Septoplasty VS Turbinoplasty-various aspect-
Septoplasty and turbinoplasty are two surgical procedures for addressing nasal obstruction. Septoplasty focuses on straightening the septum, while turbinoplasty aims to reduce the size of the turbinate bones. These surgeries are frequently conducted in combination.
Septoplasty
Addresses a misaligned septum that hinders breathing.
Enhances drainage and facilitates easier breathing.
Suitable for individuals experiencing breathing difficulties caused by a deviated septum or sinusitis.
Turbinoplasty
Decreases the size of enlarged turbinates that obstruct breathing and sinus drainage.
Aids in improving breathing and sinus drainage.
Procedure
Both procedures entail creating a small incision within the nasal cavity.
Both procedures require the use of general anesthesia.
In septoplasty, the surgeon aligns the septum.
In turbinoplasty, the surgeon trims the turbinate bones.
Risks
Septoplasty and turbinoplasty both carry the risk of bleeding.
Turbinoplasty might lead to numbness in the front teeth or a diminished sense of smell.
The primary risk associated with turbinoplasty involves the excessive removal of tissue, which could hinder the turbinates’ ability to warm and humidify the air properly.
WHAT IS POWERED SEPTOPLASTY WITH TURBINOPLASTY?
The septum is the bony cartilage divider between the two nostrils. It supports your nose and directs airflow. Ideally, the septum should be straight, but occasionally it is not, due to injury or other conditions. A misaligned or crooked septum can lead to difficulties in nasal breathing and hinder proper drainage. This may increase your chances of developing a sinus infection (sinusitis).
The turbinates are fragile, bony, spiral-like formations in your nostrils. The mucosal membrane of the turbinates plays a crucial role since it filters and moistens the air you inhale before it reaches your lungs, while also keeping your nasal passages hydrated.
When your septum is crooked, one side of the nasal cavity is larger. The turbinates may enlarge as well, further exacerbating the blockage. This is the reason why a powered septoplasty with turbinoplasty is commonly conducted.
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A powered septoplasty with turbinoplasty is primarily performed to enhance your breathing and sinus drainage.
During a septoplasty, your Ear, Nose, and Throat surgeon aligns your septum to ensure air can flow through both sides of your nose effectively. In a turbinoplasty, the objective is to diminish the turbinates sufficiently to enhance your breathing and sinus drainage while maintaining enough tissue for normal turbinate functionality.
A specialized tool known as a microdebrider, which has a small curved tip, assists the surgeon in precisely positioning the instrument to align your septum and decrease your turbinates. Because this tool is more accurate, there’s a reduced chance of removing excessive tissue and causing unintended complications.
BENEFITS AND RISKS OF THE PROCEDURE
The primary advantage of this surgery is that you should experience improved airflow and likely fewer sinus infections. Similar to other FESS procedures, it is minimally invasive, and you will typically be able to go home the same day.
Be sure to request a detailed explanation from your doctor regarding the benefits and risks associated with this procedure, along with his or her experience in performing it.
BENEFITS OF POWERED SEPTOPLASTY
By enabling a more exact and focused removal of tissue, the microdebrider aids your surgeon in correcting the deviation and preserving healthy tissue. Other advantages include:
Enhanced visibility of anatomy — When using the microdebrider, the surgeon is able to remove tissue with greater precision because he or she can clearly visualize the septum throughout the procedure.
May lessen the risk of harming healthy tissue and the possibility of a perforated septum — The microdebrider is a more precise and controlled surgical instrument, potentially reducing the likelihood of inadvertently harming or removing too much tissue.
BENEFITS OF POWERED TURBINOPLASTY
Occasionally, the turbinates can regrow or develop scar tissue, leading to recurrent sinus infections. However, for many patients, the effects of a powered turbinoplasty endure significantly longer compared to alternative turbinate surgical techniques. 1,2 Additional benefits include:
More thorough, exact removal — With certain techniques, it takes 6 to 8 weeks for the surgeon to determine if the turbinates have been sufficiently reduced. The microdebrider enables your surgeon to instantly observe how much tissue is being taken out during the procedure and to excise additional tissue if necessary.
Maintains normal turbinate function — The microdebrider is more exact and precise, aiding your surgeon in preserving enough healthy tissue to ensure that your turbinates function correctly.
RISKS OF THE PROCEDURES
All surgical procedures involve some degree of risk from anesthesia and the possibility of infection. Be certain to inquire with your doctor about potential complications associated with your procedure.
Surgery aimed at correcting a deviated septum is generally safe, but there are some risks involved. If excessive tissue is excised, it may result in a collapsed septum, causing the nose to appear deformed, or a perforated septum, which is a hole in the septum that produces a whistling sound when breathing and can lead to bleeding.
In certain instances, the septum may reshape itself back to the deviated configuration. This occurs because the cartilage possesses some memory, similar to a spring, and seeks to revert to its original form. Uncommon complications may include bleeding, numbness in the front teeth, and a diminished or complete loss of the sense of smell.
While surgery on the turbinates is generally safe, there are several risks involved. The primary risk is the removal of too much tissue, which prevents the turbinates from adequately warming and humidifying the air you inhale. The result can be a permanently dry, crusty nose that may lead to discomfort.
Although rare, additional risks associated with turbinate surgery include bleeding, persistent nasal inflammation, and a loss of the sense of smell.
Are septoplasty and turbinoplasty the same?
During a septoplasty, your Ear, Nose, and Throat specialist corrects your septum to allow air to pass through both nostrils normally. In a turbinoplasty, the objective is to diminish the turbinates sufficiently to enhance your breathing and sinus drainage, while maintaining adequate tissue for normal turbinate function.
Is turbinate reduction necessary with septoplasty?
While septoplasty is frequently carried out as an independent procedure, your provider may suggest septoplasty along with turbinate reduction. In the course of turbinate reduction, your surgeon diminishes the size of the minor, bony structures within your nose. Septoplasty is typically done in adolescents and adults.
Will an ENT recommend septoplasty?
They will inspect your nose thoroughly, and may propose further tests depending on your specific requirements. If there is an obviously crooked or deviated septum, and the symptoms are significant enough to require action, the ENT specialist might recommend surgery as a possible solution if medical treatment does not succeed.
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