How does nasal septal deviation arise and do all nasal septal deviations require surgery?
There are 3 main causes of nasal septal deviation: ① Congenital: It has been reported in the literature that some newborns are born with nasal septal deviation, and Zebra often finds that many children at a very young age already have nasal septal deviation in their clinical work.
(ii) Due to trauma: When learning to walk, limb collisions during sports, and nasal trauma from various causes can lead to nasal septal deviation.
③Due to development: The nasal septum is mainly composed of 2 bones and 1 cartilage, and during the development process, the hardness, toughness and growth rate of each bone vary, and deviation can also appear gradually. In our work, we found that certain adolescents who have been seen for a long time before and after puberty will gradually develop deviated nasal septum. As for the cause of each nasal septal deviation, it is often difficult to determine accurately due to the lack of long-term observation and exact medical history, however, the cause of septal deviation is not necessarily related to surgery or not, so there is no need to investigate deeply.
The reason why there is nasal septal deviation but no nasal congestion is because the regulation function of the mucosa of the inferior turbinate is still in the compensatory period. Therefore, nasal septal deviation can exist for a long time, but may not necessarily have rhinitis, and can be temporarily not operated. However, if the septal deviation is accompanied by nasal congestion, rhinogenic headache, recurrent rhinorrhea, and purulent discharge, it is often necessary to undergo surgery. In conclusion, some septal deviations can be operated without surgery, but not all septal deviations do not require surgery.
Can deviated nasal septum be cured without surgery, but by simply taking medication.
Many patients are afraid of surgery, plus surgery requires routine hospitalization, which takes about 7-10 days and costs a lot of money at one time, so they often hope to cure deviated septum by simply taking medicine, and at the same time, the overwhelming advertisements and certain so-called reports in the name of news from various newspapers, TV and the Internet, driven by various interests, are constantly misleading people. However, nasal septal deviation is a deviation of bone or/and cartilage, and it is impossible for drugs to change the morphological abnormality of bone and cartilage. Simple drug treatment can only temporarily relieve symptoms such as nasal congestion, bleeding and headache to a certain extent, but it is impossible to completely eliminate various related symptoms caused by abnormal nasal septum morphology. Moreover, once the nasal septal deviation is accompanied by long-term or/and severe nasal congestion symptoms, it indicates that the adjustment function of inferior turbinate begins to lose compensation, and if not corrected in time, the loss of compensation will become more and more serious. To improve the symptoms and recover completely, septal surgery is often difficult to avoid. In short, medication is unlikely to change the deviated septum and, at least for now, there is no evidence that medication can replace surgical treatment.
Is deviated septum treated with laser, microwave or plasma?
Many people often ask if deviated nasal septum is treated with laser, microwave or plasma during consultation, which is ridiculous to hear. What is laser, what is microwave, and what is plasma, and how can they be used to treat a deviated septum? It is puzzling to know where these ridiculous claims come from. Deviated septum is an abnormal bone and cartilage form, which cannot be corrected by laser, microwave or plasma. Such claims are purely subjective and have no scientific basis, so do not make them out to be false.
What should be done for a deviated septum? At present, what is the best method?
At present, the main surgical methods for deviated septum are: the traditional surgical method in sitting position, illuminated by frontal mirror and performed under anterior nasal mirror, and the modern minimally invasive surgical method in supine position and performed under nasal endoscope. The main surgical procedures are: submucoperiosteal resection, orthoplasty, and 3 types of surgery. In short, the surgery should be performed in the most advanced way and in the best way, and it should be done well.
In addition, regardless of the way, the surgery is done through the anterior nostril, confined to the nasal cavity, without damaging the facial skin, therefore, there is no incision on the face.
What kind of anesthesia is used for septal surgery? Is the surgery painful?
Nasal septum surgery can be performed under local or general anesthesia. If you are financially able to do so, or if you are nervous and especially afraid of surgery, it is best to use general anesthesia. Currently, general anesthesia is an international trend and is also very safe, but relatively expensive.
The pain present in local anesthesia surgery is generally tolerable. General anesthesia is painless during surgery. In fact, intraoperative pain is not the key to the problem, regardless of general anesthesia or local anesthesia; the pain caused by filling 24-48 hours after surgery is the main problem. Individual patients may still have different degrees of dry mouth, sore throat, headache, etc. because of the difference in tolerance.