Overview
Septum is the cartilage and bone wall that separates the nasal cavity into two sides. The curvature of this structure can affect breathing; Some people also have curvature or support problems in the external nose. Septorhinoplasty aims to regulate the internal and external structures together. However, not every nasal congestion is caused by the septum; Mucosal swelling and other areas affecting air passage should also be evaluated. During the meeting, whether a shape change is desired and the functional goals are discussed separately. The extent of surgery may vary from a condition that requires only septoplasty. Intranasal supports and postoperative care are also determined according to this scope.
What is evaluated?
- Evaluation of the side of the obstruction, its continuity, history of trauma, and response to previous treatments.
- Examination of the septum, external nasal curvature and other structural problems in air passage.
- Discussing the functional goals and the desired external appearance changes separately.
Approach and options
- If the problem is limited to the septum, septoplasty can be compared to more extensive surgery options.
- If internal and external structures are affected together, septorhinoplasty may be planned.
- In mucosal problems accompanying obstruction, the place of drug treatment can be evaluated before or together with the surgical decision.
Recovery and follow-up
Intranasal swelling, crusting or supports may cause temporary obstruction. Splint and intranasal materials should not be removed by the person himself. Cleaning, spray and activity recommendations are received from the surgical team. If increasing pain, foul-smelling discharge, fever or significant bleeding develops, the healthcare team should be contacted without delay.
Risks and limits
- Persistence of obstruction or failure to achieve the expected increase in breathing.
- Blood accumulation, adhesion or hole formation in the septum.
- Change in sense of smell or sensation of upper teeth and gums.
- Unwanted change in nose shape, bleeding or infection.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- What part of my blockage is caused by my septum?
- What is the difference for me between septoplasty alone and septorhinoplasty?
- What will the intranasal support and cleaning plan be like?
Resources
- Cambridge University Hospitals NHS – Information after septorhinoplasty ↗
- ASPS – Septoplasty risks ↗
- United Lincolnshire Hospitals NHS – Septorhinoplasty ↗
Access to sources: September 2026. The content has been prepared for general information purposes.