perforation (there are many causes of septum perforation exist except for nose surgery. You can find them on the below source links). The nasal septum perforation symptoms vary according to the size and location. Symptoms include a nasal discharge, nasal congestion, nasal whistling sound (heard in persons with small anterior septal perforations), epistaxis and nasal crust. Endoscopic nasal examination is usually enough for diagnosis. The treatment options are surgical repair, medical treatment with follow up or septal button application. I am generally prefer to surgical closure of septum perforation. the problem is very rare with current the minimally traumatic techniques.



Nasal Septal Perforation - Nasal Septum Perforation



Nasal Septal Perforation - Nasal Septum Perforation



Nasal Septal Perforation - Nasal Septum Perforation



Nasal Septal Perforation - Nasal Septum Perforation

Nasal adhesion (synechia)

Nasal Adhesion (Synechia)

The formation of scar tissue between two opposing mucosal surfaces in the nasal cavity after the Septoplasty surgery or turbinate radiofrequency is called as nasal adhesion or synechia. You can on the left photo that the adhesion tissue between of right inferior turbinate and back side of nasal septum. The use of classical nasal buffers that cause excessive mucosal damage during the removal and using traumatic surgical techniques that enhance mucosal injury facilitates the development of adhesion. It can cause to nasal blockage and treatment is very simple. Adhesion removal surgery usually performed in the doctor's office under local anesthesia. Generally this is not big health problem and don't worry :)

 Nasal Tip Ptosis After Caudal Septoplasty

Nasal Tip Ptosis

Caudal septum is a important role on nasal tip support. We are sometimes using different techniques for fixing the caudal septum deviation (Caudal septum deviation / Subluxation of septal cartilage / Anterior dislocation of septum / Caudal dislocation of septum). Just removal of caudal septum can cause to nasal tip drooping or nasal tip ptosis. I am using open septoplasty techniques for caudal septal deviation repairing. In normal deviated septum surgeries, all non-curved septal cartilages must be protected. We are resected and removed only deviated parts of nasal septum. If you have a caudal septum deviation I will discuss with you about different techniques to fixing again nasal tip support. You can see on the left photo that a patient nose who operated another clinic for septum deviation treatment and nasal tip drooped in timely.

Saddle nose deformity after septoplasty

Saddle nose deformity

When viewed from the side, it is a collapse on the nasal dorsum and appearance of the horse saddle. The most common etiology of saddle nose deformity is nasal trauma. Other causes are nasal trauma, congenital syphilis, relapsing polychondritis, granulomatosis with polyangiitis, cocaine abuse, and leprosy. Typically characterized by loss of nose height due to the collapse of the bridge. The depressed nasal dorsum may involve bony with  / without cartilaginous components of the nasal dorsum.


Aggressive or traumatic septoplasty or rhinoplasty surgeries may cause to dorsal collapse thus saddle nose. Excessive resection of septal cartilage can cause to loss of support in the nose dorsum.


Treatment of saddle nose deformity is made usually with augmentation rhinoplasty by filling the nasal dorsum with cartilage, bone or synthetic implants. You can see the photo on the above, before and after the saddle nose correction. Rib cartilage is used to augmentation of the dorsum.

 

Saddle nose deformity correction surgery in Istanbul

Septoplasty leads to a highly significant improvement on quality of life!

Successful septoplasty surgery has a permanent and many positive effects on the quality of life of people. Although second or third interventions may be required in the years following the the turbinate radiofrequency in patients who has allergic rhinitis, no surgery is needed for septum correction after successful septoplasty surgery.

Positive health effects of successful septoplasty surgery

Our noses work like air heating, purification, humidification and pressurization machine. Increasing or normalization nasal functions with septoplasty operation improves the adaptation of the outer airflow to the lungs. Increase in sleep quality, increase in exercise capacity, decrease in gum disease, decrease in mouth odor, increase in blood oxygen level and decrease in blood stress hormone level are well known positive health effects of deviated nasal septum surgery.

Here we are and our patients!

Septoplasty İstanbul - Septoplasty in Istanbul - Septoplasty in Turkey - Deviated Septum Surgery in Istanbul - ENT Doctor Istanbul - ENT Specialist Istanbul - Dr.Murat Enoz - Dhia Abi

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Septoplasty İstanbul - Septoplasty in Istanbul - Septoplasty in Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Dr.Murat Enoz

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Septoplasty İstanbul - Septoplasty in Istanbul - Septoplasty in Turkey - Deviated Septum Surgery in Istanbul - ENT Doctor Istanbul - ENT Specialist Istanbul - Dr.Murat Enoz

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Radiofrequency Turbinate Reduction in Istanbul - Radiofrequency Turbinate Reduction in Turkey - Radiofrequency Turbinate Reduction Indications, Technique, Contraindications, Risks, Cost, Post-op Instructions - Turbinate Hypertrophy Treatment in Istanbul - Turbinate Hypertrophy Treatment in Turkey - Turbinate Radiofrequency in Istanbul - Turbinate Radiofrequency in Turkey

You can find details about "Radiofrequency Turbinate Reduction in Istanbul - Radiofrequency Turbinate Reduction in Turkey - Radiofrequency Turbinate Reduction Indications, Technique, Contraindications, Risks, Cost, Post-op Instructions - Turbinate Hypertrophy Treatment in Istanbul - Turbinate Hypertrophy Treatment in Turkey - Turbinate Radiofrequency in Istanbul - Turbinate Radiofrequency in Turkey" at >> Radiofrequency Turbinate Reduction in Istanbul

You can find details about "Nasal septum deviation definition - Nasal septum deviation causes - Symptoms of deviated septum - Diagnosis of septum deviation with turbinate hypertrophy - Treatment of nasal septum deviation - Septoplasty in Istanbul - Septoplasty in Turkey" at >> Nasal Septum Deviation - Symptoms, Diagnosis and Treatment / Septoplasty Operation in Istanbul


Source links

• Symptoms and causes - Deviated septum - Mayo Clinic
• Deviated Septum: Sinus Problems Lead to Infections, Surgery - WebMD
• Deviated Septum | American Academy of Otolaryngology-Head and ...
• Deviated Septum Symptoms, Treatment, Causes - What are the ...
• What Is Deviated Septum? Surgery, Symptoms, Recovery, & Causes
• Clinical presentation, diagnosis, and treatment of nasal obstruction
• Deviated Nasal Septum
• Complications in septoplasty
• Nasal septum perforation
• Nasal septal perforation | Radiology Reference Article

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Dr. Murat Enöz
KBB & BBC Uzmanı (MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul)

Muayenehane (Private Office):

Adres (Address): İncirli Cad., No:41, Kat:4, Dilek Pastanesi Üstü (Dilek Patisserie Building), Posta kodu: 34147, Bakırköy - İstanbul

Randevu Tel (Appointment Phone): 0212 561 00 52

E-mail: muratenoz@gmail.com

​Cep tel (Mobile phone): (+90) 533 6550199

Fax: (+90) 212 542 74 47