Tag Archive for: Septoplasty

Nasal adhesions after rhinoplasty

Nasal adhesions after rhinoplasty is one of the most common complications of rhinoplasty, which causes respiratory problems on one or both sides of the nose. The important cause of this complication after surgery is removal of the nasal mucosa or severe damage to it during surgery and failure to repair surgical incisions and wounds.

The nasal mucosa, which covers the inside of the nose and sinuses, regulates the amount of moisture inside the surface of the nose and sinuses by secreting certain substances. Therefore, nasal mucosa has a very important and special role in improving nasal function.

Nasal adhesions are not a permanent complication and will be removed with reconstructive nasal surgery.

Nasal adhesions

What causes nasal adhesions after rhinoplasty?

1- If the surgeon over-manipulates the inside of the nose during rhinoplasty, the nasal mucosa will be damaged and injured, as a result of which the injured nasal mucosa will stick together during repair and cause obstruction or congestion of the nose and the person will suffer. Problems with nasal adhesions. In this complication, the middle septum of the nose sticks to the side walls of the nose and the person feels short of breath.

2- If a person does not use the drugs prescribed by a nasal surgeon (especially antibiotics), the nose becomes infected and this infection also causes this complication in the nose.

What are the symptoms of nasal adhesions?

Nasal congestion

Shortness of breath

Respiratory disorders

Treatment of nasal adhesions

Removal of nasal adhesions is a procedure to separate scar tissue within the nose that has become connected, or fused. Fused tissue is called an adhesion. Adhesions in the nose are also called synechiae. Adhesions are a common, usually minor, complication of nasal or sinus surgery and nasal packing.

The doctor orders a CT scan to diagnose the cause of this complication after surgery and performs reconstructive surgery to treat it. In rhinoplasty to remove this complication, the surgeon inserts a systolic layer inside the nose, which prevents the two sides of the nose from coming close to each other and cuts the adhesion. The systolic layer should remain in the nose for a week. During this time, the nasal mucosa and its inner lining are repaired, and after the patient’s respiratory problems improve, the silastic layer is removed from inside the nose.

Read about Nasal necrosis


What is septoplasty?

The septum is the wall of bone and cartilage that divides your nose into two separate nostrils. A deviated septum occurs when your septum is moved to one side of your nose.

Septoplasty is a surgical procedure to straighten the bone and cartilage dividing the space between your two nostrils (septum). When the septum is crooked, it’s known as a deviated septum. A deviated septum can make it harder to breathe through your nose and can increase the risk of sinus infections due to poor drainage.

Once a septoplasty is healed, you’ll likely find it’s easier to breathe. You can discuss with your surgeon about what septoplasty can achieve for you.


What is deviated septum?

A deviated septum occurs when your nasal septum is significantly displaced to one side, making one nasal air passage smaller than the other.

A crooked septum is common. But when it’s severe, a deviated septum can block one side of your nose and reduce airflow, causing difficulty breathing through one or both sides of your nose.

Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage, bone or both. If you experience symptoms  such as difficulty breathing through your nose  that affect your quality of life, septoplasty can be a good choice for you

During the septoplasty procedure

The septoplasty  may be done with either local or general anesthesia. Which type of anesthesia is used depends on how complex your surgery is, and what you and your surgeon prefer.

During surgery, the incision is closed with absorbable suture. Soft silicone splints may be inserted inside each nostril to support the septum. To prevent postoperative bleeding, your doctor may place bandage-like material in your nose (packing).


To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery. Depending on the extent of your surgery, you may not need to do all of these:

Elevate your head when you’re sleeping.

Don’t blow your nose for several weeks.

Wear clothes that fasten in the front; don’t pull clothing, such as shirts or sweaters, over your head.

You should also limit your physical activity for several weeks after surgery to minimize swelling and promote healing. This includes most forms of intense exercise, such as running, lifting weights, and playing contact sports. These activities can increase your blood pressure and lead to heavy bleeding.

Most people find that septoplasty improves their symptoms, such as difficulty breathing, that were caused by a deviated septum. The level of improvement you can expect with septoplasty varies by person.

Read about Rhinoplasty – nose surgery