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Septoplasty: anyone else had it?

  • 14-12-2022 11:26pm
    #1


    I have been scheduled for this surgery in April, having been assessed by an ENT surgeon as having a severely deviated septum. Have been suffering pain & pressure around right maxillary area nonstop, recurrent infections, post nasal drip, constant need to breath by mouth, very disturbed sleep. I’ve no allergies detected, so surgeon expects a good result, and says he particularly enjoys slightly challenging work like my own case.

    Surgeon knows I’m well clued in, have googled it, You Tubed it etc, so know a reasonable bit of what to expect. He also knows I’m unable to take nsaids. 

    I’ve had several major surgeries before, to remove colon, to remedy bowel strangulation, knee replacement, as well as other surgeries, so no stranger to a bit of the surgical wars & major complications. But no fan of it either!

    Has anyone else undergone this procedure and if so, what has been your own experience and any advice you can offer?

    Thanks



«1

Comments

  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul


    Interested in this also.



  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600


    I had septoplasty at 40. The operation was done under the general anesthesia. One day recovery in the hospital (Hermitage clinic), then around 2 weeks recovery at home. I was given prescription painkillers, which I took for 2 days. After that, I just felt dull pain/discomfort and did not need painkillers. I could work (in the office) after 5 days, but felt tired more easily for a month or so. Results -- much better sleep, easier breathing in general, I can actually go for a few km run without gasping for air like a fish out of the water.

    Post edited by victor8600 on




  • That sounds great. My surgeon says I’ve about 100% blockage on right side and he looks forward to the challenge of repairing it, it’s his favourite operation of all of them. I get recurrent maxillary infections of that side, post nasal drip etc, but no common allergies so he believes it will be very successful.



  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul


    Do they do a rhinoplasty too at the same time? If I was to get it done I would like my nose to look straight also



  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600


    I think it would be two separate operations. Please ask your surgeon, it might be possible and then let us know though!



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  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul


    I don't have to go back any time soon. Just over a different major surgery. So this is not going to be for a while yet. I read on the internet some surgeons can do it. I wish I thought it is when I was in his office.





  • I returned to my surgeon this afternoon to get the splints removed 2 weeks after the septoplasty and I am mighty pleased with the results! Can breath through nose for first time since I don’t know when.

    Surgeon said it was a tricky surgery for him as the deviation was right back in the bones and he had to do a fair bit of chiselling to reset all that before working on the cartilage. In spite of that it was only painful immediately when I woke up, was given immediate injections of oxynorm & OxyContin and that did me rest of day. After that a bit of Solpadeine was all that was needed. A straightforward & successfully surgery! 😀



  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul


    Please keep us updated a few weeks down the line.





  • I think everything is in place in my nasal cavity, it’s amazingly even & functional!



  • Registered Users, Registered Users 2 Posts: 14,774 ✭✭✭✭cj maxx


    I had one done a few years ago. It was a game changer. Headaches and snutter noses gone. The theatre nurse gave me a good tip do nasal douches. Baking soda , sodium bicarbonate, is your friend.



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  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    I am having both septum and bump fixed / tip reduced next week. Mainly looking forward to being able to breathe through my nose but also it will be nice to have the bump (result of a break 18 years ago) gone.

    Nervous about the recovery but it will be good to get it all over with





  • Surgeon Tom Moran (lovely guy) said mine was a very tricky op as a lot of none had to be repositioned, it I can absolutely say with confidence it was once of the most straightforward things I ever had done and the result is incredible. My sleep pattern is enormously improved, even my Apple Watch denotes this.

    I woke up with a bit of a pain in the face, as you can imagine, but within 3 minutes of telling the nurse I had two injections administered, Oxynorm to immediately relieve virtually all pain, and OxyContin to maintain that action for rest of day. Kept in hospital til evening, let home. Comfortable and relaxed throughout. Simple Solpadeine a couple of times a day over next few days. Worst discomfort was from the essential splint as it all healed. I used Neilmed Sinus Rinse from Boots twice a day to clean out the inevitable clots and encrustations, I still use that a couple of months on as the encrustations gradually decrease, almost down to nothing, but I love to enjoy the 100% inprovement! That keeps getting better and better and better! It’s a fantastically efficacious op, even if you might not quite think so right at the beginning!



