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  3. Nose still Blocked months after Septoplasty: 6 Things to Und...

Nose still Blocked months after Septoplasty: 6 Things to Understand

Are you struggling with a blocked nose months after septoplasty? Find out why and find relief now!

  • Ent Surgery
By Aliya Anchan 16th May '24 20th May '24
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Overview

Can nasal blockage persist after septoplasty? 

Yes, it's possible even months later. Let's know the reason behind it.

Septoplasty is a surgical procedure to correct a deviated septum—the wall between the nostrils. This surgery improves airflow in the nose and eases breathing problems. Most patients expect clear breathing post-surgery, but some experience persistent nasal blockage.

While septoplasty generally resolves airflow issues, 10-15% of patients may experience symptoms like nasal congestion or blockage months after the procedure. The persistence of these symptoms can be due to several factors, including incomplete correction of the deviation, post-surgical swelling, or scar tissue formation.

Understanding why some people feel blocked even after surgery is crucial for addressing and managing the condition.

If you're facing ongoing nasal blockage after septoplasty, consulting with an ENT specialist is essential to explore further treatment options.

Understanding Septoplasty

What exactly is septoplasty? 

Septoplasty is a surgical procedure designed to correct a deviated septum—the structure inside your nose that divides your nostrils. The septum should be straight to allow equal airflow in both nostrils. If it’s crooked, it can block part of your nose and make it hard to breathe.

Here are the key reasons why someone might undergo septoplasty:

  • Improved Breathing: The primary goal is to straighten the septum to enhance airflow and ease breathing.
  • Reduced Nasal Congestion: Fixing the septum can help relieve chronic congestion and make it easier to breathe through the nose.
  • Better Sleep: A deviated septum can contribute to snoring and sleep apnea. Septoplasty can help lessen these sleep disturbances.

Are you struggling with breathing issues or snoring at night? Connect with the best ENT specialists in India and get relief through personalized treatment.

What are the reasons your nose is still blocked?

Nose Still Blocked

It can be frustrating to experience nasal blockage months after a septoplasty, especially when you expect a clear and free breathing path. 

Common Causes of Persistent Nasal Blockage After Surgery:

  • Incomplete Correction: Sometimes, the septum may not be straightened during the initial surgery, or it might shift during healing.
  • Scar Tissue: Scar tissue can form as the nose heals, leading to new blockages.
  • Swelling: Post-operative swelling is normal, but prolonged swelling can keep your nasal passages narrow and blocked.

Healing Processes and Timelines:

  • Immediate Recovery: The first few weeks after surgery are critical, with noticeable swelling and sensitivity.
  • Long-term Healing: Complete healing and settling of tissues can take several months. During this time, gradual improvements in airflow should be noticeable.

Wondering why you're still feeling blocked after septoplasty? Let's explore some key factors.

Factors Contributing to Post-Septoplasty Blockage

Post-Septoplasty Blockage

After septoplasty, several issues can contribute to continued nasal blockage:

  • Anatomical Considerations:
    • Residual Deviations: Sometimes, the septum isn't completely straightened during surgery or may shift as it heals.
    • New Deviations: New obstructions can develop due to how tissues heal or settle after surgery.
  • Scar Tissue Formation: As the nasal tissues heal, scar tissue can form, which might narrow the passages or block airflow.
  • Swelling and Healing Phases:
    • Immediate Swelling: Right after surgery, swelling is common and can block nasal passages.
    • Long-Term Healing: Swelling can persist for months, decreasing as the nose heals.

Persistent issues? It might be worth discussing further treatment options with your doctor. - call us to book your appointment today

Preventing Complications after Septoplasty

Proper post-operative care is crucial for a smooth recovery:

  • Tips on Post-Operative Care:
    • Follow your doctor’s instructions, including how to clean your nasal passages and any medications to use.
    • Keep your head elevated to reduce swelling and promote drainage.
  • Signs to Watch For and When to Contact a Healthcare Provider:
    • Excessive bleeding, severe pain, or increased swelling are signs that something might be wrong.
    • Signs of infection, such as fever or foul-smelling discharge.

Experiencing persistent nasal blockage after septoplasty can be frustrating. Adhering to post-operative care instructions meticulously is crucial to prevent this issue. This includes regular saline rinses to keep the nasal passages clean and moist, avoiding activities that could irritate the nose, and attending follow-up appointments with your surgeon. Additionally, maintaining overall health by staying hydrated and refraining from smoking can aid healing," says Dr. Babita Goel, a general physician with more than 25 years of experience in Mumbai.

Diagnosing Persistent Blockage

Diagnosing Persistent Blockage

Still experiencing blockage after septoplasty? Here’s what to expect during a follow-up.

