Post Septoplasty/Rhinoplasty - Doctor Didn't Use Splint: Can't Breath Out of Right Nostril

I almost never use intranasal splints or packing. Unless something has become displaced this is probably still swelling. Saline sprays may be helpful but check with your doctor first.

Septoplasty surgery helps improve a deviated nasal septum, which may or may not be combined with rhinoplasty. Typically, nasal surgeons will place absorb able sutures inside the nose, which slowly dissolve over time. Sometimes sutures or internal silicone splints may need to be removed about one week following nasal surgery. In addition to internal sutures and splints, the nose produces more mucous and crust in the early postoperative period. Lastly, mucosa swelling contributes to nasal congestion. Saline rinses may help improve the congestion symptoms from all of these.

While many patients have improved nasal breathing early after septoplasty, some patients don't appreciate the gradual improvement until a few weeks after surgery. Any concerns should be brought to the attention of your surgeon, and follow his/her care instructions.

Dr. Chaboki

Dear Concerned friend,

As Dr. Johnson stated the edema(or swelling) of tissue occurs both inside and outside of the nose.  The use of a septal splint isn't a dogma and some surgeons do not use it at all or replace the splint with absorbable sutures.  The edema in the nasal passages can last a significant time but does subside eventually.  I usually suggest the use of saline sprays (NOT Sudafed or medicated sprays) to alleviate the sensation of “stuffiness.”  The airways will open up and your friend should feel much better over time.