Tag Archives: deviated septum

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What is Submucous Resection Its Risks, Benefits, and Recovery Insights

What is Submucous Resection? Its Risks, Benefits, and Recovery Insights

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Around 80% of the people around the world suffer from some form of submucous resection. They are a common problem. Many people don’t even notice these issues but in cases when it starts causes problem in basic nasal function then you will need to undergo a surgery called Septorhinoplasty or submucous resection of nasal septum.

A submucosal resection of the nasal septum is different than the septoplasty. The submucous resection or the SMR is often recommended when the sinus infections are beyond control. The other cases include chronic nosebleeds and difficulty in breathing. Some times the top rhinoplasty or plastic surgeons combine submucosal resection of the nasal septum with cleft palate repair too.

Why Does the Need of Submucous Resection Arise?

This need arises when the septum is too deviated and it needs to be trimmed to restore nasal functions. The septum divides the nose in two passages to promote regular air flow. The septum becomes deviated because of

  1. Congenital Factors: Some individuals are born with a deviated septum due to genetic or developmental factors. It can result from the way the septum develops during foetal growth.
  2. Trauma or Injury: A significant blow to the nose, such as from a sports injury, accident, or physical altercation, can cause the septum to become deviated. The force of impact can cause the septal cartilage to shift or bend and create problems.
  3. Childhood Habits: Certain childhood habits like habitual nose picking, rubbing, or pressing can potentially alter the position of the septum over time as the septum is also in the developmental state and soft.
  4. Aging: As a person ages, the nasal structures, including the septum, can naturally change in shape and position because of weaking of muscles and lack of skin laxity, potentially leading to a deviated septum.
  5. Medical Procedures: Previous nasal surgeries or medical procedures, such as septoplasty (surgery to correct a deviated septum) or nasal fracture repair, can inadvertently lead to a deviated septum if the healing process isn’t optimal.
  6. Nasal Growth: The growth of the nasal structures during adolescence can sometimes result in a deviated septum, as the septum may not grow symmetrically.
  7. Nasal Polyps: Nasal polyps are noncancerous growths that can develop in the nasal passages. These growths can contribute to a deviated septum by physically pushing the septum to one side.
  8. Genetics: Genetics can play a role in the development of a deviated septum. If family members have a history of septal deviation, you might be more prone to developing one as well.
  9. Environmental Factors: Environmental factors like exposure to pollutants, irritants, or allergies can contribute to inflammation and congestion in the nasal passages. This inflammation can affect the shape and alignment of the septum over time.

Another important procedure that is combined with submucosal resection is the treatment of enlarged turbinates. There are three turbinates in each nostril and when they become enlarged or inflamed then it can cause disturbance in breathing.

The treatment of severely deviated septum and enlarged turbinates starts with diagnosis through physical examination. The first line of treatment is allergy and sinus medications to relieve nasal breathing issues. These include decongestants, antihistamines, and nasal steroid sprays. And if they these do not work then the surgeon will recommend a submucosal resection of nasal septum.

What is Submucosal Resection of the Nasal Septum

This procedure involves removing a portion of the septum tissues from under the mucous membrane in the nasal passages. These corrections the structure issues in the nose and improves nasal airflow.

Submucosal stands for Sub+Mucosal. “Sub” means beneath or below, and “mucosal” refers to the mucous membrane, which is the thin layer of tissue that lines various body cavities, including the inside of the nose. “Submucosal” means that the surgical intervention occurs beneath this mucous membrane.

“Resection” refers to the surgical removal or excision of a part of an organ or tissue. In this context, it signifies the removal of tissue from beneath the mucous membrane.

Submucosal Resection of The Nasal Septum Works On

  • Septum: A submucosal resection of the septum is performed in septoplasty, which is aimed at correcting a deviated septum. The surgeon removes or reshapes the cartilage and bone that form the septum, located beneath the mucous membrane.
  • Turbinates: Turbinates are structures inside the nose that help humidify and filter the air we breathe. In turbinate reduction surgery, excess tissue within the turbinates is often removed or reshaped through submucosal resection, which aims to improve nasal airflow and alleviate breathing difficulties.

Submucosal resection is a highly technical surgery and should be only performed by expert otolaryngologists (ear, nose, and throat specialists) or rhinoplasty surgeons. The surgery is done under general anaesthesia. As with any surgical procedure, it’s important to consult with a qualified surgeon to determine the most appropriate treatment for your specific condition.

Recovery post submucosal resection

The surgery is done fairly quickly and you can go home the next day with the dressing. There are no major risks usually associated with the surgery. A very small number of people get infection and might experience excess bleeding. The incision is very small and placed inside the nose. the sutures are dissolvable and hence there is no need to worry about removing them post-submucosal resection.