  • Physical Examination: The doctor will inspect the inside of your nose, checking for physical blockages, swelling, or abnormal tissue growth.
  • Diagnostic Tests:
    • Nasal Endoscopy: A thin, flexible tube with a light and camera is inserted into the nasal passages to provide a detailed view of the septum and surrounding tissues.
    • Imaging Tests: CT scans or MRIs may be recommended to get a clearer picture of the nasal structures and identify hidden problems.

Please note: If you're not seeing improvement, scheduling a follow-up visit is crucial to ensuring your recovery is on track.

Still, facing nasal blockage after septoplasty? Here are some ways to find relief.

Treatment Options for Persistent Blockage

Treatment Options

If you're experiencing ongoing blockage after surgery, various treatment options can help:

  • Medical Treatments:
    • Decongestants: These can reduce swelling and help open up nasal passages.
    • Steroids: Nasal sprays or systemic steroids can decrease inflammation and swelling.
  • Possible Need for Revision Surgery: If structural issues persist, such as residual or new septal deviations, your doctor might recommend a second surgery to correct these.
  • Alternative Therapies and Home Remedies:
    • Saline Nasal Sprays: Regular rinsing with saline can help keep nasal passages clear of mucus and debris.
    • Steam Inhalation: Breathing in steam can soothe swollen nasal tissues and improve airflow.

If your symptoms persist, discussing these options with your ENT doctor can help you find the best approach. 

Conclusion

Persistent nasal blockage after septoplasty can be frustrating, but understanding the causes and treatment options can improve your comfort and outcome. Remember, healing can take time, and symptoms often improve.

If you're struggling with ongoing symptoms, don't hesitate to seek further advice from your healthcare provider.




References: 

https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/647209

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8716246/

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Question and Answers

Hello. In a month I will have a nasal septum surgery (Septoplasty). I would like to know how to prepare for the surgery, what tests to perform, how long the procedure will take, how long the recovery will take after the procedure and whether I should have a new CT scan of the face (the old CT scan of the face is 2 years old). I would also like to get an opinion based on the documentation of the CT scan of the face whether my case is serious? : CT scan of the paranasal sinuses - examination performed without intravenous contrast agent In the posterior ethmoid on the right side, inflammatory thickening of the mucosa up to 7 mm. In the posterior ethmoid on the left side, inflammatory thickening of the mucosa up to 4 mm. In the alveolar recess of the right maxillary sinus, inflammatory thickening of the mucosa of approx. 1 mm In the medial wall of the right maxillary sinus at the level of the middle nasal meatus, a loss of continuity of approx. 2.5 mm - variant The frontal sinuses and the sphenoid sinus on both sides, the maxillary sinus on the left, are normally free of inflammatory thickening of the mucosa. The ostia-ductal complexes are patent on both sides Aeration of the middle nasal turbinate on the left, type II The mucosa of the middle nasal turbinates and the inferior nasal turbinates was significantly thickened on both sides. The bony nasal septum in the upper part is deviated by up to 6 mm to the right, in the lower part it is deviated by up to 4 mm to the left

Male | 28

To get your nasal septum surgery, you need blood tests and maybe a nasal swab. The surgery is expected to last from 1-2 hours. The recovery time may be different, but you might have to keep still for a few days. Your old CT scan is nice, but doing the new one preoperatively is a good idea. Your case is not so serious, however, the surgery will be a positive thing for you in terms of breathing and reduced infections.

Answered on 6th Nov '24

Dr. Babita Goel

Dr. Babita Goel

Feeling repeated sound in ear when someone says something and having history of ringing in years

Male | 18

You might have a medical condition known as "tinnitus". It can be accompanied by ringing in the ears and even the illusion of hearing someone else’s voice echoing. Causes could be exposure to loud noises, ear infections, or even stress. In this regard, you should reduce your exposure to environmental noise, stress-excessively manage your life without resorting to medicines, and use background noise.

Answered on 5th Nov '24

Dr. Babita Goel

Dr. Babita Goel

I am suffering from nasal allergy for 3 years.It goes away after taking medicine.But it comes back again.Want to get rid of it completely.What to do?

Male | 36

Nasal allergies can bring along to you some symptoms like sneezing, a runny nose, and itchy eyes. They are mostly caused by things such as dust, pollen, or pet dander. To help you get rid of your allergies entirely, you can first try to avoid triggers as much as possible, keep your living space clean, and consider discussing allergy shots with an allergist to help your body build up a tolerance to the allergens over time.

Answered on 1st Nov '24

Dr. Babita Goel

Dr. Babita Goel

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