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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

I went to A&E in June with dizziness not feeling real/ dreamy. And I was told to get my ears syringed I’ve done this 2 times now and no improvement if anything I have gotten worse!! I have tried anti insimines as well. I’m booked in for blood tests and I’m really becoming depressed and upset because of this. I don’t feel real I have also left work I really want help!

Female | 19

It seems like you are greatly disturbed by the symptoms of dizziness and feeling unreal. The link can sometimes be found in inner ear issues, anxiety, or other conditions that you may have. Having found ear syringing to be ineffective, it's really reassuring to know that blood tests are being carried out; this is an important step in figuring out the situation. While anticipating the results, think about talking to a healthcare provider about your feelings, as they could try different therapies. Health of mental state, being good is no.1 on the list, so, please take the courage to seek help if necessary. You aren't by yourself in this matter, support is available.

Answered on 19th Dec '24

Dr. Babita Goel

Dr. Babita Goel

I have excess ear wax which has hardened like stone.

Female | 27

Built-up ear plug can create an issue of a feeling of being uncomfortable, a reduction in one’s hearing ability, or the illusion of fullness in the ear. Mainly, it is the misuse of cleaning methods and anatomy of the jeopardized narrow ear canals. The other reason might be a skin disorder. To dissolve the wax that has become firm, try mineral oil- or saline solution-based, over-the-counter drops. To prevent earwax from being pushed deeper inside, do not use cotton swabs. If the healing process at home is ineffective or you are in pain when doing it, it is recommended to see a doctor.

Answered on 12th Dec '24

Dr. Babita Goel

Dr. Babita Goel

Fever and cold nose water drop

Female | 20

If you have a fever and you have a cold nose, these are signs of a viral infection. Fever, a runny nose, cough, or fatigue are commonly experienced symptoms. They are also the usual way your body reacts to fighting off an illness. To allow you to relax there is enough support at home. The rest is taking care of yourself, keeping you hydrated and you might need fever and congestion relief over-the-counter medications. Many cases are resolved on their own; however, if your symptoms are not gone in several days or they are getting worse, then the best thing to do is to consult a doctor who will be able to give you proper advice. Your health is of primary importance, thus you should be quick to obtain help.

Answered on 12th Dec '24

Dr. Babita Goel

Dr. Babita Goel

How can I stop snoring at night permanently

Male | 34

Among the leading causes of this are nasal congestion, obesity, alcoholic drinks, and sleeping posture. Should you want to cut down or completely get rid of this, think of lifestyle changes like controlling your weight, sleeping on your side, and not drinking alcohol before bedtime. Besides, using nose strips or humidifiers may help. If none of these strategies give you satisfaction, it would reinforce the importance of professional help to discover the underlying health issues and customized treatments. 

Answered on 9th Dec '24

Dr. Babita Goel

Dr. Babita Goel

Hello Dr. Puri, I got an injury on my upper nose between eyes 2 weeks back, while playing badminton doubles. I am facing some hardness and swelling between right eye and nose. Request appointment with you.

Male | 51

The swelling and firmness you are having might be due to the soft tissue damage or inflammation due to the trauma. It is necessary to be cautious about these symptoms, as they might last for some weeks. To promote adequate healing and eliminate any unknown issues, I advise you to make an appointment for an extensive assessment. 

Answered on 9th Dec '24

Dr. Babita Goel

Dr. Babita Goel

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