  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    That’s really good to hear all has healed so well. And great to hear of the sleep improvement :) Im looking forward to that too.

    I’m staying in overnight which I don’t mind as I think I’d be nervous by myself in the aftermath. As mine is rhinoplasty as well, it’s a double whammy. But will be so worth it if all goes well.

    Post edited by Boards.ie: Paul on




  • you’ll have more bruising of course, but that fades quickly. I fell bang on my nose in March from a severe fall that knocked me out for some time and caused a large amount of bleeding. My bone got further displaced by that fall, but very surprisingly though I had a swollen purple nose and facial swelling and bruising there was little pain. I was much more concerned about my inability to walk and balance which seems to be from MS.



  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul




  • Registered Users Posts: 7,955 ✭✭✭YellowLead




  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    All went well with my surgery, got the bandage off and stitches out today. It’s still very swollen but I can already see the difference. Far less painful than I imagined. In fact, the most painful part was getting the stitches out (I was told this would have been better had I put more Vaseline on the area but I was afraid to touch it too much). It’s still very much in the healing phase so I can’t tell much of a difference to breathing yet as it all feels fairly blocked inside, except that both sides feel the same now (previously one was far more blocked than the other). Glad to have it over with and be out the other side :)



  • Moderators, Motoring & Transport Moderators, Music Moderators Posts: 12,778 Mod ✭✭✭✭Zascar


    I'm going in for this next week. Wondering how the recovery was and what you were advised etc? Is it painful or just annoying? How long before it felt ok, and then normal again?



  • Registered Users Posts: 7,955 ✭✭✭YellowLead




  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600




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  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    When did you find the breathing improved? I still feel fairly blocked 9 days post op.



  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600


    Not before two weeks as far as I remember, maybe longer. Ask your surgeon, in my case couple of weeks after the procedure, the surgeon used some long tweezer tool to snip some connective tissue/scar inside the nasal cavity (not sure what it was) and shortly after that it was all good.



  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    That sounds terrifying! But would be worth it of course. It can take weeks to improve so I’ll ask at my next appointment which is in three weeks time. Thanks.



  • Registered Users, Registered Users 2 Posts: 14,774 ✭✭✭✭cj maxx


    I’m not sure if I’ve posted already but it was the best thing I’ve had. That and baking soda has been a godsend.



  • Registered Users Posts: 7,955 ✭✭✭YellowLead




  • Registered Users, Registered Users 2 Posts: 14,774 ✭✭✭✭cj maxx


    the Septoplasty . I can now blow my nose and clear my sinuses




  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    How long did it take post op for you to feel clear?



  • Registered Users, Registered Users 2 Posts: 14,774 ✭✭✭✭cj maxx




  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    Fair. I don’t have that feeling yet but I have read online or can sometimes take weeks and surgeon said that too.



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  • Registered Users, Registered Users 2 Posts: 14,774 ✭✭✭✭cj maxx


    i only needed my right nostril done , so I could still drain from my left .



  • Moderators, Motoring & Transport Moderators, Music Moderators Posts: 12,778 Mod ✭✭✭✭Zascar


    Had the surgery yesterday for 3rd degree deviated septum. When I woke up I felt I could breath better. Today I woke up and extremely blocked and it's bleeding a lot. I'd love to just blow my nose to clear but obviously I cant. It's pretty horrible I can't wait for it to go away. Any tips?



  • Registered Users, Registered Users 2 Posts: 40,384 ✭✭✭✭Itssoeasy


    No tips really but as someone who had the surgery nearly 20 years ago you’ll wonder how you didn’t have it sooner. I was very sick the day or two after it, and my nose was tender but in my case it wasn’t that bad. I took two weeks off school at the time but I can’t remember anything after being very bad.





