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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’m a 22 female. One day, probably 3 days ago i started feeling my voice cracking. It felt funny, didn’t have any other symptoms, have happened to me before. In the evening i went to concert and tried that “wooh“ and couldn’t. Sounded awful. I didn’t thought anything serious, later after talking a while, it got better. Had some lozenges. Next morning i had almost no voice. Well, I thought whatever, and went to work (as a barista). Almost all of the time my colleague talked. But i had to a bit as well. As day went on it got worse n worse. Hard to swallow. Sore throat. Nothing else. Had Decatylen (pills and spray), herbal lozenges, GeloRevoice, teas, NAC, vitamin c with honey. One time it was acid, then antacid worked. But not this time. I don’t know what to do anymore

Female | 22

It sounds like you’re experiencing laryngitis, likely due to vocal strain or a mild infection. The symptoms you describe—voice changes, soreness, and difficulty swallowing—are common in these cases. To help, ensure you stay well-hydrated, rest your voice as much as possible, and consider warm saltwater gargles for the throat. If symptoms persist or worsen, it’s advisable to consult a healthcare professional for a thorough evaluation and tailored treatment. Prioritizing your vocal health is important, and seeking guidance can provide you with the best path forward. 

Answered on 19th Jan '25

Dr. Babita Goel

Dr. Babita Goel

If I look inside my nose in the mirror with flash on the pink fleshy part is really close together in each nostril. Does this mean enlarged turbinates? And does it go away on its own? I woke up with a blocked nose 2 days ago randomly and my nose has been feeling congested since. If I close my mouth I can’t breathe through my nose. If I blow air out of my nostrils I can only feel it coming out of one nostril and it alternates between each nostril. I was able to breathe normally with my mouth completely closed just 2 days ago. How can I fix this? There is some mucus but not a lot.

Female | 25

The pink fleshy parts you see are likely normal structures, but they may appear enlarged during congestion. This condition can improve over time. To alleviate symptoms, try using saline nasal sprays, staying hydrated, and inhaling steam. If symptoms persist or worsen, seeing a healthcare professional for a thorough evaluation is a good idea to rule out any underlying issues and receive appropriate treatment. 

Answered on 11th Jan '25

Dr. Babita Goel

Dr. Babita Goel

Is this enlarged turbinate and if so what caused it and could it go away on its own? I can’t breathe through my nose for the past two days only. Was completely normal prior to that and I was able to breathe through my nose with my mouth completely closed. Plz help

Female | 25

It sounds like you may be experiencing nasal congestion, which can occur due to factors like allergies, a respiratory infection, or environmental irritants. Swelling in the nasal passages can temporarily hinder airflow, making breathing through your nose difficult. In many cases, this condition improves on its own within a few days as inflammation subsides. To alleviate symptoms, consider using saline nasal sprays or a humidifier. Drinking plenty of fluids can also help. However, if symptoms persist or worsen, I recommend consulting a healthcare professional for a thorough evaluation and personalized treatment. 

Answered on 11th Jan '25

Dr. Babita Goel

Dr. Babita Goel

I had a runny nose 2 days ago so I took panadol that has 30mg pseudoephedrine. It stopped running within 1 hour. But yesterday I woke up in the middle of the night with a blocked nose and it would only clear up when I stood up. Today I still have a congested nose no mucus. When I close my mouth I can’t breathe through my nose at all

Female | 25

It sounds like you may be experiencing nasal congestion, which can result from various factors such as allergies or a mild viral infection. The blockage while lying down could be due to gravity affecting nasal drainage. Staying hydrated and using a humidifier may help ease your symptoms. Over-the-counter saline sprays are also beneficial for relieving congestion. If your symptoms persist or worsen, I recommend consulting a general physician to rule out any underlying issues. 

Answered on 10th Jan '25

Dr. Babita Goel

Dr. Babita Goel

Hi! I am 25 years old female I have severe pain and seellung in my ear I have been sick with flu from last week when it was clear my ear pain started. In my past i have ruptured ear drum but using ear drops my infection cleared After six years i again sick with ear infection

Female | 25

Pain and swelling in your ear can result from infections, especially following flu symptoms. Since you have a history of eardrum issues, it's crucial to monitor these symptoms closely. Utilizing warm compresses may provide temporary relief, and over-the-counter pain relievers can help manage discomfort. However, I strongly advise consulting a healthcare professional for a thorough examination. They can determine the underlying cause and recommend appropriate treatment, which may include antibiotics or further care. 

Answered on 10th Jan '25

Dr. Babita Goel

Dr. Babita Goel

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