Recovery from submucosal resection, a surgical procedure often done to address nasal obstruction caused, can vary from person to person. Here’s a general week-by-week overview of what you might expect during your recovery:

In the first Week

  • Immediately After Surgery: You’ll spend some time in a recovery area as the anaesthesia wears off. You might experience grogginess and discomfort.
  • Nasal Packing or Splints: If used, these are typically removed within the first week.
  • Pain and Discomfort: You might experience mild to moderate pain, discomfort, and a sensation of pressure around the nose and face.
  • Swelling and Bruising: Swelling around the nose and potentially under the eyes is common.
  • Congestion: Nasal congestion and breathing difficulties are normal during this period.
  • Activity Restrictions: Avoid strenuous activities, heavy lifting, and bending over to minimize bleeding and swelling.
  • Medications: Pain medications prescribed by your surgeon can help manage discomfort.

In the second week

  • Continued Healing: Swelling and bruising should start to improve.
  • Pain and Discomfort: Pain and discomfort typically decrease during this week.
  • Breathing Improvement: As swelling subsides, you may begin to notice improved breathing through your nose.
  • Follow-Up Appointments: You might have a follow-up appointment with your surgeon to monitor your healing and potentially remove any sutures or remaining packing/splints.

In third or fourth week

  • Swelling and Bruising: Swelling and bruising should continue to decrease.
  • Breathing Improvement: Breathing should continue to improve as the tissues heal.
  • Return to Activities: Many people are able to return to work, school, and light activities during this period.
  • Follow-Up: You may have another follow-up appointment to assess your progress.

In fifth and sixth week

  • Swelling and Bruising: Any remaining swelling and bruising should be minimal.
  • Breathing: Breathing should be noticeably improved at this point.
  • Activity Level: You may resume more strenuous activities and exercises, but listen to your body and avoid overexertion.
  • Final Follow-Up: You might have a final follow-up with your surgeon to ensure your healing is progressing well.

After six weeks

Full Healing: By this time, most swelling and discomfort should have subsided, and you should be enjoying improved nasal breathing.

Results: Your final results should become more apparent as any residual swelling continues to decrease.

Following your surgeon’s post-operative care instructions closely and attending all follow-up appointments is crucial for a successful recovery. If you experience severe pain, excessive bleeding, signs of infection, or any unexpected symptoms, contact your surgeon promptly.


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How to Customize Nose Plastic Surgery to Enhance Individual Beauty in India

How to Customize Nose Plastic Surgery to Enhance Individual Beauty in India?

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Rhinoplasty or the nose job or the nose plastic surgery is the most common aesthetic and reconstructive procedure or surgical choice in the world. Every year lakhs of people chose to get their nose reshaped with this simple procedure. Nose plastic surgery can greatly help in correcting the function and form of the nose. The modern rhinoplasty techniques can repair the damage done by impact injuries, or even the cosmetic defects that might be hampering your self-esteem.

The biggest advantage of rhinoplasty is that even though there are many techniques to do it and a standard procedure to be following, it is an entirely customizable procedure. Whether it is for function or aesthetic corrections rhinoplasty needs to be individualized to suit the particular face and skin type. This is necessary because every patient deserves a nose that is perfect in appearance and functionality. Plastic surgeons who perform rhinoplasty are trained in plastic surgery and otolaryngology (ear, nose, and throat specialty) and have gained speciality in nose jobs. Rhinoplasty is usually an outpatient procedure but in some cases the patient might require a one-night stay at the hospital.

What Is an Ideal Nose?

Though it is a very small organ but it is the central feature of the face. Its shape, size, length, symmetry all dictate the delicate balance in how you look. It also is responsible for most body functions as it gets the clear air inside. It also regulates the air temperature.

Many often wonder what is an ideal nose. Often when looking at our selfies or in the mirror we wonder if the nose is not big or small or if it would have been a little pinched the eyes will appear wider etc. An ideal nose is the one that is perfect for the face. If we talk in a little technical term an orientation of 104-108 degrees is ideal for a nose. however, one’s ethnic background and gender also goes a long way in deciding the idea nose.

In order to customize the rhinoplasty, the surgeon will first determine the ideal nose size. This is done by dividing the face in five equal parts horizontally. For a perfect nose the wideness should fall in the fifth of the face. Fibonacci’s sequence is another tool most nose plastic surgery surgeon’s use to determine the ideal nose shape and size for you by calculating the width and height. Golden ratio is also an important standard. The idea angle at which the nose meets the face should be close to 36 degrees and angle between lips to nose is generally 95-105 degrees for women and 90-95 degrees for men.

Therefore, it is important that every patient seeking a nose job understands that apart from your personal criterion the goal for the rhinoplasty surgeon is not for everyone to have the same nose but the to bring out the best in your face for you.

