Septoplasty is a corrective surgical procedure done to straighten the nasal septum - the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Nasal obstructions caused by serious deviations frequently lead to chronic sinus problems. Turbinate reduction may also be advised to further enlarge the nasal cavities. Most surgeries are completed in 90 minutes or less, not including recovery time.
Typical flexible splints that may be used in septoplasty. They are held in place in the nose with a stitch through the hole.
Typical flexible splints that may be used in septoplasty. They are held in place in the nose with a stitch through the hole.

Because the deviation is a result of a cartilage surplus, the procedure usually involves an excision of a portion of that tissue. Under general or local anesthesia, the surgeon works through the nostrils, making an incision in the lining of the septum to reach the cartilage targeted in the operation. Before the crooked portions of the cartilage can be excised, the cartilage must first be separated from the bony structures beneath it. After excess cartilage has been taken out, the septum may then be secured to the bone with small plastic elements, splints, or sutures.

The nasal cavities are then packed with a special material, and a piece of gauze is taped underneath the nose to absorb blood. Postoperative care includes frequent changing of this gauze (roughly every hour or so) and after a complete day, the excess bleeding normally stops and the inner nasal packing may be removed. The following day, saline irrigations of the nasal cavities are required, and it is only now that a patient is allowed to gently blow his/her nose. After approximately four days, patients can then blow their nose normally.

Patients typically regain about 80% of their energy one week after surgery, and make a full recovery after one month