Patient question: Disease: nasal septum deviation area, turbinate hypertrophy content; Description of the disease (onset time, main symptoms, hospital visited, etc.): nasal congestion began last November, the left nostril nasal congestion is heavier. In March this year in Wuhan 457 Air Force Hospital was examined as nasal septum to the left deviation area, bilateral inferior turbinate hypertrophy. He underwent septum correction and turbinate ablation surgery in the Air Force Hospital. After the surgery, the left nostril breathed well. The right side, on the contrary, did not breathe well.
Previous treatment and results: Now when I clean my nasal cavity by myself with a cotton swab, I obviously feel that the left nasal cavity has a lot of space, while the right side has very little space. So I feel that my septum was deflected to the right by the doctor during the last surgery.
What kind of help do I want to get: I want to know if the space on the right side is obviously bigger than the space on the left side because of the right septum deviation? Is this the main reason why I can’t breathe well in my right nostril?
Wang Xianzhong replied: Your condition cannot be judged simply, you must carefully perform nasal endoscopy and find the cause against sinus CT in order to determine the diagnosis and treatment plan. Please go to the clinic for nasal endoscopy to make a clear diagnosis.
Patient Question: Thank you for your reply, Dr. Wang. Due to the failure of the last septum surgery and inferior turbinate surgery, I am in extreme pain. Now the septum is still deviated and the inferior turbinate is still enlarged. I have no choice but to operate again. Before the surgery, I would like to know which surgical procedure for the inferior turbinate is more effective? Is it plasma ablation? Fracture displacement of the inferior turbinate? Or is it submucosal partial excision of inferior turbinate? I know Dr. Wang is an authority in this field, so I would like to ask him to tell me.
Wang Xianzhong replied: It depends on your sinus CT to decide which surgical procedure is more suitable for you. There are certain rules for the natural flow of air in the nasal cavity. The French way is natural. The doctor should follow the knowledge of nasal respiratory physiology to plan and perform the surgery for you in order to allow you to breathe comfortably.