Up until few years, the only nose that everybody thought of was the barbie nose with the perfect upturn. But the incredible advances in the rhinoplasty procedures have made it possible to make sure that the nose surgery is custom, ethnically diverse and natural looking without needs for revision. Customizing nose plastic surgery to enhance individual beauty in India is all about makes nose tweaks in such a way that it preserves the distinctive features using surgical and non-surgical methods.

Bespoke Nose Job for The Indian Beauty

Most people are worried that post the plastic surgery they might looks different. But if you go to a skilled and experienced rhinoplasty surgeon who knows how to harmonize facial proportions and can maintain the nose’s appearance that suits the face the best. ‘Perfectly imperfect’ nose is what is trending today.

If we compare the noses of people from different ethnicities, we will notice many differences. The Indian nose for example, has thick skin, rounded tips and broad nostrils generally. They also have a high nasal bridge with a dorsal hump and nasal structure appears to be downwards. The reason that why these differences appear is because of the climate that we live in.

People who live in warmer climates generally have wider noses and those living in cold and dry climates have narrow noses. Africans typically have flat noses, and Caucasians have narrow noses and Asian ethnicities have shapes from somewhere in between. Hence individualizing the noses becomes the prime consideration in ethnic rhinoplasties. This also dictates the nose plastic surgery cost in India. A Caucasian rhinoplasty will not give good results on Indian faces as they are very different.

The major advantage of a tailored rhinoplasty plan is that it can give options to avoid possible complications.

What Changes Can a Customized Rhinoplasty Make?

Rhinoplasty is a surgical procedure. It can be done in conjunction with other procedures such as septoplasty, chin augmentation etc to clear the nasal passage and create more balance. A nose surgery can

  • Remove the hump or bump on the nasal bridge
  • Straighten a crooked nose surgery
  • Restore nasal symmetry
  • Reduce or augment the nasal opening or nostril size
  • Repair injury damage
  • Change the appearance of nasal tip
  • Correct the deviated septum to open up the nasal passages to improve breathing.

Rhinoplasty is usually done under general anaesthesia. The surgeon makes incisions inside the nose to lift the skin covering the nose. Then the surgeon reshapes the bones, cartilage and tissues of the nose to re-shape the nose as discussed with the patient. Sometimes the surgeons also use custom crafted grafts to add more stability and better profile to the nose. The nasal skin and tissue are then redraped over the new nasal structure and incisions closed.

Who Can Get an Ethnic Rhinoplasty Or A Customized Rhinoplasty?

  • You are in general good health without any major chronic conditions
  • You are a non-smoker
  • You have realistic expectations and understand the rhinoplasty limitations
  • You are an adult and has completed facial growth
  • You are suffering from breathing issues, sleep apnea, sinus issues etc.

In rhinoplasty, customization is key to achieving results that align with a patient’s individual facial features, goals, and preferences and enhance the beauty. There are several ways in which a rhinoplasty procedure can be customized to create a natural and harmonious outcome. Here are some common types of customizations in rhinoplasty:

  1. Aesthetic Goals: Each individual has unique aesthetic preferences. Surgeons work closely with patients to understand their desired changes, whether it’s reducing a hump, refining the nasal tip, or adjusting the nostril size.
  2. Ethnic Considerations: Rhinoplasty should respect and enhance the patient’s ethnic identity. Surgeons customize the procedure to maintain or improve the nose’s appearance while respecting the patient’s cultural features.
  3. Open vs. Closed Technique: Surgeons use either an open (external) or closed (endonasal) technique. The choice depends on the complexity of the procedure and the desired changes.
  4. Bridge Changes: Customization involves addressing the nasal bridge’s size, shape, and alignment. This could mean reducing a dorsal hump, straightening a crooked bridge, or adding volume with grafts.
  5. Tip Refinement: Nasal tip customization can involve refining the shape, projection, rotation, and definition of the nasal tip. This is crucial for achieving balance and harmony with the rest of the nose.
  6. Nostril Modifications: Surgeons can adjust the size, shape, and symmetry of the nostrils to ensure they harmonize with the overall nasal structure.
  7. Functional Improvements: Customization isn’t solely about aesthetics. Surgeons can address functional concerns like a deviated septum or nasal valve collapse, which might affect breathing.
  8. Cartilage Grafts: Customization can involve the use of cartilage grafts from the septum, ear, or rib to add structural support, enhance shape, or improve function.
  9. Septal Deviation Correction: If a deviated septum is causing breathing issues, surgeons customize the procedure to straighten and support the septum.

Some surgeons use 3 D digital imaging to show patients potential outcomes. This aids in communication and ensures both the patient and surgeon are on the same page. The customization process takes into account the patient’s age, as younger patients might require different approaches than older patients seeking rejuvenation. Male and female faces have different characteristics. Surgeons customize the procedure to achieve results that are in line with gender-specific facial aesthetics.

