The Different Surgical Treatments for a Deviated Septum

If you suffer from a septal deviation, which causes a recurring congestion or sinus infection then your ENT physician will recommend an operation known as septoplasty to cure it.

This procedure will straighten the deviated septum to restore normal breathing and flow of mucus. This procedure, performed under general anesthesia will usually take one to two hours.

Types of Septoplasty

There are two techniques which can be used to perform the surgery:

  • Sub Mucous Resection or SMR: This is the traditional method which has been used since 1902 to cure a deviated septum. SMR first involves cutting the surface of the mucous lining of the septum to gain access for the surgical instruments. Then using the instruments, the deviated bone and cartilage is removed from one side of the nose, without compromising the mucous lining on the other side of the nose. Thus lowering the risk of a septal perforation. The surgeon will then sew the two sides of the septum together, insert a sponge known as a nasal splint to support the septum while it heals.

    Traditional Septoplasty


  • Minimally Invasive Septoplasty: This is the latest technique which is favoured by most surgeons. This procedure requires no incision and makes use of an instrument known as microdebrider. This instrument has a tiny rotating tip which offers higher precision and control than tools used for SMR. The advantages of this technique are:
  1. Improved Visualization for the surgeon.
  2. More precise targeting, removal of the tissue.
  3. Reduces damage of nearby healthy tissue.
  4. Faster.
  5. Reduces the risk of Septal Perforation.

Thus the surgeon will be able to save a lot of the healthy tissue. This will retain the natural structural support of the septum.

Possible After Surgery Complications

Usually after the surgery, a little pain and swelling inside the nose will be present. The nasal cartilage has an internal “memory”, thus the septum may reshape itself back to its deviated position. In rare cases bleeding, numbness of the front teeth, impairment of the sense of smell, septal perforation. If you notice any of the above symptoms contact your doctor for advice, treatment.


Author: Perumal G.

Share This Post On