u/bart081116

Is revision septoplasty worth it in my case? (Residual deviation + Inferior turbinate hypertrophy)

Is revision septoplasty worth it in my case? (Residual deviation + Inferior turbinate hypertrophy)

I had a septoplasty done a few years ago, unfortunately lost the medical documents surrounding it. My septum was severely deviated in both ways, and my right nostril had probably 99% blockage with the left one being quite blocked too. I did topical anesthetic which was a huge mistake, maybe it was psychological, but I was stressed throughout, and I felt pain even though I was assured I shouldn't be feeling pain. If I do get a revision septoplasty, it will definitely be under general anesthesia.

A few years later and nose breathing is still quite hard, my septum is still deviated to the right. But the worst issue is I have inferior turbinate hypertrophy. Nothing seems to really be able to get it under control, and I am terrified of ENS so don't think I'll ever mess around with them.

Main points from CT scan (translated from Polish)

  • Residual rightward deviation/bulging of the nasal septum, especially in the front bony part
  • Enlarged inferior nasal turbinates
  • The right inferior turbinate lies close to the septal bulge, which narrows the airway
  • The left middle turbinate is described as briefly touching / adhering to the septum

Also allergy tests have ruled out allergy.

My hope is, after consulting some people informally and researching online, that the inferior turbinate hypertrophy is compensatory and will restore itself after the septum deviation is fixed. https://djm.uodiyala.edu.iq/index.php/djm/article/view/443

Has anyone had success with doing this? The septoplasty probably needs to be done anyway but has anyone managed to reverse their turbinate hypertrophy with just a septoplasty?

u/bart081116 — 12 hours ago