The nose plastic surgery cost in India is dependent on many factors. For the best nose plastic surgery cost in India, it is best to consult the top surgeon in the country. Nose plastic surgery cost in India is affected by the type and amount of changes to be made. Since the rhinoplasty needs to be customized, thence the price of rhinoplasty also differs from person to person. In some cases, a non-surgical rhinoplasty can also give the desired results and this has the lowest cost of all. However, the non-surgical or liquid rhinoplasty has temporary results and therefor needs maintenance treatments every six months or years.

Another important factor to consider when working about the best nose plastic surgery cost in India for your nose is the expertise of the surgeon. A surgeon who has experience in the correction that you seek or specializes in the ethnic rhinoplasty will give you the best results from a nose job. Talk to your surgeon about the total nose plastic surgery cost and work out a payment plan as necessary.


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What is the Difference between Septoplasty and Sinus Surgery?

What is the Difference between Septoplasty and Sinus Surgery?

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Our uniqueness is our individuality. Each human is different in his or her own way. These differences can be in how we perceive things, how we appear to ourselves and the others, how we carry ourselves and how our features and parts of body differ from one other. One such distinctive feature is our nose. The nose is made up of the bones, cartilage, skin and tissues.

Restricted airflow in the nose can be caused because of the shape of the nose and nasal cavity defects. The hinderance in regular breathing can lead to many problems such as snoring, difficulty in exercising, crusting and nose bleeds making and generally make everyday life uncomfortable.

There are two main reasons behind this. One is the septum’s structure and the second is the state of the sinuses. Both conditions can be easily treated by rhinoplasty surgeons. When not treated sinus infections can cause unbearable pain for a person. Before we get into treatment procedures let us take a dive into what the deviated septum and the sinus issues mean and why they need surgical corrections.

Sinus infections

There are 4 sets of sinuses around the nose, placed in the hollows of nose, eyes, and forehead. Their function is to act as a natural air filter, humidifier and improves the immune health. The inside of sinuses is lined the mucus for good air filtration. To keep the sinuses clean, body’s natural system drains the mucus in the nasal cavity. If for some reason the sinus become blocked (rhinosinusitis) because of viral or bacterial infections, then the residual mucus and other things can cause inflammation. In a sinus infection the fluid starts to fill the empty hair pockets and nasal polyps start to develop. The germs grow and multiply in the nose leading to various symptoms like itching, chronic discharge from the nasal region.

Another common reason for sinus issues is the deviate septum. If the septum is more towards one side it can trigger a host of complications including sinusitis. . Symptoms include facial pain, pressure, congestion, postnasal drip, and headaches.

What is a deviated septum?

The septum is made up of a bony cartilage that forms a wall between the two parts of the nose. it supports the structure of the nose and regulates the airflow. Ideally the septum should be straight but many a times it is not and has some degree of deviation. However, when the imbalance is extreme it can cause breathing issues and prevent draining from nose.

A deviated septum can also cause the turbinates to become inflamed. The turbinates filter and humidify the air before it goes into the lungs and prevent the nose from becoming moist. In cases of severely deviated septum the turbinates adjust their size by becoming bigger and it causes more blockage in the nose.

Treatment options

Endoscopic sinus surgery is most commonly used to treat chronic sinusitis. And septoplasty is the most popular option for treatment of sinuses. Best septoplasty surgeon in India often combinesturbinoplasty with septoplasty to give more relief to the patient.

Confused which procedure will work for you?

The choice of procedure between sinus surgery and septoplasty in India will depend on the persistent symptoms that you might be experiences. Difficulty in breathing is often because of deviated septum, whereas if you have been suffering from regular fluid discharge accompanied with chronic headaches and breathing issues then it can be because of the sinus infection. Both endoscopy for sinus and septoplasty in India are distinct procedures but surgical. they can be complementary and sometimes performed together. Here is an overview of the procedures and the differences between them to help you with the necessary decision making.

The procedure

Septoplasty: Septoplasty is a surgical procedure aimed at correcting a deviated septum, which is a condition where the nasal septum, the thin wall between the nostrils, is significantly off-centre or crooked. This condition can obstruct the nasal passage and cause breathing difficulties, chronic congestion, frequent sinus infections, snoring, and other related problems.

Best septoplasty surgeon in India, perform the procedure by making an incision inside the nose and lifting the mucosal lining. The deviated septum is then corrected and repositioning by trimming or removing the portion that is blocking the airflow. The surgeon will ensure proper alignment. The surgery is done under general or local anaesthesia and the patient can go home the same day.

Sinus surgery: The sinus surgery is an endoscopic procedure and is also commonly known as sinusitis surgery or functional endoscopic sinus surgery (FESS), is a procedure performed to treat chronic or recurring sinus infections (sinusitis) and related sinus conditions. It aims to alleviate symptoms, improve sinus drainage, and reduce inflammation within the sinuses.

