Septoplasty (SMR)

Septoplasty (SMR) is the surgical procedure performed to correct the deviation of the cartilage and bone structure (nasal septum) that divides the nasal cavity into two.

It can also be performed in conjunction with surgeries for chronic sinusitis and sleep apnea.

When Is Septoplasty Performed?

Septoplasty is performed when deviated nasal septum is accompanied by the following conditions:

• Difficulty breathing through the nose
• Chronic nasal congestion
• Recurrent sinus infections
• Uncontrollable nosebleed
• Nasal perforation (hole)
• Chronic headaches
• Sleep apnea
• Persistent nasal discharge
• Nasal polyps

At What Age Can Septoplasty Be Performed?

As with other nasal surgeries, such as rhinoplasty, septoplasty should typically be performed after the age of 17–18, once nasal development is complete. Surgeries performed before full development may result in recurring curvature as the nose continues to grow. However, in urgent cases requiring immediate intervention, the operation can be performed earlier.

How Is Septoplasty Performed?

Although septoplasty can be performed under local anesthesia in specific cases, such as heart failure or hypertension, it is generally conducted under general anesthesia. The procedure takes approximately one hour.

An incision is usually made inside the nostril, leaving no visible scar externally. Through this incision, the surgeon accesses the septum beneath the mucosa, reshapes the cartilage and bone, and corrects the curvature. If necessary, the surgeon may perform filing or complete removal of affected areas. Once the correction is complete, a tampon (silicone or self-dissolving) and sutures are placed in the nasal cavity to conclude the procedure.

Post-Septoplasty Care

Patients may require overnight hospitalization after septoplasty. Slight bloody discharge from the tampon edges or nasal passages is normal until the tampons are removed. This typically resolves when the tampons are taken out, which occurs between 1–3 days for non-dissolvable tampons.  There is no swelling or bruising on the face, and patients can usually return to work after the tampons are removed.  Full recovery is achieved within 3–6 weeks on average. If symptoms such as fever, productive cough, severe dizziness, or extreme fatigue occur after surgery, patients should consult their doctor immediately.

As with any surgical procedure, there is a risk of complications. Potential issues include the recurrence of symptoms, septal perforation, and numbness in the upper front teeth, upper lip, or nose.

Post-Surgery Recommendations for Patients

Patients should follow these guidelines after septoplasty:

• Breathe through the mouth while the tampons are in place.
• Once the tampons are removed, gently clean the nose using materials such as nasal sprays or saline lavage.
• Take care to protect the nose from trauma.
• Avoid blowing the nose.
• Stay hydrated by drinking plenty of fluids.
• Sleep with the head elevated using a few pillows for several weeks after the operation.
• Shower with warm water two days after the operation, but keep the duration short.
• Avoid heavy physical activity for at least 1–2 weeks post-surgery.
• Use prescribed medications as directed.
• Refrain from using tobacco and alcohol products for the duration specified by the doctor.