Septoplasty History

Septoplasty, also commonly known as nose alteration surgery, is basically a surgical process to place deviated septum correctly. Deviated Septum means dislocation of the bone and cartilage which separates your two nostrils. Thus, in the process of septoplasty, your nasal septum is relocated. This could involve cutting and removing parts of your septum before relocating it in the correct position.

Before planning septoplasty, your surgeon understands your symptoms — such as breathing difficulties, serious sinusitis, frequent nose bleeding — and the physical construction of your nose.

History of Septoplasty Procedure:

  • Quelmatz (1757) was one of the most primitive medicinal practitioners to focus on septal deformities. He advised daily digital pressure on the septum for steady improvement.
  • Adams (1875)advised on fracture and splinting of the nasal septum.
  • Ingals (1882)established en bloc resection of minor sections of septal cartilage. For this important innovation he is recognized as father of modern septal surgery.
  • Asch (1899) recommended altering the tensile curvature of septal cartilage rather than resecting it. He projected using full-thickness cruciate incisions.
  • Freer and Killian (1902 and 1904) explained the submucous resection i. e., SMR operation.
  • Metzenbaum and Peer(1929) were the earliest to operate the caudal septum, using different techniques. The classic SMR was not much effectual in fixing this part of deviation. In addition, Metzenbaum advised the use of swinging door technique, and
  • Peer (1937) suggested taking out the caudal septum, making it straight, and then putting it back it the center position.
  • Cottle (1947)introduced the hemi transfixion incision and the put into practice conservative septal resections. Long duration record reports of patients who had gone through SMR occasionally discovered certain complications; hence, conservative resections during septoplasty were developed to sidestep these complications.

Purpose of Septoplasty  

Idyllically, the nasal septum is in centre of your face. However, the septum might get displaced to one side creating deviated septum. A deviated septum might create problems such as Breathing difficulty, Repeated sinus infections etc.

Septoplasty makes the nasal septum straight by relocation of the cartilage or trimming down bones or cartilage, or by structuring certain areas.

Major Purpose for this Surgery is:

  • To recover a curved, bent, or deformed nasal septum that obstructs the air passage in your nose. People suffering with this problem generally breathe through mouth and undergo nose infections
  • Uncontrollable bleeding of nose
  • To fix the hole in the septum. This is known as nasal perforation.

People who regularly inhale drugs over long time may need septoplasty. Inhaling drugs can damage the septum.

Septoplasty Procedure & Types of Septoplasty Incisions:

The majority of the septoplasty procedures are completed in 90 mins or less and generally involves the cutting out or removal of bone surplus or cartilage that’s reason of the obstruction. Under the supervision of a local or general anesthesia, the surgeon will start working through the nostrils to formulate a septoplasty incision on the septum’s coating so that the marked cartilage could be reached during the surgery.

Once the surplus bone and cartilage have been separated & removed through the septoplasty incision, septum is stabilized by using of stitches, small plastic tubes or splints.

Types of Septoplasty Incisions: Killian, Transfixion or Hemitransfixion, Cottle Elevator

  • Killian Incision:

    When we talk about septoplasty incision, you should understand that there are different types of incisions. The Killian incision is generally used in curing septal deviation that could be found on the centre to the posterior third of the nasal cavity. But there could be some risk of membrane tearing with this procedure.

  • Transfixion or Hemitransfixion Incision:

    A further septoplasty incision that is generally done at the septum’s caudual border. This incision permits access to the caudal septum that could be deviated and to any posterior deflections as well. It is one of the most common septoplasty incision procedures as it reduces tip support to its minimum and permits easy admission to the caudal septum.

  • Cottle Elevator:

  • This septoplasty incision turns up with two dissecting faces – One is dull and flat and another one is like shape of sharpened spade. The sharper end is primarily used in the beginning of the dissection, while the dull and flat end works at efficiently uplifting the covering of the nose in a manner that is a traumatic.