In this procedure the surgeon will use thin endoscope that has a camera attached to the end. The surgeon inserts the endoscope in the nose and can see the insides of the nose using the camera. He will then remove the tissues, and polyps to clear the air flow. The surgeon can also expand the sinus openings to improve the airflow in the nose. This is done using the balloon sinuplasty in which a small balloon is inserted in the nasal cavity and then inflated. After removing the balloon, the surgeon will use a saline spray to clean up any debris.  The procedure can be done under local or general anaesthesia. There are no cuts in the procedure or parts of nose removed.

Risks

The common risks with septoplasty in India include bleeding, infection, difficult in breathing through the nose and persistent swelling around the nose. The recovery time in Septoplasty is longer than in balloon sinuplasty.

Sinus treatment on the other hand as few side effects and complications which also go away in few days. The common risk factors include congestion, swelling around the eyes and nasal cavities and a change in the appearance of nose.

Purpose

Septoplasty focuses on correcting a deviated septum to improve nasal breathing and alleviate related symptoms. Sinus surgery, on the other hand, addresses chronic sinusitis by removing obstructions, improving drainage, and reducing inflammation within the sinuses.

Targeted Structures

Septoplasty primarily targets the nasal septum, while sinus surgery focuses on the sinuses themselves, including the frontal, maxillary, ethmoid, and sphenoid sinuses.

Indications

Septoplasty is typically recommended for individuals with a deviated septumcausing significant breathing problems. Sinus surgery is indicated for patients with chronic or recurrent sinusitis that does not respond to other conservative treatments like medication.

It’s important to note that while septoplasty and sinus surgery have their distinct purposes, they can be performed simultaneously if the patient presents with both a deviated septum and chronic sinusitis. In such cases, the surgeon will address both issues during a single

Cost

The cost of septoplasty and sinus surgery  in India can vary based on several factors, including the geographic location, the surgeon’s experience and reputation, the complexity of the procedure, the type of anaesthesia used, the surgical facility, and any additional treatments or services included. Here are some general considerations regarding the cost differences between septoplasty and sinus surgery:

Septoplasty Cost in India: Septoplasty is a surgical procedure specifically focused on correcting a deviated septum. The cost of septoplasty tends to be lower compared to sinus surgery due to the less extensive nature of the procedure.

Sinus Surgery Cost: The cost of sinus surgery is generally higher than that of septoplasty because it typically involves a more complex and comprehensive approach. The cost can vary depending on the extent of the surgery, the number of sinuses being treated, and additional factors.

Insurance Coverage: In some cases, both septoplasty and sinus surgery may be partially or fully covered by health insurance. However, coverage varies depending on the specific insurance plan, the severity of the condition, and whether the procedure is considered medically necessary. Septoplasty in India may have a higher chance of being covered if it is primarily aimed at correcting breathing difficulties, while sinus surgery may have a higher chance of coverage if it is performed to treat chronic sinusitis that does not respond to conservative treatments. It is essential to consult with the insurance provider to understand the coverage details and requirements.


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How to Find the Best Deviated Septum surgeon?

How to Find the Best Deviated Septum surgeon?

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A deviated septum occurs when the cartilage wall dividing the two sides of the nose is off centre. The septum is a very thing wall but its askew placement can lead to many symptoms ranging from mild to more pronounced. If you too have been feeling any of the following then the chances are you are suffering from deviated septum

  • Nasal Congestion: One of the primary symptoms of a deviated septum is chronic nasal congestion or blockage. The deviation can restrict airflow through one or both nostrils, making it difficult to breathe properly.
  • Difficulty in Breathing: Due to the narrowed nasal passages caused by a deviated septum, individuals may experience difficulty breathing, particularly through the affected side of the nose. This can lead to mouth breathing and contribute to dry mouth and throat. Many people with deviated septum face difficulty in
  • Frequent Sinus Infections: A deviated septum can impede proper drainage of the sinuses, leading to recurring sinus infections. The blocked nasal passages create an environment conducive to bacterial growth, resulting in symptoms such as facial pain, pressure, postnasal drip, and headaches.
  • Snoring and Sleep Apnea: The obstruction of airflow caused by a deviated septum can lead to snoring and potentially contribute to the development or exacerbation of sleep apnea. Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep.
  • Nosebleeds: The irregular airflow and dryness caused by a deviated septum can make the nasal tissues more prone to drying out and becoming fragile, increasing the risk of nosebleeds.
  • Headaches: Chronic headaches, particularly those associated with sinus pressure, may occur as a result of a deviated septum. The blockage and impaired drainage can lead to increased sinus pressure and inflammation, triggering headaches.
  • Facial Pain: The chronic inflammation and pressure caused by a deviated septum can result in facial pain, particularly around the nasal area and cheeks.
  • Postnasal Drip: The imbalance in nasal airflow caused by a deviated septum can lead to excessive mucus production and a sensation of mucus dripping down the throat. This is known as postnasal drip and can cause throat irritation, coughing, and a persistent need to clear the throat.

