Endoscopic septoplasty (anesthesia and hospitalization costs not included)
Comandarea acestui serviciu anulează reducerea*
Endoscopic Septoplasty is a minimally invasive surgical procedure aimed at correcting a deviated nasal septum. It is performed using a nasal endoscope, which allows clear visualization of the internal nasal structures without external incisions.
| Components | Description |
| Septal cartilage | Resection, remodeling, repositioning |
| Vomer and ethmoid bone | Partial resection |
| Nasal mucosa | Detachment, preservation, suturing |
| Endoscope | Internal visualization, guidance |
| Microsurgical instruments | Elevators, forceps, micro-scissors, suction device |
| Nasal splints (optional) | Postoperative stabilization |
Purpose and Goals of the Procedure:
- Improving nasal breathing by clearing airflow
- Reducing snoring episodes or sleep apnea
- Decreasing the frequency of chronic sinus infections
- Preparing the nose for other interventions (rhinoplasty, sinus surgery, etc.)
Indications:
- Symptomatic deviated nasal septum
- Chronic unilateral or bilateral nasal obstruction
- Recurrent sinusitis episodes associated with nasal obstruction
- Facial pain or headaches caused by nasal issues
- Persistent snoring or obstructive sleep apnea syndrome
- Frequent nosebleeds (epistaxis) caused by contact between the deviated septum and the lateral walls
Patient Preparation:
To ensure the procedure is carried out safely and effectively, preoperative preparation includes the following essential steps:
- Complete ENT evaluation (nasal endoscopy, sinus CT scan – if necessary)
- Preoperative tests (blood count, coagulation, ECG, anesthesia evaluation)
- Inform your doctor about any medications you are taking, including over-the-counter drugs, dietary supplements, or herbal remedies.
- Medications affecting blood clotting: At the doctor's recommendation, it is advised to discontinue medications that may influence blood clotting (e.g., aspirin, ibuprofen, naproxen, herbal supplements) approximately 14 days before surgery.
- Avoid eating or drinking for at least 6 hours before the operation.
Procedure:
The procedure involves correcting the deviation of the nasal septum through an endoscopic approach, without external incisions. The surgeon removes or reshapes the deformed segments of cartilage and bone, then repositions the nasal mucosa and, if necessary, places internal splints for stabilization. The intervention is precise, minimally invasive, and offers a quick recovery.
Type of anesthesia: General
Duration: Approximately 60–90 minutes
Recovery:
After the procedure, you may experience a feeling of nasal congestion, mild discomfort, and blood-tinged discharge during the first few days. It is recommended to avoid blowing your nose, strenuous physical activity, and exposure to dust for 1–2 weeks.
Postoperative check-up: At 7–10 days.
Sources:
https://medlineplus.gov/ency/article/003012.htm
https://medlineplus.gov/ency/presentations/100038_2.htm
https://www.enthealth.org/conditions/deviated-septum/
https://emedicine.medscape.com/article/877677-overview
https://www.entnet.org/resource/position-statement-nasal-surgery-and-osas/
