Can a septum re-deviate several years after surgery?

Question

I had surgery to fix deviated septum on 2012, was told post op that nose healed and straightened correctly. Symptoms resurfaced 2015, saw an allergist who said ds was still present. Next saw a 2nd ent was sent for CT scan that showed ds, but dr did not agree. Symptoms persist, despite taking steps to control allergens, reflux and sleep apnea. Can a septum redeviate years after surgery and why would this occur?

P. Daniel Ward, MD · Answer

Dear DawnyBCooks,Thank you for your question. The septum can deviate again, although this is thankfully quite rare. I would advise you to discuss your concerns with an experienced Nasal Surgeon, preferably an experienced Facial Plastic Surgeon with extensive experience in revision nasal surgery.Please let us know if you have any other questions or concerns!Sincerely,Dr. P Daniel Ward

Jordan P. Sand, MD · Answer

A septum can re-deviate following corrective surgery. After the procedure, the remaining cartilage forming the nasal structure can weaken from scar formation. Additionally, memory in the remnant cartilage can cause the initial symptoms to return. Revision septoplasty can be a challenging undertaking and may also require additional procedures to the sinuses or turbinates depending on radiography and how the anatomy appears on exam. I would recommend consultation with a physician that specializes in nasal surgery for a full discussion of what additional procedures may help.

Frank Scaccia, MD, FACS · Answer

Yes, a septal cartilage has "memory" to it and can deviate back to its original position.  I operate on a lot of previously operated on septums and usually the cause for recurring symptoms is that the original surgeon wasn't aggressive enough in removing the entire deviation.. Also sometimes the turbinates and sinuses need to be addressed too. Revision septoplasty requires great expertise, technical skills, and a thorough knowledge of the nasal anatomy.

Dominic Castellano, MD - Account Suspended · Answer

Hello Dawnybcooks,
Following surgery scar tissue can certainly affect the outcome/result. I would recommend that you get another opinion from an ENT to determine the best course of action. Another option to improve your airflow would be to consider inferior turbinate reduction. 
Take care,
Dr. Dominic

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