Not everybody experiences the deviated septum symptoms. Some go through the life without any noticeable effects on breathing or overall health. If you suspect a deviated septum to be the reason of any of the above mentioned symptoms then it is time to seek the deviated septum treatment by the best deviated septum surgeon.

It is recommended to consult with a qualified healthcare professional for an accurate diagnosis and appropriate treatment options during the nose job consultation.

Best rhinoplasty surgeon in Mumbai who are training in diagnosing and treating conditions related to nose will be able to evaluate the symptoms, do a physical examination and recommend the right type of surgery for deviated septum correction.

Since it is an invasive surgical procedure, you want only the best deviated septum surgeon to do the procedure for the best results which last for a long time. Good surgeons will ensure that the scarring is minimal, and the nose shape remains in its natural form.  Researching and finding the best deviated septum surgeon will also save you on the secondary rhinoplasty for deviated septum surgery cost India. But then the question arises how does one find the best rhinoplasty surgeon in Mumbai? Here are some factors that will help you chose the best nose surgeon for your needs.

Seek Recommendations

Start by asking your primary care physician, friends, family members, or acquaintances if they have had a positive experience with a deviated septum surgeon. Personal recommendations can provide valuable insights and help you create a shortlist of potential surgeons and save you a lot of time too.

Research Surgeon Credentials

Once you have a list of potential surgeons, start by research in their credentials and qualifications. Look for surgeons who are board-certified in otolaryngology (ear, nose, and throat specialty) or plastic surgery. Board certification indicates that the surgeon has undergone rigorous training and has met the required standards in their field. You can check the surgeon’s credentials and board certification status through online directories or medical board websites. You can also ask about their training and experience with the previous patients. Best deviated septum surgeons are happy to share patient details for references. Online reviews will also help you further narrow down your search. Professional memberships are another criterion for checking the credentials of the surgeon. Memberships denote the qualification and experience of the rhinoplasty or septoplasty surgeon.

Review Surgeon’s Experience

Assess the surgeon’s experience in performing deviated septum surgeries. Look for surgeons who specialize in nasal and sinus procedures and have a significant amount of experience specifically in septoplasty. Consider how long they have been practicing, the number of deviated septum surgeries they have performed, and any additional training or expertise they may have in the field. It is important that the surgeon understands the specific ethnicity, skin type and deviated septum correction options to give results that best suit your needs. The more experience the surgeon has in your specific problem then better is the outcome of the surgery.

Hospital  and clinic Affiliations

Consider the hospitals or surgical facilities where the surgeon performs their procedures. Look for reputable institutions with a focus on ear, nose, and throat (ENT) or nasal surgeries. Hospitals with a strong reputation for providing high-quality care and safety standards are generally preferable. This is an important factor in finalizing the deviated septum surgeon for your treatment. This information is easy to get and by will give you a fair idea about the quality of care that you will be getting, the resources the doctor has at his disposal and the locations where you can get the treatment. If the facility is far from your residence, then it may be difficult to go in for regular follow-ups and you will have to bear the additional expenses of travelling and stay that will increase the deviated septum surgery cost India. Ensure that the surgeon and the surgical facility prioritize patient safety. Inquire about the accreditation of the facility, the presence of qualified anaesthesiologists, and the availability of emergency equipment. A safe and well-equipped facility is crucial for a successful surgery and optimal post-operative care.

Consultation and Communication

 Schedule nose job consultations with the surgeons you are considering. This will allow you to meet them in person, ask questions, and evaluate their communication style. A good surgeon will listen to you attentively, address your concerns, explain the procedure and potential risks, and make you feel comfortable and confident. Assess how well they explain complex medical concepts in a way that you can understand. If you and the surgeon can understand each other and communicate effectively then it will be easier for you to understand the treatment. Ask questions during the nose job consultation such as

  • Why is this procedure necessary for me
  • What are the risks and complications
  • Do I need other procedures with it
  • How long is the recovery and what should I expect during the process
  • What is the success rate and long term results
  • Is there an alternate treatment to try
  • Will I be able to do normal activities post the surgery

Ask About Surgical Techniques

 Inquire about the surgical techniques (open or closed rhinoplasty) the surgeon uses for deviated septum correction. A skilled surgeon should be well-versed in various approaches, including endoscopic techniques, and should tailor the procedure to your specific condition. They should be able to explain the pros and cons of each technique and discuss the most appropriate approach for your situation.

