Treatment of Nasal Disorders
Nosebleed (Epistaxis) Treatment
Salivary Gland Surgery
Reconstructive Middle Ear Surgery
Microsurgery Of The Larynx
Revision Ear Surgery
Revision Ear Surgeries
Scar Revision Surgery
Reconstructive Surgery Procedures
Pure Tone Audiometry
Canalith Repositioning (Cr) Procedure
Cysts Removal Procedure
Transcutaneous Electrical Nerve Stimulation (Tens)
Laser Surgeries For Head And Neck Lesions
Treatment for Laryngotracheal Anomalies
Ear Micro Surgery
Micro Laryngeal Surgery
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Patient Review Highlights
An estimated of 10 percent or more children snore for more than 1 night. Snoring results from the obstruction of breath when the air makes its way through the mouth. The air passage of the throat through which the air goes in and out causes the tissue to vibrate causing snore. The sound of the snore totally depends on the amount of air passing through the mouth and the frequency at which the throat is vibrating. Children above the age of three years tend to snore when they are deep in sleep.
Primary and secondary snoring:
Children who are otherwise healthy should not have a snoring problem unless there is some health disorder. However, if loud snoring is observed in otherwise a perfectly healthy kid, seeking medical help is a wise thing to do. In general, primary snoring is defined as a condition which is not associated with other sleep-related disorders such as lung disorder, OASS, inability to sleep for a longer duration etc.
It is estimated that close to three percent of the children suffers from breathing problem while sleeping. OSAS is a condition which is characterised by pauses in breathing and gasps along with loud snores. There could be instances where a kids’ muscle relaxes way too much obstructing the air to pass through. The body and the brain are both alerted at this stage. As soon as the brain sends a signal, the body wakes up. Thus, most kids suffering from this disorder are not able to sleep well and tend to feel tired throughout the day.
Common causes of sleep apnea:
Sleep apena is a major cause of snoring. It can be caused because of allergies, obesity, gastroesophageal reflux disease (GERD) etc. In children sleep, apnea can also be caused by tonsil. Since the tonsil size of children less than 7 years of age tends to be bigger than adult individuals, it causes snoring related problem. Swollen tonsils not only obstruct air but creates other health related problems as well.
Symptoms of sleep apnea during the day and night:
- Loud snore
- Snorts, gasps, pauses during sleep
- Heavy sweat during sleep
- Social and behavioural problems
- Failure to get up in the morning
- A nasal voice
- Easily irritated, cranky and aggressive
The first thing a that a doctor does is a physical exam followed by observing the symptoms of a kid. Primary snorting can be addressed by physical exercise, counselling and breathing exercise. Problems related to apnea are addressed through medicine, counselling, and exercise. Certain dietary restrictions also needed to be followed during this time. However, apena is completely treatable within a certain time frame.
I am suffering from dry cough since 1 week. My throat remains dry and little fluid comes out while coughing. But no runny nose. Roughness in my throat. Feeling very tired due to coughing.
Why is nasal septoplasty surgery performed?
Many people have a deviated septum, and it often causes no noticeable issues. However, if your septum is severely deviated, it can block one side of your nose and reduce airflow. You may have trouble breathing through one or both sides of your nose, and you may also develop other issues such as snoring, sleep apnea, an impaired sense of smell or taste, or frequent sinus infections –as a result.
In addition, you may also experience crusting or bleeding due to the additional exposure of a deviated septum to the drying effect of airflow through the nose.
Septoplasty straightens the nasal septum by trimming, repositioning, and replacing cartilage, bone, or both. It’s done entirely through the nostrils, so no skin on the outside of your nose is cut.
The goals of nasal airway surgery include the following:
- Improve airflow through the nose
- Control nosebleeds
- Enhance visualization of the inside of the nose (to identify other nasal problems)
- Relieve nasal or sinus headaches associated with swelling of the inside of the nose
- Promote drainage of the sinus cavities
Who is a candidate for septoplasty?
