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.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need blood or urine tests before your surgery. You may also need to have a rhinoscopy and a nasal endoscopy. These procedures help your caregiver see the inside of your nose to help plan your surgery. Talk to your caregiver about these and other tests you may need. Write down the date, time, and location of each test.

The night before your surgery:

Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

Treatment

What will happen:

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.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You get a cold or the flu.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • The problems for which you are having the surgery get worse.

© 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 (Precare)

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