Cost and Insurance Coverage

 Consider the deviated septum surgery cost India and your insurance coverage. While cost alone should not be the primary factor in choosing a surgeon, it is essential to understand the financial aspect. Inquire about the total cost of the procedure, including surgeon fees, anaesthesia fees, facility fees, and any additional costs. Confirm whether your insurance plan covers the surgery and what portion you would be responsible for.

Seek Second Opinions

 Don’t hesitate to seek second opinions from different surgeons. This can provide you with additional perspectives, help you gain more knowledge about your condition, and assist in making an informed decision. Consulting multiple experts can also help you compare recommendations, surgical techniques, and potential outcomes.

Lastly, trust your instincts. Choose a surgeon with whom you feel comfortable and confident. The surgeon-patient relationship is crucial for successful outcomes, and you should have trust in their expertise


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Submucosal Nose Resection for Deviated Septum Treatment

Submucosal Nose Resection for Deviated Septum Treatment

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The septum cartilage in the nose plays an important role in breathing and the shape of the nose. It divides the nasal cavity into passages. It is actually like a very thin wall running vertically in the middle of the nose. The septum performs several important functions related to breathing and the aesthetics of the nose

  • Structural Support: The nasal septum provides structural support to the nose, helping to maintain its shape and stability. It acts as a framework for the external and internal structures of the nose, including the nasal bones, cartilage, and soft tissues.
  • Airflow Regulation: One of the important roles of the nasal septum is regulating and directing the airflow through the nose. When a person inhales, the air passes through the nostrils and encounters the septum. The septum helps to guide the airflow and distribute it evenly through both nasal passages.
  • Filtration and Humidification: As air passes through the nasal cavity, the septum, along with the nasal turbinates (small structures inside the nose), helps to filter out impurities, dust, and particles. It also aids in humidifying and moisturizing the inhaled air, ensuring that it reaches the lungs in a clean and appropriately humidified state.
  • Warmth and Conditioning: The nasal septum, along with the nasal mucosa, helps to warm the inhaled air to match the body’s temperature. This conditioning process is important to prevent discomfort and potential damage to the delicate tissues of the respiratory system.
  • Support for Olfactory Function: The nasal septum houses the olfactory epithelium, which contains specialized cells responsible for the sense of smell. The structure and integrity of the septum contribute to the proper function of the olfactory system, allowing individuals to perceive and distinguish different smells.

In cases when the septum is not behaving properly, such as a misaligned septum, it can disrupt one or all of the above functions leading to breathing difficulties and increased sinus problems. In cases where deviated septum needs major corrections, a submucosal resection of deviated septum is needed.  A deviated septum is a common problem and it affects about 80% of the population but only about 25% of the people face breathing difficulty because of the deviation. The misaligned septum is also one of the reasons behind a crooked nose.

Why is Submucosal Nose Resection for Deviated Septum Treatment Needed?

While a deviated septum can be asymptomatic or cause minimal problems for some individuals, it can also present certain disadvantages and challenges. Deviated septum correction is needed when the patient is experiencing any one or multiple of the following symptoms.

  • Nasal Obstruction: The misalignment of the septum can narrow the nasal passages, making it difficult for air to flow freely through the nose. This can result in chronic nasal congestion, difficulty breathing through the nose, and a sensation of restricted airflow.
  • Chronic Sinus Problems: A deviated septum can impede proper drainage of the sinuses. This obstruction can lead to the accumulation of mucus and bacteria in the sinuses, increasing the risk of chronic sinusitis. Symptoms may include facial pain, pressure, recurrent sinus infections, and post-nasal drip.
  • Sleep Disruptions: Breathing difficulties caused by a deviated septum can disrupt sleep patterns. Individuals may experience snoring, sleep apnea, or other sleep-related disorders. These disturbances can result in daytime fatigue, reduced quality of sleep, and overall decreased well-being including dull skin and dark circles under the eyes with eye bags.
  • Decreased sense of smell: A deviated septum may impact the passage of odor molecules to the olfactory receptors, leading to a decreased sense of smell. This can affect one’s enjoyment of food, appreciation of scents, and overall quality of life.
  • Facial Pain and Headaches: In some cases, a deviated septum can cause facial pain, pressure, and headaches. The obstruction and inflammation associated with the condition can lead to discomfort in the nasal area and radiate to the surrounding regions.
  • Speech and Voice Issues: In rare cases, a severely deviated septum may affect speech and voice quality. The altered airflow and nasal resonance can result in a nasal or congested voice, impacting communication and self-confidence.

If a deviated septum is causing significant symptoms or interfering with daily activities, it may be advisable to consult with an expert plastic surgeon to discuss the potential treatment options such as nasal septoplasty which can correct the septum position.

A deviated septum can be caused because of a birth defect, infections in the nose, or because of trauma or injury to the nose.

