The Common Complications after Septoplasty and Septorhinoplasty: A Report in a Series of 127 Cases

Abstract

Background: There are many complications associated with septoplasty, which chiefly depend on the procedure performed. The aim of this study was to find out the common complications after Septoplasty and Septorhinoplasty in a series of 127 Saudi patients undergoing Septoplasty or Septorhinoplasty in Northern Saudi Arabia. Methodology: This study included a series of 127 patients presented with nasal blockage and subsequently undergone Septoplasty and /or Septorhinoplasty. Results: Complications were determined in 69/127 (54.3%) of the patients. The most common complication after three months of septoplasty or Septorhinoplasty was the change in the shape of the nose, which represented 57 (82.6%) out of 69 patients with complications. Bleeding was experienced in 8 patients of whom 5/8 (62.5%) were males and 3/8 (37.5%) were females. Conclusion: Nose deformities are the most common complication associated with Septoplasty or Septorhinoplasty in Northern Saudi Arabia. The risks for Septoplasty or Septorhinoplasty complications can be condensed with accumulative experience.

Common Causes of Failed Septoplasty: A Systematic Review

“…Once the risk factors have been identified, mistakes should be avoided. If there are no indications of mistakes in patient selection, preoperative planning, or operational technique, unsatisfactory outcomes can be attributed to complications [ 21 , 22 ].…”

Validity of Sinonasal Outcome Test 22 in Assessing Symptomatological Outcome Following Septoplasty in Deviated Nasal Septum

“…Most studies showed that objective measures to quantify and determine surgical success in the treatment of nasal obstruction do not correlate with subjective improvement as reported by patients. 3 The use of subjective ordinal scale to measure partitioning of airflow greatly increased the specificity of patient selection and it is proposed that these scales may be useful to the surgeon when assessing patients for septal surgery. 4 Sino nasal outcome test (SNOT) is a subjective tool, of one of its kind, in which both nasal and health-related symptomatic improvements are assessed.…”

The Relationship Between Surgical Fear and Postoperative Pain Severity Before Septorhinoplasty: A Prospective Descriptive Study

“…5 Septoplasti, deviye septumu onarmak ve solunumu iyileştirmek için uygulanan en yaygın diğer önemli kulak-burun-boğaz ameliyatlardan birisidir. 6 Septorinoplasti ise rinoplasti ve septoplastiyi birleştiren patolojik, fizyolojik ve estetik sorunlar nedeniyle burnun sağ ve solunu ayıran nazal septuma yapılan karmaşık ikili bir cerrahi girişimdir. 8,9 Bu nedenle septorinoplasti, hem burnun şeklini değiştirmek hem de burundan soluk alıp vermeyi engelleyen septumu onarmak için yapılmaktadır.…”

“…10,11 Septorinoplasti sonrası bazı estetik ve fonksiyonel komplikasyonlar ortaya çıkabilmektedir: Kanama, hematom, enfeksiyon, uzamış ödem, deformite ve burun havayolu tıkanıklığı burun ve gözlerde morarma, delinmiş bir septum, sinir hasarı, koku duyusunda azalma ve nadir olarak rinore. 4,6,7 Bu nedenle septorinoplasti ameliyatında beklenen estetik ve işlevsel hedefler, hastaların cerrahi gi-rişimiyle ilişkili kaygısını artırabilir. Hastaların ameliyat öncesi kaygı düzeyinin yüksek olması, ameliyat sonrası daha fazla ağrı ve memnuniyetsizlik gibi sorunlar yaşamasına neden olabilir.…”