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Nasoseptal Reconstruction
The nasal septum is the partition that separates the nose into a right and left nasal passage. Ideally, the septum should be in the middle so that 50% of the air flows through either side. With a deviated septum, the septum is deformed to narrow the nasal passage. Reconstruction involves an incision within the nose, against the nasal septum, so there are no external incisions made. The procedure to correct a deviated septum is manipulation of the cartilage of the septum and the nasal bones are left alone in the majority of cases. For this reason, most people who have just nasoseptal reconstruction do not have bruising.

The blood supply to the underlying structures, the cartilage of the septum, comes through the mucous membranes that overlie the cartilage, which need to be lifted during the procedure. After the procedure, then nose is packed to allow the mucous membrane to reattach to the cartilage for blood supply. The nose is always packed on both sides. Occasionally, reconstruction van be done without packing, but this is a rare occasion. While the nose is packed, there is a sensation of pressure and nasal congestion, feeling much like a bad head cold. While the nose is packed, there can be bloody drainage, sometimes more from one side of the nose than the other.

The nose is sometimes packed for 2-3 days, and then the packing comes out. The packing is made of Telfa, which is the ouchless bandage material, and typically just slips out. While the nose is packed, most people do rest at home. Being up and about is not recommended, as this may promote swelling, pain, and bleeding.

Once the packing is out, there is a healing phase that takes approximately 6-8 weeks for complete healing. For the first five days after the pack is out, it is recommended not to blow the nose, life, bend, or strain.

Unfortunately, with any procedure there is always some risk. In the situation, there is exposure to anesthesia, small risk of infection, small risk of bleeding post operatively, small risk of perforation of the nasal septum, and risk of continue difficulty with nasal obstruction. These risks are minimal.

If there are nay questions or concerns at any time, our office or on-call coverage is available, 24 hours a day, seven days a week.
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Dr. Sawyer 300 Hebron Avenue
Glastonbury, CT
2800 Tamarack Road
South Windsor, CT
Telephone: (860) 659.2759