{"id":1313,"date":"2025-07-30T11:06:06","date_gmt":"2025-07-30T08:06:06","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1313"},"modified":"2025-07-30T11:06:24","modified_gmt":"2025-07-30T08:06:24","slug":"why-septum-deviation-surgery-may-not-always-be-enough","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/","title":{"rendered":"Why Septum Deviation Surgery May Not Always Be Enough"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130ndex<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#Why_Septum_Deviation_Surgery_May_Not_Always_Be_Sufficient\" >Why Septum Deviation Surgery May Not Always Be Sufficient?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#How_Sufficient_Is_Septoplasty_Surgery\" >How Sufficient Is Septoplasty Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#Is_the_Curvature_at_the_Back_or_Front_of_the_Nose\" >Is the Curvature at the Back or Front of the Nose?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#Nasal_Valve_Structure_Determines_Breathing\" >Nasal Valve Structure Determines Breathing<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#Why_May_Nasal_Congestion_Not_End_with_Deviation\" >Why May Nasal Congestion Not End with Deviation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#For_Which_Patients_Is_Septoplasty_Sufficient\" >For Which Patients Is Septoplasty Sufficient?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#Why_May_Functional_Rhinoplasty_Be_Necessary\" >Why May Functional Rhinoplasty Be Necessary?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/why-septum-deviation-surgery-may-not-always-be-enough\/#From_Dr_Gediz_Murat_Serins_Perspective_Not_Every_Deviation_Is_the_Same\" >From Dr. Gediz Murat Serin&#8217;s Perspective: Not Every Deviation Is the Same<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Why_Septum_Deviation_Surgery_May_Not_Always_Be_Sufficient\"><\/span>Why Septum Deviation Surgery May Not Always Be Sufficient?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Septum deviation<\/strong> refers to the <strong>curvature of the nasal septum<\/strong>, the structure that divides the nose into two halves. This structure contains both cartilage in the front and bone in the back. The curvature directly affects both nasal aesthetics and <strong>nasal function<\/strong>. <strong>Septum deviation surgery<\/strong> aims to correct this curvature. However, this surgical intervention may not yield the same results in every patient. But why?<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_Sufficient_Is_Septoplasty_Surgery\"><\/span>How Sufficient Is Septoplasty Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Septoplasty surgery<\/strong> is the most common technique applied to correct curvature in the nasal septum. In the more advanced form of this surgery, the <strong>SMR (submucosal resection)<\/strong> technique, a more extensive cartilage and bone removal can be performed. However, during these surgeries, it is mandatory to leave <strong>at least 1 cm of cartilage in the front and 1 cm on top<\/strong> to prevent the nasal structure from collapsing. This remaining structure is called the &#8220;L-strut.&#8221;<\/p>\n<p>However, if the main curvature is located in this area, a classic <strong>septoplasty<\/strong> or <strong>SMR surgery<\/strong> becomes insufficient. This can cause complaints such as <strong>nasal congestion<\/strong> to persist.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_the_Curvature_at_the_Back_or_Front_of_the_Nose\"><\/span>Is the Curvature at the Back or Front of the Nose?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In common deviation types in the population, the curvature is often not only in the back bone area but also in the front cartilage part of the nose, namely in the L-strut region. This area is extremely critical for both the shape of the nose and <strong>breathing function<\/strong>.<\/p>\n<p>If <strong>intranasal curvature<\/strong> is not just a bony protrusion in the back, surgeries performed without intervening in the front support structures may remain unsuccessful.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Nasal_Valve_Structure_Determines_Breathing\"><\/span>Nasal Valve Structure Determines Breathing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The <strong>internal nasal valve<\/strong> and <strong>external nasal valve<\/strong>, which are the narrowest areas of the nose, play a major role in air passage. Narrowing or collapse in these areas can continue to make breathing difficult even if <strong>septum deviation surgery<\/strong> is performed.<\/p>\n<p>Septum curvature that narrows the internal valve angle or support loss in the external valve cannot be corrected with a classic SMR. Therefore, <strong>functional rhinoplasty<\/strong> techniques may be required in these patients.