Trusted medical platform in Jordan
عملية انحراف الوتيرة (تصحيح انحراف الحاجز الأنفي)
Septoplasty is surgery that reshapes the nasal septum — the partition of cartilage and bone, covered by mucous membrane, that separates the two nasal passages — so that it sits closer to the midline and the blocked airway opens up. A deviated septum may be present from birth or follow an old injury to the nose, and many people have a mild deviation that causes no symptoms at all and needs no treatment. The operation is usually considered for long-standing blockage on one or both sides that does not respond to medical treatment, for mouth breathing with a dry throat and poor sleep, for chronic facial pressure, for repeated nosebleeds from a septal spur, or for recurrent sinus infections caused by poor drainage. Because nasal obstruction has several possible causes — enlarged turbinates, allergic rhinitis, nasal polyps, or enlarged adenoids in children — **candidacy is decided by clinical examination and nasal endoscopy** with an ENT surgeon, never by reading a web page or by an X-ray alone. It matters just as much to know what septoplasty does not do. It is not a cosmetic rhinoplasty and does not change the external shape of the nose. It does not cure allergic rhinitis, does not prevent future colds or sinus infections, and does not restore a sense of smell lost for another reason. By itself it is not a treatment for obstructive sleep apnoea, although snoring improves in some patients. When enlarged turbinates are the dominant problem, turbinate reduction may be added in the same session. In most cases the work is done entirely inside the nose, with no external incisions and no facial bruising, and most patients go home the same day. Breathing does not improve immediately: swelling and crusting keep the nose congested for about two to three weeks before the difference becomes clear, and the final result may take two to three months. Care is provided by ear, nose and throat surgeons, sometimes alongside an allergy specialist when an allergic component predominates.
The surgeon examines the inside of the nose with a slim endoscope before and after a decongestant spray, to separate a deviated septum from enlarged turbinates, and asks about allergy, injuries and medicines. A CT scan may be requested when coexisting sinus disease is suspected, and the more obstructed side is documented.
The procedure is usually done under general anaesthesia, and occasionally under local anaesthesia with sedation in selected cases. A small incision is made inside the nose in the lining that covers the septum, so there is no external skin incision and no facial bruising in a standard case.
The mucosal lining is gently lifted off the septum, then the deviated parts of cartilage and bone are straightened or removed while a sufficient supporting strut is preserved to hold the shape of the nose. Preserving that strut is essential to avoid a saddling bridge or a septal perforation.
If the lower turbinates are enlarged enough to explain part of the obstruction, they are reduced in the same session with radiofrequency or another technique. Nasal polyps or sinus disease may also be addressed at the same time when this has been planned in advance.
The lining is laid back and secured with absorbable stitches, and thin silicone splints or a light dressing may be placed inside the nose and removed in clinic after a few days. The patient is woken, observed for a few hours, and in most cases discharged the same day.
Tell your surgeon everything you take: blood thinners, aspirin, anti-inflammatory painkillers, herbal supplements and vitamin E. Some of these are stopped several days beforehand, but only on your doctor's instruction, never on your own. Mention drug allergies, any bleeding tendency or clotting problem in the family, chronic conditions such as diabetes and high blood pressure, and any previous trouble with anaesthesia. Follow the fasting instructions from the anaesthetist exactly. Stop smoking before and after surgery, as it slows healing of the nasal lining and increases crusting. Postpone the date and call the clinic if you develop a chest infection or active sinusitis. Buy saline nasal rinse and your prescribed painkiller in advance, arrange an adult to drive you and stay with you the first night, and plan three to seven days off work.
Expect light blood-stained discharge for the first day or two. Sleep with your head raised on two pillows and put a cold pack on the forehead and cheeks, never inside the nose. Do not blow your nose and do not put a finger or cotton bud inside it for two weeks, and sneeze with your mouth open. Use saline rinses regularly to soften crusts. Take painkillers exactly as prescribed and avoid aspirin unless your doctor allows it. Avoid strenuous exercise, heavy lifting and steam rooms for two to three weeks. Remember that the nose feels more blocked, not less, during the first fortnight — that is expected swelling, not a failed operation. **Seek care immediately for: heavy bleeding that does not stop after fifteen minutes of sitting up and pinching the nose, fever with foul-smelling discharge, severe headache with neck stiffness or vomiting, swelling, redness or changed vision around the eye, or clear fluid dripping steadily from one nostril.**
Usually 30 to 90 minutes, with most patients discharged the same day.
Dr. Marwan Ibrahim Al Halalmeh is an ENT specialist with Jordanian Board certification and higher specialty training. Following work at the Royal Medical Servic…
There are currently 1 doctor profiles linked to Deviated septum surgery (Septoplasty) on ClinicsJo. Review the listed services and contact the practice to confirm availability with the doctor and branch you choose.
Start with an available doctor's profile and use the contact or booking options shown there. Confirm the service, practice location and appointment time with the clinic. If this list is empty, broaden your search using the directory links on this page.
Ask the practice for the current price and what it includes. A consultation fee shown on a profile is not necessarily the price of a procedure, tests or follow-up. Confirm any additional charges and insurance arrangements before your visit.
