The septum is the wall or partition between your nasal cavities. A deviated or crooked septum can block the nasal passages and cause difficulty breathing, sinus infections and nose bleeds. Septoplasty is the most commonly performed surgery to help correct the deformity of the nasal wall and improve the nasal breathing. Complications that occur following a septal surgery are relatively uncommon.
Persistent Nose Block
According to the American Rhinologic Society, it is possible that the breathing will not improve after the septal surgery. The nasal block may persist after the surgery; this may require another surgery to correct it.
Change in Shape and Numbness
Change in the external shape of the nose occurs when the damage to the cartilage is extensive while performing septoplasty. Temporary loss of sensation in the teeth may be experienced for a few months. This occurs because the nerve that supplies the teeth, which is located near the septum, is damaged.
Bleeding from the Nose
Patients should avoid aspirin and other anti-inflammatory drugs 10 days prior to the surgery, as these drugs can induce bleeding. A minimal blood stained discharge from the nose is common a few days after surgery, but usually resolves on its own. Significant nasal bleeding can occur following a septoplasty, however. The patient will be instructed to apply pressure and ice, and rest with the head elevated. If the bleeding continues, medical attention should immediately be sought.
Septal Perforation
According to the American Rhinologic Society, septal surgery may rarely cause a septal perforation. A perforation is a hole that occurs in the septum, which connects both the sides of the nose. This will result in a whistling sound, crusting and bleeding from the nose.
Septal Hematoma
Septal hematoma is the collection of blood below the skin flaps of the septum. This will lead to blockage in breathing, nose congestion and intense pain, according to the National Institutes of Health. Hematoma should be recognized early, as the pressure of the blood can damage the cartilage and lead to a hole in the septum. The doctor will drain the blood immediately by making a small cut in the septum.
Other Complications
According to MayoClinic.com, like any other surgery, septoplasty carries the risk infection and allergic reaction to anesthetic drugs. Antibiotics are prescribed in the postoperative period to minimize the risk of infection. Rarely some swelling and bruising of the area around the eye may occur. Swelling of the lips, nose and around the eyes may occur temporarily.
