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Septoplasty
Septoplasty At ENT Delhi
Nasal Septum and DNS – Deviated Nasal Septum
The Nasal Septum divides the nose into the right and left nostrils.
It is made of Cartilage (malleable tissue – anteriorly), and Bone (Posteriorly).
Though ideally the Septum should be straight there is some deviation to either side in some individuals.
Causes of Deviated Nasal Septum
- The child may be born with a deviated Septum due to pressures in the womb.
- Injury- while growing up, or as a child while playing games, or sometimes after and accident.
- Pressure of swelling like large growth/ polyp on one side of the nose can push the septum to the other side.
Indications Of Septoplasty
- Nasal Blockage
- Recurrent Nasal bleeding
- Snoring and sleep Apnoea
- As an approach or access to Nasal Surgery like FESS or skull base surgery
- To repair a nasal septal deviation
Anaesthesia for Septoplasty
- Local Anaesthesia – after discussing with the patient – only Local Anaesthetic is used along with some sedation
- MAC- Monitored Anaesthesia Care- the anaesthetist gives pain reliving drugs intravenously, along with sedation.
- General Anaesthesia – Full General Anaesthesia where the patient is completely unconscious.
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Our Team
Meet Our Specialist
ENT Consultation, Surgeries & Treatment
Dr. (Major) Rajesh Bhardwaj
MBBS (AFMC), MS, DNB, DLO, DHA
Method Of Septoplasty
Septoplasty is a very commonly performed surgical procedure.
In the Operation Theatre, after cleaning and draping the patient 2 % Xylocaine with adrenaline is injected into the septum so as to lift a submucosal flap. Cotton patties with 4 % Xylocaine and adrenaline are sometimes placed in the nasal passage as well to help shrink the mucosal swellings.
Depending upon the nature of the deviation an incision is made on the Septum and mucosal flaps are lifted and joined together – the septum is now standing freely and unattached.
The Septum is then brought to the midline using various techniques, including thinning out duplicated parts, straightening and morselization as well as using a hammer and gouge to remove bony spurs.
Once the septum is brought to the midline parts may be sutured – either at the caudal (lower) end or sutures to approximate septal flaps together so as to prevent haematoma formation.
Nasal packs are placed in the nose which are kept in situ for a day or sometimes longer.
Post Operative Period
- The post operative period is usually uneventful – the patient takes rest for a day or two. We recommend to work from home for about 5-7 days or till the wound has healed.
- Normal diet is recommended- simple regular home food.
- Lying propped up in bed is usually helpful
- There may be some pink/ blood soaked discharge from the nose for a few days
- Do not blow nose
- No steam inhalation in the immediate post operative period
- Must come for regular follow up visits as asked for
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Complications
Though a safe and well tolerated surgical procedure, Septoplasty can lead to some complications.
- Bleeding – in the immediate post operative period, or sometimes after a week to 10 days- a well known complication called Secondary haemorrhage. Treatment is usually simple.
- Infection – every surgical procedure can be followed by a local infection in the affected area- a good antibiotic is usually enough to treat this.
- Nasal Septal Perforation- in spite of all precautions sometimes there can be a septal perforation due to flap necrosis.
- External nasal deformity- sometimes, if excessive supportive tissue is sacrificed the nasal pyramid may be affected – usually in the form of a supra tip depression.
- Recurrence- though airway improvement is predictable sometimes the septal deviation may spring back either as a result of fresh trauma or due to strong tissue memory.
MedFirst ENT Centre Advantage - Septoplasty with Health Insurance and TPA Support
MedFirst ENT Centre specializes in septoplasty and is committed to providing a seamless experience for patients seeking this medical care. They facilitate the financial aspects of septoplasty treatment through affiliations with leading insurance companies, with a dedicated Third Party Administrator (TPA) team well-versed in handling septoplasty claims. Whether patients require care under a group health insurance plan or individual/family health insurance for their septoplasty, MedFirst ENT Centre’s extensive network and TPA team ensure smooth processing of septoplasty health insurance claims, relieving patients of administrative burdens.
