Septorhinoplasty

WHAT YOU SHOULD KNOW:

Septorhinoplasty is surgery to fix both your nose and your nasal septum. The nasal septum is the narrow wall of tissue that separates your nostrils. You may need a septorhinoplasty if you have a deviated septum. This is when your septum is crooked and blocks air passing through your nose. You may also need this surgery if your nose is misshapen due to an injury or if you want to improve your appearance.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may bleed more than expected or get an infection. You may have an allergic reaction to the anesthesia medicine. Extra fluid may fill your lungs and make it hard for you to breathe. You may swallow blood during surgery. This can may you feel like vomiting after surgery. You may swell and bruise around your eyes, and your tear ducts may become blocked. You may develop a hole in your septum or not be able to breathe well through your nose. You may also have unwanted changes in the shape and appearance of your nose.

  • Without surgery, your breathing problems may get worse. If you had an injury, your nose will stay misshapen.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Anesthesia: This is medicine to make you comfortable during the surgery. Caregivers work with you to decide which anesthesia is best for you.

    • General anesthesia: Caregivers use this medicine to keep you asleep and free from pain during surgery. They give you anesthesia through your IV or as a gas. You may breathe in the gas through a mask or through a breathing tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia: This medicine is given as a shot or sprayed into your nose. It is used to numb the area and dull your pain. Medicine to decrease bleeding may be added to the numbing medicine.

During your surgery:

Your caregiver will make small incisions on the inside of your nose. You may also have incisions through your septum or on other parts of your nose. Your caregiver will remove some of your nose cartilage and bone to make the septum straight. If you have a bump on your nose, he may file or shave this down. Your caregiver may use your tissues or a graft to rebuild your nose. He may need to break your nose bones to reshape your nose. The incisions will be closed with stitches. You may have a temporary splint placed inside your nose. You may also have a splint or cast put on the outside of your nose.

After your surgery:

You will be taken to a room to rest until you are fully awake. The head of your bed will be elevated to help decrease swelling. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you may be able to go home. If you are staying in the hospital, you will be taken to your hospital room.

  • Bandages: You will have a dressing below your nose to catch any fluid that comes out. You will have an ice pack on your nose to help decrease swelling. Your nose may be covered with a bandage or surgical tape to prevent swelling and infection. The inside of your nose may be packed with a gauze dressing to decrease bleeding. This will be removed 1 to 3 days after your surgery.

  • Nose rinses: Caregivers will rinse your nose with saline. This cleans your nose cavity and prevents infection.

  • Medicines:

    • Pain medicine: Caregivers may give you medicine to take away or decrease your pain. Do not wait until the pain is severe to ask for your medicine. Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

    • Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.

    • Steroids: This medicine may be given to decrease inflammation.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Septorhinoplasty (Inpatient Care)

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