Opposite side blocked - Post Septoplasty Surgery - Advice? (photo)

Question

I had a septoplasty in 2016. Was deviated to the right. I now find myself blocked on the left. The right side is now ok Mucosa is inflaming to a point where the left is blocked. Pressurised environments also affect on the left, being in cars and trains. My mucosa was always susceptible to rhinitis however it seems that moving septum more to the left the inflammation that once was not an issue for the left is now an issue My breathing is good at times but these are short occasions Any advice?

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for your question and provided information. Nasal obstruction can be due to different reasons such as deviation, nasal valve collapse and turbinate hypertrophy. You need to be examinated in-person and in detailed. You need to seek a professional, innovative surgeon. Closed approach will provide maximal healing, minimal edema&swelling and eliminates a scar on the columella.Best Regards,

Munish Shandilya, MS · Answer

Nasal Blockage after Septo-plasty or Rhinoplasty are typically due to a Physical blockage (Residual deviation of the Nasal septum, Residual posterior spurs, Internal Nasal Valve compromise and rarely adhesions in modern Rhinology) or Physiological blockage ( Rhinitis based). Inferior Turbinate hypertrophy can be obstructive in early months but always resolves without intervention in my experience. I would evaluate this present Clinical situation with a CT Scan of Nose and PNS and a Sinuscopy with detailed photo documentation with and without decongestive treatment at the same sitting. A surgeon trained in Nasal Surgery can usually diagnose and predict need for further intervention and success.

Rachel A. Ruotolo, MD, FACS · Answer

There are multiple reasons for airway obstruction. One of them is anatomic, from a deviated septum, internal nasal valve collapse, and/or turbinate hypertrophy. Mucosal inflammation alone can cause signifiant airway compromise. It is important that your physician examines you and determines the etiology of the obstruction (anatomic vs. inflammation).  This will determine wether the solution is surgery or topical sprays.  Be sure to seek consultation with a board certified surgeon who is experienced in nasal surgery.  Good luck!

Opposite side blocked - Post Septoplasty Surgery - Advice? (photo)

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Opposite side blocked - Post Septoplasty Surgery - Advice? (photo)

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Everything you need to know about Septoplasty

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