Face

Septoplasty

The nasal septum is a cartilaginous structure which separates the right and left side of the nasal airway. In some patients, either because of trauma or genetics, there may be some deviation of this cartilage into one or both airways, resulting in nasal airway obstruction. Patients experiencing this obstruction may be candidates for septoplasty.

Patients complaining of nasal airway obstruction are seen in consultation with Dr. Casso. A medical history is elicited, particularly with regards to seasonal allergies.

The nasal airways are examined. Any deflection of the nasal septum and consequent airway obstruction are noted. Prominence of nasal turbinates, if present, is also noted.

Patients with nasal obstruction on the basis is seasonal allergies are advised to maximize medical management of this common condition. For patients whose airway obstruction results from an anatomic abnormality, surgical treatment is considered.

Surgical treatment of septal deviation is performed by Dr. Casso under general anesthesia at Houston Methodist St. John Hospital. While this procedure is sometimes performed under local anesthesia in outpatient facilities and doctors’ offices, Dr. Casso recommends general anesthesia at Houston Methodist St. John Hospital, which provides the patient with a comfortable surgical experience, and close, expert nursing attention, treatment of postoperative nausea, if present, and immediate medical attention in the event of any unforeseen emergency. The option for surgery in a full-service, state-of-the-art facility such as Houston Methodist St. John provides patients with a measure of safety and security which is unmatched.

Septoplasty surgery involves incisions within the nose. The deviated portion of cartilage is repositioned; portions of deflected cartilage may be removed.

If enlarged nasal turbinates contribute to nasal obstruction, Dr. Casso may debulk these structures in such a way as to help relieve airway obstruction without unduly impacting the important warming and humidifying functions of these important structures.

When the procedure is complete, nasal splints are inserted.

Patients generally are discharged the afternoon of the procedure. Pain is usually moderate, and relieved by oral pain medication.

Patients are seen post-operatively in Dr. Casso’s office. The nasal splints are removed in five to seven days. Generally, there is minimal bruising.

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