  • Don’t worry about the breathing for the moment, that will take months, but you won’t know yourself.





  • My breathing is now completely clear, the crusting has finally stopped. Was done April, so it takes 3 months or so to get the final result of a simple septoplasty.

    You can see the extent and complexity of the deviation, he had to reset bone at the back to get it aligned. But as far as I was concerned the most uncomfortable thing was the splints, but it was still perfectly tolerable.



  • Moderators, Motoring & Transport Moderators, Music Moderators Posts: 12,778 Mod ✭✭✭✭Zascar


    So I had my surgery 2 months ago and it's great I can finally breath properly. I was worried that I wouldn't experience any significant change, but actually I'm very happy I can certainly breathe an awful lot better. The first week was pretty horrible mainly because you just want to blow your nose and you can't, but also you're so stuffed up and have to breath through your mouth. So sleeping for the first week is tough, waking up many times a night having to drink water because you're mouth is so dehydrated. That went away after about 10 days and after that it was much better it took over a month maybe 6 weeks until breathing felt normal again, and I felt like I could take a proper breath that I haven't done in years. If you're thinking about it just get it done you'll be glad you did!



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  • It keeps improving, I believe e that improvement can continue for months. My nasal breathing is really good now, far less headaches etc.



  • Registered Users Posts: 7 sk777


    Hi, a consultant advised me that I have a deviated septum and I could have surgery if I wanted, didn't make a suggestion either way. I have a few symptoms (loud snoring, labour slightly to breath through nose, poor sense of smell, dry mouth after sleeping, feel that my nose is blocked quite easily, I sometimes feel a bit of pressure behind my eye when blowing my nose) but these are each quite mild. I can't remember not having a deviated septum and I am almost completely blocked on one side of my nose. 

    I was wondering if thought that it would be worth going through the surgery and recovery for this?



  • Registered Users Posts: 7 sk777


    I had a septoplasty and turbinoplasty done 2 weeks ago. I was nervous about the surgery but it was absolutely fine. I felt no pain at all really. I returned after one week and when the doctor removed the splint it felt so strange being able to breathe through both nostrils. I was just tired for a couple of weeks but other than that it was fine.

    I was almost 100% blocked in one nostril and not sure how long I have had it. Maybe 10 years or more. As it wasn't causing any obvious serious health issues I was considering not doing the surgery, but I'm delighted I did. I had issues with snoring, dry mouth every morning, congestion for pretty much the whole winter every year and a doctor thought it might be causing a post nasal drip as I had a persistent cough.

    Since the surgery I feel great when I wake up in the mornings, hangovers are nowhere near as bad, not clearing my nose or throat at all really. I also think my sense of smell is improving. The doctor was happy with the results and said it will continue to improve for a couple of months.

    If anyone is putting this off because it sounds daunting, don't. I had wisdom teeth taken out in the past and that was a much worse recovery (even though that wasnt too bad either).





  • I second that, it is not anything as daunting as might be imagined. The stuffing sensation of the splints is the “worst” but perfectly tolerable. People who have had this op generally have have sinus infections galore and are more than able for a short-lived “final infection”‘sort of experience if you must describe it that way!





  • by the way, after you’ve had it done you use that NeilMed sinus wash available in Boots. Get used to using it ahead, maybe. Don’t worry about the horrible red snot post-op, that is normal and fine, nothing to be concerned about 😃

    Post edited by Boards.ie: Paul on


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  • Registered Users Posts: 81 ✭✭Qboot


    Hey there, loads of great advice in this thread 👍️ I am having the procedure done on Tuesday, very much looking forward to being able to breathe normally again.

    My question to anybody who keeps active, when were you able to get back to exercising after the surgery? I'm not doing anything too strenuous, mainly jogging + some abdominal exercises and push ups at home, but I would prefer not to postpone getting back to it for longer than necessary. Any experience in this area? Thanks!