Understanding how health insurance policies and TPAs can assist in covering septoplasty costs is essential. Septoplasty, a procedure aimed at correcting a deviated nasal septum, is often a medical necessity to improve breathing and overall health. To ensure a smooth and cost-effective septoplasty experience, proactive measures include thoroughly reviewing insurance policies, selecting specialized ENT clinics within the insurance network, and collaborating with TPAs for efficient claims processing. This proactive approach ensures that patients can undergo septoplasty with confidence, knowing their insurance covers the procedure, providing peace of mind during the septoplasty journey.
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Why choose MedFirst for the best Mastoidectomy Surgery in Delhi?
MedFirst ENT Centre located at Vasant Vihar, New Delhi, led by Dr. (Major) Rajesh Bhardwaj, a top ENT specialist, offers modern equipment and a comfortable, clean environment.
The same experienced doctor can be seen at every visit. Unlike large hospitals, MedFirst ENT center ensures that patients have minimal waiting time.
The staff is friendly, the location is easy to find, and the clinic is kept spotless with thorough sanitization. MedFirst ensures you get the best care with convenience.
What is Mastoidectomy
removes the damaged mastoid air cells which are formed in the hollow spaces within the mastoid.
Types of Mastoidectomy
- Simple Mastoidectomy: Here, there is draining of the middle ear by removing the damaged air cells.
- Radical Mastoidectomy: For some complicated cases, there is removal of mastoid air cells, eardrum and most of the middle ear structure.
- Modified Radical Mastoidectomy: Removal of the mastoid air cells along with some parts of the middle ear.
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How is Mastoidectomy Performed?
A simple Mastoidectomy is performed as follows,
- A general anaesthesia is given to the patient to make sure that the patient is comfortable.
- A cut or incision is made behind the ear to access the mastoid bone.
- The mastoid bone is opened through a drill and using a microscope for visualization.
- To keep the surgical area clean, suction irrigation is done.
- Infected cells are drilled out
- Stitching of the cut made and covered with gauze to keep the wound clean
Who Should opt for a Mastoidectomy?
People suffering from these conditions can opt for a mastoidectomy,
- Cholesteatoma: A non-cancerous growth which can form behind the eardrum.
- Ruptured eardrum: A tympanoplasty-surgery performed to repair the eardrum. A person suffering from a ruptured eardrum can opt for this surgery.
- Otitis media: When there is Inflammation or infection of the middle ear. Sore throat, cold or respiratory infections can cause this.
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Essential Pre- and Post Operative Care for Mastoidectomy
Before Surgery
Two weeks before the surgery, the patient is asked to avoid medications such as Aspirin, Ibuprofen or Naproxen. These medications may interfere with blood clotting and increase the chances of bleeding.
After Surgery
- Wrap around the dressing is removed after 24-48hours.
- Water should be kept away from the ear and the ear canal
- Lying on the side should be avoided
- A small amount of bleeding can be seen. If it turns green or yellowish, consult the surgeon.
- Avoid blowing the nose harshly and sneeze with the mouth open.
- Drink fluids throughout the day and avoid alcohol.
- Heavy and straining activities should be avoided.
- Keep the stitches clean to avoid any infection.
Benefits of a Mastoidectomy
- Avoid complications: Treating of chronic or acute ear infections can help preventing further complications.
- Faster treatment: Have ear infections treated and healed faster than antibiotics in some cases.
- Better lifestyle: The irritation and ear drainage caused by infections or inflammations can be treated and the patient can go on with day-to-day activities comfortably.
- Minimized recurrence: Once the person has been treated for with mastoidectomy the chances of a recurrent infection is very unlikely.
Cost of Mastoidectomy Surgery in Delhi
The total cost of a Mastoidectomy depends upon different factors which are listed below,
- The choice of treatment city and hospitals.
- Hospitalization fees depend on the facility and duration of stay.
- The severity of the condition influences the treatment cost.
- The age and health condition of patient determine how complex the treatment should be.
- Post-surgical care and hospital visits add up-to expenses.
- Based on the expertise and experience of the surgeon, the fees change.
- The cost of diagnostic tests is an important part of the overall expense.
- Out-of-pocket expenses reduced using insurance coverage
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