{"id":1425,"date":"2025-10-22T12:15:53","date_gmt":"2025-10-22T09:15:53","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1425"},"modified":"2025-10-22T12:15:53","modified_gmt":"2025-10-22T09:15:53","slug":"how-is-septum-deviation-surgery-septoplasty-smr-performed","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/","title":{"rendered":"How is Septum Deviation Surgery (Septoplasty \/ SMR) Performed?"},"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\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#How_is_Septum_Deviation_Surgery_Septoplasty_SMR_Performed\" >How is Septum Deviation Surgery (Septoplasty \/ SMR) Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#What_is_Septum_Deviation\" >What is Septum Deviation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#For_Whom_is_Septoplasty_a_Suitable_Surgery\" >For Whom is Septoplasty a Suitable Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#How_is_Septoplasty_SMR_Surgery_Performed\" >How is Septoplasty (SMR) Surgery Performed?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#1-_Anesthesia\" >1-) Anesthesia<\/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\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#2-_Access_to_the_Septum\" >2-) Access to the Septum<\/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\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#3-_Correction_of_the_Curvature\" >3-) Correction of the Curvature<\/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\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#4-_Placement_of_Silicone_Splints\" >4-) Placement of Silicone Splints<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#Why_is_Inferior_Turbinate_Nasal_Flesh_Treatment_Necessary\" >Why is Inferior Turbinate (Nasal Flesh) Treatment Necessary?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#Post-Surgery_Process\" >Post-Surgery Process<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#Benefits_of_Septoplasty_Surgery\" >Benefits of Septoplasty Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.gedizserin.com\/en\/how-is-septum-deviation-surgery-septoplasty-smr-performed\/#Possible_Risks\" >Possible Risks<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"How_is_Septum_Deviation_Surgery_Septoplasty_SMR_Performed\"><\/span>How is Septum Deviation Surgery (Septoplasty \/ SMR) Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Prof. Dr. Gediz Murat Serin \u2013 Ear Nose and Throat Specialist | Te\u015fvikiye ENT Group<\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_Septum_Deviation\"><\/span>What is Septum Deviation?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Septum deviation is the curvature or deviation from the midline of the cartilaginous and bony wall that separates the two nostrils.<br \/>\nThis curvature disrupts the airflow inside the nose and leads to complaints such as <strong>nasal congestion<\/strong>, <strong>snoring<\/strong>, <strong>recurrent sinusitis attacks<\/strong>, and <strong>mouth breathing<\/strong> in patients.<\/p>\n<p>It is quite common in the population and the <strong>permanent solution<\/strong> is usually surgical correction, namely <strong>septoplasty (or SMR \u2013 submucous resection)<\/strong> surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"For_Whom_is_Septoplasty_a_Suitable_Surgery\"><\/span>For Whom is Septoplasty a Suitable Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The same surgery may not be sufficient for every patient with nasal congestion. If we think of the nose as a tunnel:<\/p>\n<ul>\n<li><strong>Inside the tunnel<\/strong>, that is, if there is only a curvature inside the nose, the external nose shape is straight and the tip is not low \u2192<br \/>\n<strong>Closed septoplasty<\/strong> is a very effective solution for these patients.<\/li>\n<li>However, <strong>outside the tunnel<\/strong>, that is, if there is curvature in the external nose, drooping at the tip, or structural weakness \u2192<br \/>\nIn this case, <strong>open technique functional rhinoplasty<\/strong> is required. Because in these surgeries, the shape of the nose is also corrected along with the airway.<br \/>\nIn other words, what is commonly called &#8220;open septoplasty&#8221; is actually a <strong>procedure that falls into the rhinoplasty group<\/strong>.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_is_Septoplasty_SMR_Surgery_Performed\"><\/span>How is Septoplasty (SMR) Surgery Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Septoplasty is an operation that is <strong>performed entirely from inside the nose, leaving no external scars<\/strong>.<br \/>\nThe goal is to correct the curvature, increase airflow, and permanently ease breathing.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"1-_Anesthesia\"><\/span>1-) Anesthesia<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In most patients, the surgery is performed under <strong>general anesthesia<\/strong>.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2-_Access_to_the_Septum\"><\/span>2-) Access to the Septum<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The surgeon reaches the curved area by making a small incision inside the nose.