Septoplasty is surgery to fix a septum, the wall that divides the nose into two sides. It is made of soft cartilage and bone and is covered with a mucous membrane. A deviated septum is when the septum is not in the middle. This problem may be present at birth (congenital). Or it can happen from an injury or other less common causes.
The surgery is done entirely through the nostrils. During the surgery, the surgeon may reshape part of the septum or removed it entirely. Septoplasty may be done at the same time as other surgeries on the nose or sinuses. It is not done often in children because the cartilage is still developing.
A deviated septum usually does not need treatment. When it does, the most common reason is a blockage in the nose. When one side of the nose is blocked, your child may have:
A deviated septum may be present at birth (congenital). It can be caused by an injury or damage from medical treatments in the past.
The risks of septoplasty include:
Your child's healthcare provider will send you to an ear, nose, and throat (ENT) specialist. The ENT will ask you about your child's health history and symptoms. The provider will check your child's ears, nose, and throat. Your child may have diagnostic tests. He or she may have an anterior rhinoscopy or fiberoptic endoscopy. Both of these tests use special instruments to check the nose and nasal septum.
Each surgery is different based on the child, the position of the septum, and other things. The ENT will explain what to expect with your child's surgery. Make sure you talk with your child's ENT about:
If your child gets sick before surgery, call his or her ENT. Surgery may need to be rescheduled.
Your child will probably have the septoplasty as an outpatient. That means that he or she can go home the same day. The surgery usually takes about 1 to 1.5 hours and will go as follows:
After the surgery, you can expect the following:
Make sure you follow all instructions given to you by the ENT, hospital, or facility.