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Septoplasty/Sinus Surgery in NYC

Septoplasty is a surgical procedure that is used to re-correct “crooked” or “deviated” nasal septum (the parting wall between the nose’s right and the left chambers). It is sometimes referred to as septal reconstruction. During surgery, the surgeon enters through the patient’s nostrils and removes the obtruding matter. The surgery usually takes a short time and patients normally fully recover within one to three weeks. The main purpose of Septoplasty is to improve patients’ breathing patterns. There is no medicine that can straighten deviated septum. Currently, the only solution to treat this problem is septoplasty surgery which in some cases is combined with sinus surgery New York. Septoplasty is performed under general or local anesthesia, based on the doctor’s preferences and evaluation of the patient’s situation.

Septoplasty NYC Sinus Surgery

Sinusitis/ ENT Journal

Dr. Samieh Rizk, a New-York based rhino surgeon, said that surgical procedure often takes 45 minutes to perform (not including recovery time) and therefore is carried out on a day surgery basis. Sometimes, allergies can cause enlargement of the nasal tissue (turbinates). Enlarged turbinates are treated with various methods of turbinate reduction including radiofrequency ablation or oufracture of turbinates and submucous resection of the turbinates.

A CT scan is used in some patients if the doctor suspects the existence of polyps (an abnormal growth of tissue projecting from a mucous membrane) or if a patient has a sinus problem which is not responding to medical therapy. Dr. Rizk usually recommended patients to also undergo allergy testing and take anti-allergy medications prior to surgery if he suspects allergy is the cause of turbinate enlargement, to avoid specific triggers and improve the surgical outcome.

What is nasal septum?
The nasal septum is a structure composed of cartilage and bone (mainly cartilage) that divides the right and left nasal cavities.

What are nasal turbinates?
The turbinates are large structures inside the nasal cavities which can enlarge too much from allergy and cause difficulty breathing. The normal function of the turbinates is to filter, warm, and humidify the air we breathe. Turbinates should not be cut and removed for that reason. If turbinates enlarge, also called "turbinate hypertrophy", they can cause difficulty breathing and snoring, sleep apnea, or sinus infections. Turbinate enlargement can be treated with over the counter and prescription nasal sprays or oral medications. If turbinate enlargement do not respond to medications, Dr. Rizk shrinks them by various surgical methods including pushing the bony component of turbinates to the side and internally shrinking the soft tissue part of the turbinates, while preserving the mucous membrane covering. This is sometimes called coblation of the turbinates. If turbinates are removed, a disorder called "empty nose syndrome" results which causes nasal dryness and a sensation of not being able to breathe well.

What is a deviated nasal septum?
A deviated septum is a crooked bone or cartilage, which can impact breathing and narrow the nasal airway. Some septum deviation is normal and very few septums are perfectly straight. It is only when a deviated nasal septum impacts nasal breathing does it become a surgical problem repairable with an operation called "septoplasty". Septoplasty is an internal nasal operation which repairs a deviated nasal septum and can improve breathing. A septoplasty surgery can be performed alone, with turbinate reduction, with endoscopic sinus surgery in NYC. A septoplasty New York alone is done internally with no external incisions on the nose and does not cause external bruising.

How does a deviated septum occur?
A person can be born with a deviated nasal septum. Childbirth can also cause a deviated nasal septum or septal fractures that can become significant as the person grows. Trauma to the nose can also cause deviations in the nasal septum as well as nasal bones externally. Additionally, the shape of the septum may change as a person grows and septal cartilage stretches and grows. A deviated septum or twisted nose may also be an inherited condition from your parents. Finally, a septal spur may also be present and can be either a bony spur or cartilage spur. Spurs are protrusions which project out of septum and can decrease the nasal airway and breathing.

How is a deviated nasal septum and turbinate enlargement diagnosed?
A nasal exam or endoscopy can diagnose the deviated nasal septum and enlarged turbinates. Symptoms and history are also important to determine treatment options. If patient failed medical treatment with nasal sprays and oral anti-allergy medicines, then surgical options with septoplasty and turbinate reduction can be performed.

Does Dr. Rizk pack the nose after surgery?
Packing the nose entails placing gauze sponges or gauze in the nose. Dr. Rizk rarely packs the nose after surgery. Surgical techniques and our understanding of nasal healing has greatly advanced over the last 10 years. Packing the nose can cause extra trauma and swelling inside the nose and may cause extra external swelling as well. Only in rare cases of severe deviations of the nasal septum can a pack act as an internal splint after surgery. Modern internal nasal glues can minimize post-surgical bleeding without the discomfort of a nasal pack.

Dr. Rizk using the latest technology - 3D live fusion sinus surgery system which allows visualization in all 3 dimensions while performing sinus surgery for improved access to sinuses safely. This navigation system is one of the latest advances in image-guided FESS surgery or endoscopic sinus surgery. It provides surgical access with precision to narrow areas of the sinuses to open them or remove polyps.