a hole in the nasal septum between both nasal passages causing bleeding, crusting and whistling of the nose
This type of surgery requires a particular skill set and level of experience. Prior to consideration of any perforation closure, it is imperative to exclude an underlying medical cause of the perforation. Common causes of septal perforations include previous nasal surgery, nasal trauma, drug use, over-the-counter decongestant sprays and an underlying vasculitis. Timing of surgery is paramount and for causes such as vasculitis, collaboration with a rheumatologist is key to ensure that appropriate immunosuppressive medications have been started and the disease is under control.
This surgery is not attempted by many surgeons, but in the right hands, it is an extremely effective procedure in alleviating nasal crusting, whistling and bleeding that frequently results from a septal perforation. Mr Unadkat and his colleagues from the Royal National ENT Hospital, London have published their research in the reconstruction of large septal perforations click here to read the document
Surgery Duration
The duration of surgery for septal perforation repair generally ranges from 1 to 3 hours, depending on the size and complexity of the perforation. Factors such as the surgical technique used and any additional procedures may also influence the total time.
Time Off Work
After septal perforation repair, you may need about 1 to 2 weeks off work for recovery, depending on your job's physical demands. If your job involves strenuous activities, additional time off may be necessary. You will likely need nasal splints secured for up to 3 weeks in your nose. These will be removed in the outpatient clinic.
Hospital Stay
Most septal perforation repair surgeries are performed on a day case basis, allowing you to go home the same day. However, in some cases, an overnight hospital stay may be required for observation, especially if there are complications or if you have other medical concerns.
Reasonable Mobility
You can generally expect to have reasonable mobility within a day or two after septal perforation repair surgery. While light walking is encouraged to promote circulation, you should avoid bending over or engaging in strenuous activities for at least a week.
Exercise
After septal perforation repair, you should avoid vigorous exercise for about 3 to 6 weeks to ensure proper healing. Light activities like walking can typically be resumed within a week, but always consult your surgeon for personalised guidance.
Full Recovery
Full recovery from septal perforation repair usually takes about 6 to 12 weeks, although some symptoms may improve sooner. Complete healing, including the resolution of any lingering swelling and discomfort, can take several months, and final results may not be evident until then.
Candidates for septal perforation repair typically include individuals experiencing significant symptoms from a septal perforation, such as nasal congestion, chronic crusting, or bleeding. A thorough evaluation by an ENT specialist is necessary to determine suitability.
Septal perforations can be caused by various factors, including prolonged use of nasal decongestants, trauma, surgery, drug abuse/use, or underlying health conditions. Identifying the cause is crucial for effective treatment and prevention.
Preparing for septal perforation repair may involve pre-operative evaluations, avoiding certain medications (like blood thinners) and discussing any allergies or medical conditions with our surgeon. It is crucial to follow all pre-operative instructions provided by your surgeon.
Patients with insurance
Mr Unadkat is recognised by most of the major insurance companies. If you are insured by a company not listed below, then please do let us know in advance and we will arrange the necessary registrations. Insurance coverage is subject to approval by your provider and may vary based on your policy.
- BUPA
- BUPA Global
- HEALIX
- Vitality
- AXA
- AXA Global
- WPA
- Cigna
- Cigna Global
- Freedom
- Allianz
- Aetna
- The Exeter
- And more.
