Septoplasty

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Things you need to know

What is Septoplasty?

Septoplasty is a surgical procedure to straighten a deviated nasal septum, the cartilage and bone dividing the nasal cavity, which can cause breathing difficulties, infections, or headaches when misaligned. It’s often performed to improve airflow and quality of life. In India, septoplasty is conducted in ENT departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, often at affordable costs. Understanding the procedure, costs, recovery, risks, and FAQs is essential for patients.

Why do you need Septoplasty?

Septoplasty is indicated for:

Deviated nasal septum (DNS):
- Misalignment causing nasal obstruction, difficulty breathing through one or both nostrils.
- Symptoms: Chronic nasal congestion, snoring, recurrent sinus infections, facial pain, or headaches.
Associated conditions:
- Often combined with other procedures (e.g., Functional Endoscopic Sinus Surgery [FESS], as you asked earlier, or turbinate reduction).
Functional issues:
- Sleep disturbances (e.g., sleep apnea), nosebleeds, or difficulty with nasal medications (e.g., sprays).

The procedure aims to straighten the septum, improve nasal airflow, reduce infections, and alleviate symptoms, without altering the external appearance of the nose (unlike rhinoplasty, which is cosmetic).

Why Do Septoplasty Costs Vary in India?

Costs range from ₹30,000 to ₹80,000:

Procedure Complexity: Simple septoplasty (₹30,000–₹50,000); with turbinate reduction or sinus surgery (₹50,000–₹80,000).
Hospital/Location: Higher in metro cities (Apollo, Fortis: ₹50,000–₹80,000); lower in government hospitals (AIIMS: ₹10,000–₹20,000, often subsidized under Ayushman Bharat).
Surgeon’s Expertise: Experienced ENT surgeons charge more.
Additional Costs: Anesthesia (₹5,000–₹15,000), hospital stay (₹5,000–₹10,000/day), nasal splints (₹1,000–₹3,000), medications (₹1,000–₹3,000).
Insurance: Covered for functional issues (e.g., breathing difficulty); confirm with your provider.

Septoplasty Procedure

Before Surgery Evaluation:
- Diagnosis:
  - Nasal endoscopy: Visualizes the septum and nasal passages.
  - CT scan (if needed): Assesses septum deviation and sinus issues.
  - Blood tests: Blood sugar, clotting profile.
- Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe.
- Consent: Risks, including bleeding, are explained.
Surgical Techniques:
- Septoplasty:
  - Performed under general or local anesthesia with sedation, lasting 30–60 minutes.
  - Incision: Inside the nose (no external scars); typically on one side of the septum.
  - Septum correction:
    - Mucosa (nasal lining) elevated to access cartilage and bone.
    - Deviated cartilage/bone removed, reshaped, or repositioned.
    - Mucosa repositioned and sutured with absorbable stitches.
  - Packing/Splints: Nasal packing (if used) controls bleeding (removed in 1–2 days); silicone splints may be placed to support the septum (removed in 5–7 days).
- Intraoperative Tools:
  - Endoscope: Visualizes nasal structures.
  - Nasal speculum: Opens nasal cavity for access.
  - Microinstruments: Removes or reshapes cartilage/bone.
After Surgery:
- Hospital stay: Same-day discharge or 1 day.
- Care: Nasal saline sprays to keep passages moist; avoid blowing nose for 1–2 weeks.
- Pain management: Mild to moderate discomfort for 3–5 days; managed with acetaminophen.
- Instructions: Sleep with head elevated; avoid strenuous activity for 2 weeks.

Recovery After Septoplasty

Hospital Stay: Same-day discharge or 1 day.
Post-Surgery Care:
- Discomfort: Mild nasal congestion, pressure, or headache for 3–5 days; improves in 1–2 weeks.
- Bleeding: Minor nasal bleeding or discharge for 2–3 days; use drip pad if needed.
- Breathing: Initial congestion due to swelling/packing; improves in 1–2 weeks, with full benefit in 4–6 weeks.
- Activity: Rest for 2–3 days; avoid heavy lifting or sports for 2–3 weeks.
- Nasal care: Saline sprays or irrigation for 2–4 weeks; avoid irritants (e.g., smoke).
Follow-Up:
- Visits at 1 week (remove splints/packing), 2 weeks, and 1 month.
- Endoscopy: At 1 month to check healing and airflow.

Most resume normal activities in 3–5 days; full recovery takes 4–6 weeks. Success rate: 80–90% achieve improved breathing; some (10–15%) may have persistent symptoms if other issues (e.g., allergies) remain.