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_May_Nasal_Congestion_Not_End_with_Deviation\"><\/span>Why May Nasal Congestion Not End with Deviation?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In some patients, external nasal structures can also narrow the airway. Particularly weak nasal wings, collapsed nasal tip, support loss after previous surgeries can cause <strong>inability to breathe after nasal surgery<\/strong>.<\/p>\n<p>Therefore, before planning deviation surgery, not only internal structures but also the external appearance and durability of the nose should be evaluated.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"For_Which_Patients_Is_Septoplasty_Sufficient\"><\/span>For Which Patients Is Septoplasty Sufficient?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Septum deviation<\/strong> surgery can be sufficient and effective alone in the following situations:<\/p>\n<ul>\n<li>If the curvature is only in the back, in the bone area<\/li>\n<li>If the L-strut structure is intact and centered<\/li>\n<li>If there is no collapse or weakness in the external structure of the nose<\/li>\n<li>If the patient has not undergone nasal surgery before<\/li>\n<\/ul>\n<p>This patient group constitutes a relatively small portion of the population. Additional surgical support may be required in the remaining patients.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_May_Functional_Rhinoplasty_Be_Necessary\"><\/span>Why May Functional Rhinoplasty Be Necessary?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Functional rhinoplasty is a surgical approach that both solves the <strong>nasal congestion<\/strong> problem and supports the external structure. With such interventions, the <strong>septoplasty<\/strong> effect is enhanced, the patient breathes better, and the risk of nasal collapse is reduced.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"From_Dr_Gediz_Murat_Serins_Perspective_Not_Every_Deviation_Is_the_Same\"><\/span>From Dr. Gediz Murat Serin&#8217;s Perspective: Not Every Deviation Is the Same<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>As Dr. Gediz Murat Serin, who has been working as an Ear Nose Throat Specialist for many years<\/strong>, the situation I encounter most frequently in my clinical practice is this:<br \/>\n<strong>The deviation problem is often not only in the bone or cartilage inside the nose, but also in the front cartilages near the nasal tip and in the external nasal structure<\/strong>. This makes it difficult to solve the entire problem with a classic <strong>septoplasty surgery<\/strong>.<\/p>\n<p>Therefore, in my approach to patients, I mostly prefer the <strong>functional rhinoplasty<\/strong> method. This way, I both correct the internal curvature and repair the support losses in the external nasal structure, permanently improving the <strong>breathing function<\/strong>.<\/p>\n<p>After surgery, my patients express that they not only breathe more comfortably, but also that their noses have achieved a more balanced, natural and strong form. This increases both the <strong>long-term permanence of surgical success<\/strong> and patient satisfaction.<\/p>\n<p><strong>Conclusion: Not Every Deviation Is the Same<\/strong><\/p>\n<p>Every <strong>intranasal curvature<\/strong>, every <strong>septum deviation<\/strong>, cannot be corrected with a <strong>septoplasty surgery<\/strong> alone. <strong>Nasal function<\/strong> can be preserved in the healthiest way by addressing both internal structures and external support together.<\/p>\n<p>Therefore, focusing only on deviation in a patient with <strong>nasal congestion<\/strong> may not be sufficient. Surgical planning should be done considering both <strong>nasal valve structures<\/strong> and external nasal anatomy. When necessary, advanced techniques such as <strong>functional rhinoplasty<\/strong> should be employed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Why Septum Deviation Surgery May Not Always Be Sufficient? Septum deviation refers to the curvature of the nasal septum, the structure that divides the nose into two halves. This structure contains both cartilage in the front and bone in the back. The curvature directly affects both nasal aesthetics and nasal function. Septum deviation surgery aims [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1314,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1313","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/comments?post=1313"}],"version-history":[{"count":2,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1313\/revisions"}],"predecessor-version":[{"id":1316,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1313\/revisions\/1316"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1314"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}