The nasal septum is the wall inside the nose that separates the two sides. Crookedness or deviation of the nasal septum can lead to blockage of one or both sides of the nose. Deviated septum typically manifests after the complete growth of the nose at the end of teenage years. The cartilage and bones inside the septum become misaligned leading to airway blockage. Nasal trauma is a common cause of septum deviation; however, in majority of patients, there is no clear history of nasal trauma. Septum deviation can cause snoring, recurrent sinus infections and dry mouth and throat.
Dr. Khosh is expert in repair of deviated septum in New York. A deviated septum can be repaired through incisions within the nose, avoiding any visible scars, external swelling, or bruising. Typically, repair of a deviated septum (septoplasty) does not alter the shape of the nose. Some patients choose to combine septoplasty with cosmetic nasal surgery (rhinoplasty). Combining septoplasty and cosmetic rhinoplasty is beneficial, since there is only one recovery from both procedures. In a minority of patients, the location of a deviated septum can cause an external nasal deformity. Septoplasty in these individuals will improve the external appearance of the nose, as well as, lead to improved breathing.
Reducing the size of turbinates, repairing an external nasal fracture, and repairing nasal valve obstruction are additional surgical treatments that may help improve nasal breathing. When clinically indicated, these other procedures can be performed simultaneously with septoplasty.
Prior to recommending any surgery, Dr. Khosh will perform a thorough physical examination of the nose, including nasal endoscopy. In certain cases, a CT scan of the nose and sinuses may also be recommended. In individuals with chronic sinus conditions, sinus drainage procedures can be combined with septoplasty. Dr. Khosh does not use packing inside the nose after surgery and patients can breathe through the nose immediately afterwards. One can return to work within three days of septoplasty, but one should avoid heavy exercise for two weeks. Deviated septum is a medical condition and the cost of surgery is typically covered by insurance companies.