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Septoplasty Rhinoplasty
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Question: I am about to have a combined septoplasty/Rhinoplasty surgery in about
4 weeks. I've read through some of the post, but am primarily
concerned now with all that I should do to prepare. I've put the
surgery off for years because I'm chicken. But I've had so many sinus
infections and breathing problems. My doc said I'm over 90% blocked on
my right side as well as about 40% blocked on my left. At this point
I'm scared to take anything. I have been taking melatonin and valerian
each night for sleep. I also have major sleep problems...mostly due to
the breathing issue. So any help or pointers anyone can provide would
be appreciated
Answer: As far as septoplasty, I would recommend against it except for people whose
septum is extremely deformed, which is thought to be the main cause of one's
nasal-sinus problems.
I make that recommendation based on my experience--when I had one of my
sinus and turbinate surgeries done, the ENT also did septoplasty from my
mildly deviated septum. In that surgery my septum developed a hole in it, a
perforation.
In another sinus surgery (with a different surgeon) the following year, the
doc tried to patch the perforation, but that didn't work, and now the hole
is larger than ever. (In one sense better large than small. When I first had
the perforation, it was smaller, and made a very annoying whistling sound
with my breathing.) I've been told the perforation contributes to my severe
rhinitis, crusting, etc.
I believe that is always a risk with a septoplasty. Therefore, unless your
septum is extremely deviated, and the docs (get more than one opinion) are
certain that straightening the septum would make a large difference in your
symptoms, I'd recommend against it. (Not just--"while we are working on your
sinuses and/or turbinates we might as well straighten your septum as well".
Comment:
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