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Septorhinoplasty

WHAT YOU NEED TO 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.

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. Healthcare providers work with you to decide which anesthesia is best for you.
    • General anesthesia will keep you asleep and free from pain during surgery. Healthcare providers may give you anesthesia through your IV. You may breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
    • Local anesthesia and sedation will numb the area and keep you drowsy. This medicine is given as a shot or sprayed into your nose. Medicine to decrease bleeding may be added to the numbing medicine.
  • Antibiotics may be given through your IV at the time of your surgery. They help prevent infection caused by bacteria.

During your surgery:

You will be given general anesthesia to keep you asleep and free from pain during surgery. Your surgeon 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 surgeon will remove some of your nose cartilage and bone to make the septum straight. If you have a bump on your nose, he or she may file or shave this down. Your surgeon may use your tissues or a graft to rebuild your nose. He or she may need to break your nose bones to reshape your nose. The incisions will be closed with stitches. You may have a temporary splint or gauze packing placed inside your nose. You may also have a splint 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. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider 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 will be placed below your nose to catch any blood or 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, surgical tape, or support device 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 help clean your nasal cavity and prevent infection. Healthcare providers will rinse your nose with saline.
  • Medicines may be given for pain and inflammation. Medicines may also be given to help prevent infection, nausea, and congestion.

RISKS:

You may bleed more than expected or get an infection. Extra blood or 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.

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 healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

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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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Further information

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