Had septoplasty due to trauma in youth and continue to have symptoms. Could a revision help? (photo)

July 3, 2025
Asked By:jayw77 in Abbeyville, Colorado

Had a pretty bad trauma to the back, bony part of the septum in youth that caused a fracture that partially fused to the lateral nasal wall on the upper left. Had a septoplasty years later, but continue to have symptoms and there appears to be and adhesion between the posterior middle turbinate and nasal wall. Meaning they are connected by scarring. There is some kind of long-term desiccated material up there that is not easily visible that I am unable to clear along with excessive amounts of mucus postnasally. Have had a couple of “events“ of spontaneous clearance of the material that are actually audible and unsettling, and it is clear after some time that it was real because can feel the difference. This issue is compounded by a difficult adult tonsillectomy on the left side, leaving some Lasting muscle discoordination, making clearance even more difficult. There is also a bony protrusion coming off the left nasal wall, just below the back of the middle turbinate like we are remnant of the surgery. I don’t know if it has any relevance to the problem. If possible will include two pictures showing the area. Can anything be done to open up this area between the back of the middle turbinate and lateral nasal wall, which seems to be fused together and clear out whatever material is there and help promote further drainage? Any info or opinions would be appreciated

2 photos

Answers (2)

From board-certified doctors and trusted medical professionals
MOST RECENT
July 7, 2025

Answer: Can Scarring Behind the Middle Turbinate Be Surgically Released to Improve Drainage?

MOST RECENT
July 7, 2025

Answer: Can Scarring Behind the Middle Turbinate Be Surgically Released to Improve Drainage?

July 4, 2025

Answer: Revision septoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
July 4, 2025

Answer: Revision septoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon

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