  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600


    Personally, I avoided any physical exercises for something like 2 or 3 weeks after the surgery.



  • Registered Users Posts: 7,955 ✭✭✭YellowLead


    Anyone else become a snorer after the surgery when they weren’t before? I am almost a year post surgery and no sign of the snoring going, I wasn’t a snorer pre surgery, kind of annoying!



  • Registered Users Posts: 81 ✭✭Qboot


    Thank you Victor. And after that, you went back to it as normal, or was there a period of only light activity?



  • Registered Users, Registered Users 2 Posts: 1,646 ✭✭✭victor8600


    I went back to jogging, it is probably can be considered as a lighter activity. Please ask your surgeon for recommendations.



  • Registered Users Posts: 81 ✭✭Qboot




  • Registered Users Posts: 81 ✭✭Qboot


    Well then, had the procedure done yesterday, just about to be discharded from the hospital now. It was rather straightforward. So far, it's been grand as far as pain is concerned, I haven't been feeling tender whatsoever, but that's most likely due to the nurses making sure to stay on top of it.

    On the other hand, it has been quite miserable in terms of breathing. The nose is completely blocked, so you have to breathe through the mouth, which makes your throat sore and you keep waking up to sip water, etc. My advice to anyone who is about yo get it done, take a pack of Strepsils with you. So that is the worst of it so far. Otherwise, no issues.

    If anyone's interested, I am happy to keep you all posted on my recovery.

    Edit:

    Day 3 post surgery. The first 36 hours were the toughest, congestion was unbearable, and pain management was a must, as the nose could get very tender without it. My advice to anyone about to have the procedure done: don't brave it and keep chugging your pain relief to stay on top of the pain for the first 36-48 hours or so.

    This morning saw a big improvement: congestion is still very heavy (I understand it is there to stay for a week or so), but the air seems to be pushing a bit better through the crusting in the nose, so I am even occasionally able to breathe through the nose. The pain is gone, I don't need the painkillers anymore. The oozing from the nose is also not as heavy, so I can do away with the dressing under the nose, which makes it easier to eat and drink.

    The swelling is also gone, the kids don't call me "Rudolf the red nose daddy anymore" XD. I'm going to start with nasal flush, drops and cream as prescribed by the surgeon today and see how it goes.

    I'm also getting tired very easily, just helping the missus get the kids ready for school drained me out completely, but apparently that's to be expected.

    That's about it. It looks like the worst of it has passed and it's a much more manageable experience overall. Will give another update in a few days.

    Post edited by Qboot on


  • Registered Users Posts: 81 ✭✭Qboot


    Can't edit the post any more, so I'm creating another one.

    Day 5 post surgery. All is grand now, any residual swelling and oozing is now gone, and it is now essentially a wait for the splints to be removed (which in my case will happen in 2 weeks' time). I have started the nasal flush to help with the congestion, it is helping a little, but not a great deal. Still, even little relief is better than no relief. Not sure if it was in this thread, or another one, but someone recommended to practice doing the nasal flushes before you have the surgery, and I couldn't agree more: getting accustomed to doing it beforehand will make it so much easier.

    That's about it, I guess there's not going to be anything to report until the splints are removed, so if anyone is interested in that, or in getting back to exercising, let me know in 2-3 weeks' time and I will give an update. Best of luck to all looking to have this done. You'll be fine ;)



  • Registered Users, Registered Users 2 Posts: 7,795 ✭✭✭Raoul


    How long after the operation do you get the splints out?

    Also, does the operation straighten your nose? Or is that an additional thing that you have to ask the surgeon to do?



  • Registered Users Posts: 81 ✭✭Qboot


    I my case, 3 weeks after the surgery. But I believe it's 2 weeks in most cases, I guess my surgeon is simply unavailable earlier.

    Straightening your nose would involve rhinoplasty, I only had septoplasty (a.k.a. straightening the septum only) done. I belive the two are often done together, if required, but you would need to consult your doctor about it.



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