<br \/>\nSince this incision remains completely inside, it is not visible from the outside.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"3-_Correction_of_the_Curvature\"><\/span>3-) Correction of the Curvature<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The <strong>cartilage and bone pieces<\/strong> at the back that form the curvature are carefully removed or reshaped.<br \/>\nThe <strong>anterior-superior support (L-strut)<\/strong> that allows the nasal structure to stand upright is preserved.<br \/>\nThis area is the basic skeleton that holds the roof of the nose upright.<br \/>\nIf the L-strut itself is curved, standard septoplasty is not sufficient; then <strong>open technique<\/strong> and <strong>graft support<\/strong> (for example, spreader or batten graft) may be necessary.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"4-_Placement_of_Silicone_Splints\"><\/span>4-) Placement of Silicone Splints<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>At the end of the surgery, <strong>breathable silicone plates (splints)<\/strong> are placed inside the nose.<br \/>\nThese plates are easily removed after 3\u20137 days.<br \/>\nSince classic, painful tampons are no longer used, the patient can breathe through the nose even after surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_is_Inferior_Turbinate_Nasal_Flesh_Treatment_Necessary\"><\/span>Why is Inferior Turbinate (Nasal Flesh) Treatment Necessary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>On the opposite side of the nasal curvature, the <strong>inferior turbinate<\/strong>, which we call nasal flesh, <strong>grows reflexively<\/strong>.<br \/>\nThis situation can prevent the complete opening of the airway even after surgery.<br \/>\nTherefore, in most septoplasty surgeries, <strong>turbinate reduction procedure<\/strong> is also performed in the same session.<\/p>\n<p>The goal in turbinate reduction is to reduce volume without damaging the mucosa. For this:<\/p>\n<ul>\n<li><strong>Radiofrequency (RF) applications<\/strong>,<\/li>\n<li><strong>Submucosal resection<\/strong> or<\/li>\n<li>Methods such as <strong>Lateralization (laying the turbinate to the side)<\/strong> are used.<\/li>\n<\/ul>\n<p>These procedures significantly increase the success of the surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Post-Surgery_Process\"><\/span>Post-Surgery Process<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>During the first few days, <strong>congestion, mild pain, or watery discharge<\/strong> may be seen in the nose.<br \/>\nThese findings are a natural part of the nose&#8217;s healing process.<\/p>\n<ul>\n<li>Blows to the nose should be avoided.<\/li>\n<li>Blowing the nose is not recommended.<\/li>\n<li>The sprays and washes recommended by the doctor should be done regularly.<\/li>\n<\/ul>\n<p>Breathing becomes significantly easier within approximately <strong>2\u20133 weeks<\/strong>.<br \/>\nThe complete resolution of internal nasal edema and renewal of the mucosa usually takes <strong>2\u20133 months<\/strong>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Benefits_of_Septoplasty_Surgery\"><\/span>Benefits of Septoplasty Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li><strong>Comfortable and balanced breathing<\/strong><\/li>\n<li><strong>Better sleep and feeling rested<\/strong><\/li>\n<li><strong>Reduction in snoring and sinusitis attacks<\/strong><\/li>\n<li><strong>Higher performance in sports and daily activities<\/strong><\/li>\n<li><strong>Elimination of mouth breathing and throat dryness<\/strong><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Possible_Risks\"><\/span>Possible Risks<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As with any surgical procedure, there may be some low-rate risks in septoplasty:<\/p>\n<ul>\n<li>Mild bleeding or crusting<\/li>\n<li>Infection<\/li>\n<li>Temporary reduction in smell<\/li>\n<li>Very rarely, formation of a <strong>small hole in the septum (perforation)<\/strong><\/li>\n<\/ul>\n<p>However, thanks to <strong>preservation of the L-strut<\/strong>, <strong>mucosa-respecting<\/strong> techniques, and <strong>modern surgical approaches<\/strong>, these risks are extremely low.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How is Septum Deviation Surgery (Septoplasty \/ SMR) Performed? Prof. Dr. Gediz Murat Serin \u2013 Ear Nose and Throat Specialist | Te\u015fvikiye ENT Group What is Septum Deviation? Septum deviation is the curvature or deviation from the midline of the cartilaginous and bony wall that separates the two nostrils. This curvature disrupts the airflow inside [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1426,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1425","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\/1425","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=1425"}],"version-history":[{"count":1,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1425\/revisions"}],"predecessor-version":[{"id":1427,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1425\/revisions\/1427"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1426"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}