Does it hurt to remove the stitches from a deviated nasal septum surgery?

Written by Yao Jun
Otolaryngology - Head and Neck Surgery
Updated on September 05, 2024
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Nasal septum deviation is a common surgical procedure in otolaryngology, primarily involving the misalignment of the septal cartilage, which affects the ventilation and drainage of the nasal cavity. This can cause symptoms such as nosebleeds and headaches. Thus, submucous resection of the nasal septum is a routine surgery. Generally, by observing the condition of the wound, if there is no protrusion, tearing, and the alignment is good, it is usually not necessary to stitch. If stitching is done, the stitches are removed after 7 to 8 days. The doctor moistens the nasal cavity with saline, cleaning out any nasal scabs. If pain is a concern, surface anesthesia can be applied using a tetracaine epinephrine cotton swab. Removing the stitches in this way will not be painful. Even without anesthesia, removing stitches feels like a mosquito bite and is not very painful, so there should not be much concern.

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Written by Deng Bang Yu
Otolaryngology
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How to treat a deviated nasal septum?

Deviated nasal septum refers to the deviation of nasal septum cartilage and bone tissues towards one or both nasal cavities, causing symptoms such as nasal congestion, nosebleeds, and even headaches. Generally speaking, when these symptoms of nasal septum deviation occur, surgical treatment is typically adopted. This involves correcting and removing the deviated cartilage and bone tissues under endoscopic guidance to restore normal airflow in the nasal passages. If a patient only has structural or radiographic evidence of a deviated nasal septum but lacks clinical symptoms, surgery may not be necessary. Alternatively, temporary observation and medical management to control inflammation of the nasal mucosa can be considered.

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Written by Deng Bang Yu
Otolaryngology
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Septal deviation resection

Deviated nasal septum is a common and frequently occurring condition in our department of otorhinolaryngology and head and neck surgery. It refers to the cartilage and bone of the nasal septum deviating towards one or both sides of the nasal cavities, leading to clinical symptoms such as nasal congestion, nosebleeds, and headaches. Typically, a CT scan is conducted to determine the extent of the deviation, and then, combined with clinical symptoms, surgery is performed to correct the deviated nasal septum. The surgery mainly involves removing the deviated cartilage and bone, and then repositioning the nasal septum to a central position, thus eliminating the symptoms caused by the deviated nasal septum.

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Written by Deng Bang Yu
Otolaryngology
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Can a deviated nasal septum cause rhinitis?

A deviated septum refers to the condition where the cartilage and bone tissues of the nasal septum are skewed towards one side of the nasal cavity. This structural deviation can lead to nasal congestion, nosebleeds, and even headaches. If these symptoms are not present, it might be that the septum is deviated but not severely so. However, if these symptoms do appear, then it is necessary to address the deviated septum. There is an inevitable connection between a deviated septum and rhinitis, meaning a deviated septum will certainly lead to rhinitis. Rhinitis involves inflammation of the nasal mucosa. Therefore, the presence of a deviated septum will definitely cause rhinitis. Thus, actively treating a deviated septum greatly aids in the recovery from rhinitis.

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Written by Li Rui
Otolaryngology
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How to relieve a deviated nasal septum?

The decision is mainly based on the severity of the deviation. If it is just a simple nasal septum deviation and not particularly severe, and there are no obvious clinical symptoms, then treatment is not necessary. Most patients may not have clear symptoms, and the deviation is often discovered during a physical examination or through a nasal endoscopy; in such cases, specific medication or surgery is not required. However, if the deviation is particularly severe and accompanied by obvious clinical symptoms such as nasal congestion, runny nose, induced sinusitis, headaches, or nasal bleeding, it is advisable to consider corrective surgery under nasal endoscopy. This procedure is minimally invasive, and the general recovery period is about a week, and the overall results are relatively clear.

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Written by Li Rui
Otolaryngology
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How to treat a deviated nasal septum?

The treatment of a deviated nasal septum primarily depends on the severity of the condition. If it is a minor deviation without noticeable clinical symptoms, most people can simply be observed and may not require specific treatment. However, if the deviation is significant and accompanied by clinical symptoms, such as frequent poor nasal ventilation, particularly blocked nostrils on the deviated side, as well as possible nosebleeds or headaches, surgery might be considered. Currently, corrective surgery for a deviated nasal septum under endoscopy is a minimally invasive procedure. Although there are certain risks associated with the surgery, the overall risk is not high. After surgical treatment, most patients are able to recover normally.