If you have clearly established that symptoms such as nasal congestion, headache and nasal bleeding are caused by a deviated septum, then the results of the surgery are certain, and 95% of patients will have their symptoms improved after surgery. The enlarged turbinates can also be treated together with the surgery. Because the irritation caused by the septum disappears, rhinitis and sinusitis will be relieved, and the effect of medication will be improved. Some patients ask “My nose is not quite straight, will the bridge of my nose also be corrected after septum surgery?” I regret to inform you that septal surgery does not involve the correction of the bridge of the nose, but it is possible to correct nasal tip misalignment caused by the braided septum.
Although it works in 95% of patients, there are still many patients who worry, what if unfortunately I am the 5% that do not improve? What is the reason for the lack of improvement?
1, pre-operative and post-operative medication: many patients put their hopes on the surgical treatment, ignoring the systematic medication before and after surgery. We know that the general septal deviation will be accompanied by rhinitis, sinusitis and turbinate hypertrophy and other problems, the doctor will recommend routine medication for 1-2 months before surgery, part of the patient’s symptoms are relieved, even without surgery.
For patients who still need surgery, the most important role of preoperative medication is to reduce inflammation and edema in the mucosa of the nasal cavity, which will help the surgeon’s operation, reduce intraoperative bleeding and facilitate surgical operation, and also reduce the chance of postoperative infection. Post-operative medication is even more important, although the septum has been corrected, but can not be taken lightly, rhinitis, sinusitis may still be waiting for the opportunity to counterattack. Therefore, the postoperative medication not only can be anti-allergic, anti-inflammatory and anti-edema, but also help to reduce the viscosity of sinus secretions and make them easier to discharge. It is beneficial for the recovery of postoperative trauma and the prevention of recurrence of rhinitis and sinusitis. The specific medication should be arranged by your attending physician, and the purpose here is to tell you the importance of pre- and post-operative medication.
2. Surgical factors: There is no denying that in some cases surgical problems can cause poor patient outcomes. As for what factors cause surgical problems, specific problems need to be analyzed, not a generalization. Patients should do: (1) go to a regular hospital to find a professional doctor to operate the surgery; (2) adhere to the preoperative medication, for the surgery to pave the way. To do these two points, we can minimize the poor results caused by surgical factors.
3, the impact of patient psychological factors: preoperative for patients with adverse emotional reactions to do a psychological survey, for itself combined with anxiety, depression of patients, after surgery will imagine a lot of symptoms, feel how uncomfortable. There are also some patients who do not know that their symptoms are related to their nose, and after they know, they keep focusing on their nose. Therefore, before the surgery, doctors and nurses will do a psychological survey and counseling to patients so that they have a correct perception of the surgery and a reasonable expectation of the postoperative effect. Since the patient’s subjective symptoms of nasal congestion are sometimes not accurate, they need to be determined in combination with imaging and/or nasal ventilation function tests. Therefore, when patients are not satisfied with their postoperative results, they should promptly go to the hospital for further examination. If it is indeed a psychological problem, please also give yourself positive psychological hints to get through this difficult postoperative period.