সংজ্ঞা
Septoplasty is a surgery to straighten a deviated septum. The septum is the wall dividing the left and right nasal cavities. It is made of cartilage and bone and is lined with a thin mucus membrane.
A normal septum is relatively straight and in the center of the nose. A deviated septum is bent or significantly off-center. Septal deviation may occur during development in the womb, during birth, as your nose grows, or after a traumatic injury. Septoplasty may be done at the same time as other nasal surgery, likerhinoplasty.
পদ্ধতির কারণ
Septoplasty is considered if a deviated septum obstructs your nasal passages. The obstruction can cause impaired nasal breathing, sinus infections, obstructive sleep apnea, recurrent nose bleeds, or a runny nose. A deviated septum may also need to be corrected with septoplasty if it causes chronic headaches.
সম্ভাব্য জটিলতা
Complications are rare, but no procedure is completely free of risk. If you are planning to have a septoplasty, your doctor will review a list of possible complications, which may include:
- Numbness in the tip of the nose or upper front teeth
- রক্তপাত
- সংক্রমণ
- Septal perforation (a hole in the septum)
- No improvement in symptoms
- Poor cosmetic outcome
জটিলতার ঝুঁকি বাড়াতে পারে এমন কিছু কারণের মধ্যে রয়েছে:
- ধূমপান
- রক্তপাতের ব্যাধি
- Medical problems, such as cardiac disease
- Cocaine use
- Prior nasal surgery with excessive scarring
- নির্দিষ্ট ওষুধ গ্রহণ
কি আশা করছ
পদ্ধতির আগে
To prepare for surgery, follow any instructions provided by your doctor.
- Talk to your doctor about your medicines, including vitamins, herbs, or dietary supplements. You may be asked to stop taking some medicines up to one week before the procedure, like:
- অ্যাসপিরিন বা অন্যান্য প্রদাহ বিরোধী ওষুধ
- রক্ত পাতলাকারী, যেমন ক্লোপিডোগ্রেল (প্লাভিক্স) বা ওয়ারফারিন (কুমাদিন)
- If you are having local anesthesia for the procedure, it is likely that no other special preparation is needed. If you will be having general anesthesia, your doctor will give you additional instructions.
এনেস্থেশিয়া
Septoplasty can be done using local or general anesthesia. Local anesthesia will numb the area. General anesthesia will put you to sleep.
পদ্ধতির বর্ণনা
An incision will be made inside the nose. The lining of the septum will be removed. The bent bone or cartilage will be straightened by moving it or cutting off the bent piece. Once the repair is done, the lining will be replaced over the top of the septum. Gauze may be placed in the nose to soak up any blood. A plastic splint may also be inserted to keep the septum in place while it heals.
এতে কতক্ষণ সময় লাগবে?
About 1 to 1-½ hours
এটা কতটা আঘাত করবে?
Anesthesia will minimize pain during surgery. Following surgery, your nose may be tender or mildly painful. Ask your doctor about medicine to help with the pain.
গড় হাসপাতালে থাকার
Most patients leave the hospital or surgery center after 3-4 hours.
পোস্টোপারেটিভ কেয়ার
If nasal packing is used, it is removed 1-2 days after the surgery. The splint remains in the nose for up to a week. After the surgery, do the following to ensure a smooth recovery:
- Try to breathe through your mouth for the first few days.
- Do not blow your nose.
- Keep your head elevated when lying down for the first 1-2 days.
- Apply ice packs to your nose to reduce pain and swelling.
- Do not take aspirin products for pain.
- Your doctor may want to see you for a follow-up visit to monitor healing or to remove the gauze packing or splint.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
আপনার ডাক্তারকে কল করুন
আপনি হাসপাতাল ছেড়ে যাওয়ার পরে, নিম্নলিখিতগুলির মধ্যে যেকোনটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- লালভাব, ফোলাভাব, ক্রমবর্ধমান ব্যথা, অত্যধিক রক্তপাত, বা কাটা স্থান থেকে স্রাব
- Heavy bleeding
- Packing from your nose falls into the back of your throat, causing discomfort
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital (Vomit may be bloody or the color of coffee grounds from mixing with stomach juices.)
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- কাশি, শ্বাসকষ্ট বা বুকে ব্যথা
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।