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Medical Forum / Diseases and Disorders / Sinusitis / September 2005deviated septum and surgery
What reasons are there for a septoplasty not to correct a deviated septum? >What reasons are there for a septoplasty not to correct a deviated >septum? It is not unsual for it to tend to grow back to where it was - it has a memory. By the way, deviated septum alone is often not the real cause of sinusitis. I would be careful of letting the same doctor try a second time. Sometimes it represents a naive atempt. to take a light surgical touch at curing sinusitis that may not succeed. Better start from scratch, perhaps, with some opinions on your sinusitis from experienced sinus specialists at one or more major university medical centers. > What reasons are there for a septoplasty not to correct a deviated > septum? I'd be very cautious about septoplasty, unless multiple docs (get more opinions) think that your (severely) deviated septum is a major cause of your problems. Most people's septums are deviated to some degree-they don't usually tend to be perfectly straight. Sometimes ENTS, when scheduled to perform sinus or turbinate surgery, may suggest straightening your septum "while they are at it". I would suggest not going for that, unless again, they (more than one doc) are pretty sure the deviated septum is the main source of your problems. As a result of septoplasty, I now have a perforated septum. From what I've read, that is not at all uncommon (see recent thread). I think this has happened in my case, the septum has reverted to its damaged shape. It is bent to the left with a very narrow gap at the front. Why if it is broken does it permanently change shape, but not with surgery? > By the way, deviated septum alone is often not the real cause of sinusitis. I > would be careful of letting the same doctor try a second time. Sometimes it > represents a naive atempt. to take a light surgical touch at curing sinusitis > that may not succeed. A 2nd ENT I saw recently recomended more surgery. The first op was on the deviated septum and did not really change where I feel the problem is (a restriction further up near the eye.) Like you said it may not be the real cause but if what I feel coincides with what the ENT says after looking at my scans then it seems right and worth the risk. > Better start from scratch, perhaps, with some opinions on your sinusitis from > experienced sinus specialists at one or more major university medical centers. Good to get another opinion. I am in the UK, how would I go about contacting such a centre? sandwich_eater@hotmail.com a écrit : > What reasons are there for a septoplasty not to correct a deviated > septum? I had my septum corrected by spetoplasty. My only reason was breathing ability. I could not breath only through my nose. I had three opinions. All three said I had a deviated septum. Only one said I should go for the surgery. I went with one of the other two.
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