Risks and Complications

Surgical Risks:
- Bleeding (2–5%): Minor nasal bleeding common; severe bleeding (<1%) may need packing or cauterization.
- Infection (1–2%): Nasal or sinus infection; treated with antibiotics.
- Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
Post-Surgery:
- Septal perforation (1–3%): Hole in the septum; may cause whistling or crusting, needs repair if symptomatic.
- Change in smell (1–2%): Temporary (due to swelling); rarely permanent.
- Persistent deviation (5–10%): Incomplete correction; may need revision surgery.
- Nasal collapse (<1%): Rare; if too much cartilage removed, may affect nasal structure.
Long-Term:
- Recurrence of symptoms (5–10%): If allergies or sinus issues persist; needs further management.

Report heavy bleeding, severe pain, fever, or breathing difficulty promptly.

Frequently Asked Questions (FAQs)

What causes a deviated nasal septum?

Congenital (present at birth), trauma (e.g., nasal injury), or aging; affects 70–80% of people to some degree.

Can I avoid septoplasty?

Yes, if mild: Nasal sprays, decongestants, or allergy management; surgery is for significant breathing issues or complications.

Is septoplasty painful?

Mild to moderate discomfort for 3–5 days, managed with medication; congestion improves in 1–2 weeks.

How soon can I resume activities?

Normal activities: 3–5 days; full recovery: 4–6 weeks; avoid strenuous activity for 2–3 weeks.

Is septoplasty covered by insurance in India?

Yes, for functional issues; confirm with your provider.

Signs of complications?

Heavy bleeding, severe pain, fever, or breathing difficulty.

Will septoplasty change my nose’s appearance?

No, septoplasty is functional; rhinoplasty is needed for cosmetic changes (can be combined if desired).

Lifestyle changes post-surgery?

Avoid blowing nose, use saline sprays, manage allergies, and avoid nasal trauma.

Conclusion

Septoplasty is a safe and effective procedure to correct a deviated nasal septum, significantly improving breathing and reducing related symptoms with a quick recovery. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable care, often covered by insurance. Understanding the procedure, costs, recovery, risks, and FAQs helps patients approach surgery confidently. Consult an ENT surgeon for personalized guidance.

Looking for Best Hospitals for Septoplasty

Note: we are not promoting any hospitals

we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)

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City	Minimum Price (₹)	Maximum Price (₹)
Agra	20,000	70,000
Ahmedabad	25,000	80,000
Ajmer	20,000	70,000
Aligarh	20,000	70,000
Allahabad	20,000	70,000
Amritsar	22,000	75,000
Aurangabad	22,000	75,000
Bangalore	25,000	80,000
Bareilly	20,000	70,000
Belgaum	22,000	75,000
Bhopal	22,000	75,000
Bhubaneswar	22,000	75,000
Bikaner	20,000	70,000
Chandigarh	25,000	80,000
Chennai	25,000	80,000
Coimbatore	25,000	80,000
Dehradun	22,000	75,000
Delhi	25,000	80,000
Dhanbad	20,000	70,000
Durgapur	20,000	20,000
Faridabad	25,000	80,000
Ghaziabad	25,000	80,000
Gorakhpur	20,000	70,000
Guntur	22,000	75,000
Gurgaon	25,000	80,000
Guwahati	22,000	75,000
Gwalior	20,000	70,000
Hyderabad	25,000	80,000
Indore	22,000	75,000
Jabalpur	20,000	70,000
Jaipur	25,000	80,000
Jalandhar	22,000	75,000
Jamshedpur	22,000	75,000
Jodhpur	20,000	70,000
Kanpur	20,000	70,000
Kochi	25,000	80,000
Kolkata	25,000	80,000
Kollam	22,000	75,000
Lucknow	22,000	75,000
Ludhiana	25,000	80,000
Madurai	22,000	75,000
Mangalore	22,000	75,000
Meerut	20,000	70,000
Moradabad	20,000	70,000
Mumbai	25,000	80,000
Mysore	25,000	80,000
Nagpur	22,000	75,000
Nashik	22,000	75,000
Navi Mumbai	25,000	80,000
Noida	25,000	80,000
Patna	20,000	70,000
Pune	25,000	80,000
Raipur	22,000	75,000
Rajkot	22,000	75,000
Ranchi	20,000	70,000
Surat	25,000	80,000
Thane	25,000	80,000
Vadodara	22,000	75,000
Varanasi	20,000	70,000
Visakhapatnam	22,000	75,000

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.