What is Submucosal Nose Resection for Deviated Septum Treatment

Submucosal resection is a surgical rhinoplasty technique used to remove or reposition the deviated portions of the nasal septum while preserving the overlying nasal mucosa. Sometimes the submucosal resection of a deviated septum is also done along with the cleft palate repair.

If the surgeon is not able to treat the chronic sinus and other breathing problems with normal treatment methods then they will recommend getting a septoplasty done to help the patient.

The submucosal nose resection for correcting the deviated septum is done in two ways

  • One is by removing the extra septum layer tissue
  • The other is by treating the enlarged turbinates.

The surgeon will do an endoscopy of the nose and examine the physical symptoms first to find out the extent of the deviation and the reasons for the issues in breathing. Thereafter the rhinoplasty surgeon will give the resection surgery options. If the turbinates need to be operated on, the surgeon will first give some medication to bring the swelling down and then check if the severity of the symptoms warrants a septoplasty. The common treatments used to ease the blood flow are decongestants, antihistamines, and nasal steroid sprays.

Submucosal Resection Operation Procedure

This procedure corrects the deviated septum by removing or trimming a portion of bone or cartilage from inside the nose. This procedure does not disturb the nasal linins in any way. During the surgery, the surgeon will make incisions inside the nose, and lift the mucopreichondrial flaps to expose the septal cartilage and bone. The next step is to remove the deviated portions of the septum i.e., the excess cartilage and bone, adjust the shape and alignment of the septum, and straighten it.  The incisions are then closed with the help of dissolvable stitches.

Since the natural nasal lining is not disturbed the healing time after submucosal resection of deviated septum is quite fast.  The procedure takes about 1.5 hours to complete.

If turbinate reduction is performed then care is taken so as to not to remove the turbinates fully so that the normal function of the nose is not disturbed. Once the surgeon is satisfied that the airways are clear, they will close the incision.  Sometimes the surgeon might place a splint to support the trimmed bone and cartilage. This procedure does not disturb the lining of turbinates instead just reduces their size. The whole procedure takes about seventy-five minutes to complete and is done with the help of a microdebrider.

Pre-submucosal resection of the deviated septum

Before you go for the surgery the surgeon will talk to you about your condition, the medications you are on, and if you have had any other previous surgeries. The physical examination and other important tests will give the surgeon an idea about your skin type and condition. The surgeon might also take some photos of the nose to recommend septoplasty changes. The last step is to discuss your expectations and what results can you get.

Postoperative care following submucosal resection

Postoperative care following submucosal resection surgery is crucial for a successful recovery. Here are important considerations for postoperative care:

  • Diet: It is advisable to consume soft and cold foods during the initial stages of recovery. These foods are easier to chew and put less stress on the face. Cold foods can also help reduce the likelihood of nosebleeds, which are common after surgery.
  • Resuming Activities: Within a day after the surgery, you can typically resume most of your daily activities. However, it is important to follow your surgeon’s instructions regarding any specific restrictions or limitations during the recovery period.
  • Common Side Effects: Some common side effects after submucosal resection surgery include a burning sensation due to a dry nose, slight bleeding, and increased mucous secretion. These side effects are usually temporary and should subside as the healing progresses.
  • Infection Prevention: To minimize the risk of infection, it is important to follow proper nasal hygiene practices as instructed by your surgeon. This may include saline rinses or sprays to keep the nasal passages clean.
  • Packing Removal: The surgeon will remove any nasal packing once they are satisfied with the healing process. The timing of packing removal varies depending on the individual case and the surgeon’s preference.
  • Bruising: External bruising is unlikely after submucosal resection surgery. However, it is possible to experience some swelling or discoloration around the nasal area, which should gradually improve over time.
  • Improved Breathing: Following a successful submucosal resection surgery, you should experience an immediate improvement in your ability to breathe. You will likely notice that breathing becomes easier and more comfortable, without the presence of bleeding, pain, or discomfort.

It is important to closely follow your surgeon’s postoperative instructions and attend follow-up appointments as scheduled. By doing so, you can ensure proper healing, minimize complications, and optimize the long-term results of the submucosal resection surgery.

Cost of submucosal nose resection for deviated septum correction

The cost of submucosal nose resection, or septoplasty, for the treatment of a deviated septum in India, can vary depending on several factors. These factors include the location and reputation of the clinic or hospital, the surgeon’s expertise and experience, the complexity of the case, the type of anaesthesia used, and the facilities provided. On average, the cost of septoplasty in India can range from approximately INR 50,000 to INR 2,50,000 or more. However, it is important to note that these figures are approximate and can vary significantly. During the consultation, the septoplasty surgeon can assess the specific condition, discuss the treatment options, and provide an accurate estimate of the cost based on the individual’s needs and requirements.

 


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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