If a deviated septum is severe, it can block one side of the nose, impeding the flow of air through one or both nasal passages. For some people, it can cause problems such as snoring, frequent sinus infections, snoring, sleep apnea, and respiratory complaints.
Usually medications such as decongestants and antihistamines can be used in an effort to alleviate symptoms. But in some cases, they can cause troubling side effects such as elevated blood pressure (decongestants) and drowsiness (antihistamines). They also may not provide enough relief. If your symptoms are significantly affecting your life, you should consider a septoplasty surgery in order to achieve long-lasting relief.
What is involved in nasal septoplasty surgery?
Before planning the surgery, your doctor will discuss your medical history with you, as well as any medications you may take. A physical examination will be conducted, and your doctor may use an endoscope (a thin, lighted instrument) to examine your septum. You’ll also be able to learn about your expected results if surgery is a recommended option.
Septoplasty requires local or general anesthesia, depending on the surgeon’s preference and the complexity of the surgery. It usually lasts about 60 to 90 minutes and is often performed in an outpatient surgery center.
To repair the septum, the surgeon works through the nostrils rather than from the outside of the nose. An incision is made to separate the mucosa (a soft layer of tissue that lines the septum and nasal passages) from the underlying cartilage and bone. The doctor trims or straightens the bent cartilage and then replaces the mucosa over the cartilage and bone.
The incision is closed with an absorbable suture, and soft splints and a bandage-like material may be used to support the septum and prevent bleeding. After a recovery period, you’ll likely be able to go home the same day.
What are the benefits of nasal septoplasty surgery?
The benefits of this type of surgery include:
- Improved breathing: Overall breathing function is greatly improved since the nasal passages are opened up
- Better sleep quality: Reshaping a crooked septum not only improves airflow while you’re awake, but also reduces or eliminates snoring and/or sleep apnea and improves the overall quality of your sleep.
- Fewer sinus infections: Opening the airways can allow mucus to drain normally from sinuses that were previously narrowed or partially blocked.
- Improved senses: For patients that previously had an impaired sense of smell or taste due to the effects of a deviated septum, this surgery may improve both senses
What are risks and complications of deviated septum surgery (septoplasty) or turbinectomy?
Some people will need a second surgery if they’re unsatisfied with the results. Other risks associated with a septoplasty are rare, but they can include:
- Perforation of your septum, which happens when a hole forms in your septum
- An altered nose shape
- Discoloration of the nose
- Decreased sense of smell
Excessive bleeding and infection are possible risks of any surgery. Keeping your nose clean and washing your hands frequently can reduce these risks.
Nose Surgery and Septal Perforations!
Overall, a septoplasty is considered a safe procedure. Although it is commonly performed, it is also a very delicate surgery, which requires numerous skills. Occasionally, a septoplasty procedure can result in a complication and, in rare instances, cause a septal perforation. It is important to note that a septal perforation is generally more likely to occur in the case of a revision surgery (a secondary septoplasty) or when a patient suffers from a severe deviated septum.
If a septal perforation does occur after surgery, it is important to have it evaluated and treated. If left untreated, a septal perforation can worsen and become more complicated to repair. A variety of treatments are available, depending on the location, size, and severity of the septal perforation. Minor septal perforations may respond to therapeutic treatments, such as emollients, and may not need to be repaired. Some surgeons may recommend plugging the perforation with a silicone prosthesis called a septal button. However, these buttons can irritate the lining around the perforation, leading to further complications and, for that reason, are not recommended by Drs. Solieman and Litner. For more complicated cases, surgery may be necessary to close the perforation.
Although a septal perforation can be the result of complications from nose surgery, such as a septoplasty, the overall risk of developing one is low. If your doctor determines that your septal perforation needs repair, it is better to address it than not have it treated. The risk of inaction can outweigh the risk of treatment. However, be sure to see a surgeon who has a track record of successfully treating patients with septal perforations.
If you suspect you have septal perforation or have already been diagnosed with one, it is best to have your nose fully evaluated and treated by surgeons with expertise in septal perforation repair. If you wish to discuss about any specific problem, you can consult an ENT specialist.