Introduction to Anterior Nasal Septum Resection
Anterior nasal septum resection, also known as septoplasty, is a surgical procedure aimed at correcting a deviated nasal septum. The nasal septum is the partition that divides the two nasal cavities. When it is deviated, it can lead to various problems such as nasal obstruction, difficulty breathing, recurrent sinus infections, and nosebleeds. A deviated septum can be caused by genetic factors, birth injuries, or physical trauma, such as from an automobile accident or contact sports.
Symptoms of a Deviated Septum
- Partial airflow through the nostrils
- Blockage of sinus pathways
- Sinus - related headaches due to sinus obstruction
- Total obstruction of airflow through one or both nostrils
- Nosebleeds
- Post - nasal drip
- Chronic or frequent sinus infections
- Nasal congestion or discharge due to sinus blockage
- Loud snoring
The Procedure of Anterior Nasal Septum Resection
During a septoplasty operation, which is generally done under general anesthesia, the surgeon will usually make an incision on the lower portion of the septum, known as the caudal septum. Then, the surgeon works through the nostrils to access the bone and cartilage targeted in the procedure. The steps typically include exposing the deviated septum, identifying and releasing the internal structures that are the cause of angulations, realigning the septum, reimplanting crushed cartilage (when appropriate), and closing the incision. There are different techniques for performing septoplasty, including closed, open, and endoscopic methods, and the choice depends on the patient's unique anatomy and needs.
Top Five Third - Class Public and Private Hospitals for Anterior Nasal Septum Resection in New York City
1. NYU Langone Hospitals
NYU Langone Hospitals is well - regarded for treating ear, nose, and throat conditions. It is nationally ranked in 14 adult specialties and 3 pediatric specialties, according to U.S. News. Their specialists in the anterior skull base surgery center, which can handle complex nasal and sinus cases related to septum issues, have a combined 40 years of experience focused on using anterior skull base surgery to remove tumors and also treat non - tumorous conditions such as cerebrospinal fluid fistulas and mucoceles.
Services for Anterior Nasal Septum Resection
The otolaryngologists and plastic and reconstructive surgeons at NYU Langone can perform various procedures to correct a deviated septum. These include septoplasty, which centers the septum to create two equal - sized nasal passages; septorhinoplasty, which is used when there is an injury or when the appearance of the nose needs to be addressed in addition to repositioning the septum; submucosal resection, where small sections of the septum or turbinates are removed to open the nasal passages; and turbinate outfracture, which repositions the turbinates to provide more space in the nasal passages.
Medical Team
The medical team consists of experienced neurosurgeons and otolaryngologists. For example, dr. chandra sen and dr. richard lebowitz lead the anterior skull base surgery program. The otolaryngologists specialize in head and neck surgery and are well - versed in using minimally invasive techniques for deviated septum surgery, which allows patients to return home on the same day as the operation.
2. Mount Sinai Hospital
Mount Sinai Hospital is nationally ranked in 11 adult specialties and 4 pediatric specialties for ear, nose, and throat. While it is also known for its tracheal surgery program, its otolaryngology department has expertise in treating deviated septum cases.
Services for Anterior Nasal Septum Resection
The hospital's medical team can perform standard septoplasty procedures. They also work closely with anesthesiologists, thoracic surgeons, pulmonologists, speech pathologists, and gastroenterologists to provide comprehensive evaluation, diagnosis, and surgical treatment of tracheal and airway disorders, which is relevant as deviated septum can sometimes be related to airway issues.
Medical Team
The otolaryngologists at Mount Sinai have extensive experience in dealing with various nasal and airway conditions. They are trained to use the latest surgical techniques and equipment to ensure the best possible outcome for patients undergoing anterior nasal septum resection.
3. Memorial Sloan Kettering Cancer Center
Although Memorial Sloan Kettering is widely known for cancer treatment, it is also nationally ranked in 7 adult specialties and 1 pediatric specialty, including ear, nose, and throat. Their expertise in treating complex tumors and conditions in the head and neck region can also be applied to cases where a deviated septum is accompanied by other nasal or sinus pathologies.
Services for Anterior Nasal Septum Resection
In cases where a deviated septum is related to tumors in the sinuses, nose, or the frontal lobes of the brain, the hospital's medical team can offer comprehensive treatment. They have the ability to use advanced surgical techniques, such as endoscopic endonasal surgery, for a less invasive approach when possible. For tumors that require radiation therapy, they use the leksell gamma knife ® icon ™ radiosurgery, which allows for targeted and precise doses of radiation therapy.
Medical Team
The center's medical team includes neurosurgeons, otolaryngologists, and cancer experts. They work together in a multidisciplinary approach to provide the best care for patients. The neurosurgeons are experienced in performing delicate surgeries in the anterior skull base region, while the otolaryngologists are well - trained in nasal and sinus surgeries.
4. New York - Presbyterian Hospital - Columbia and Cornell
New York - Presbyterian Hospital - Columbia and Cornell is nationally ranked in 14 adult specialties and 10 pediatric specialties for ear, nose, and throat. It has a large and experienced medical staff that can handle a wide range of nasal and sinus conditions.
Services for Anterior Nasal Septum Resection
The hospital offers septoplasty procedures using modern surgical techniques. Their surgeons are also skilled in addressing any associated structural abnormalities in the nasal passages, such as enlarged turbinates. They take a personalized approach to each patient, tailoring the treatment plan based on the individual's anatomy and the severity of the deviated septum.
Medical Team
The medical team consists of otolaryngologists and plastic and reconstructive surgeons. The otolaryngologists are experts in head and neck surgery, and the plastic and reconstructive surgeons can provide additional aesthetic and functional support, especially in cases where there has been a significant injury to the nose.
5. Manhattan Eye, Ear & Throat Hospital
Manhattan Eye, Ear & Throat Hospital is nationally ranked in 9 adult specialties for ear, nose, and throat. It has a long - standing reputation for providing high - quality care in the field of otolaryngology.
Services for Anterior Nasal Septum Resection
The hospital offers comprehensive treatment for deviated septum. Their surgeons are proficient in various septoplasty techniques, including both traditional and minimally invasive methods. They also provide pre - operative and post - operative care to ensure a smooth recovery for patients.
Medical Team
The medical staff at Manhattan Eye, Ear & Throat Hospital includes experienced otolaryngologists who are dedicated to treating nasal and sinus conditions. They keep up - to - date with the latest research and advancements in the field to provide the best possible care for their patients.
Factors to Consider When Choosing a Hospital for Anterior Nasal Septum Resection
1. Reputation and Rankings
As shown by the national rankings from U.S. News, hospitals with higher rankings often have more experienced medical teams, better patient outcomes, and access to the latest medical technologies. For example, NYU Langone, Mount Sinai, and Memorial Sloan Kettering are all highly ranked, which indicates their quality of care in the ear, nose, and throat specialty.
2. Medical Team Expertise
The expertise of the medical team is crucial. Look for hospitals with otolaryngologists who have extensive experience in performing septoplasty. Surgeons who are also trained in other related fields, such as neurosurgery or plastic and reconstructive surgery, can provide more comprehensive care, especially in complex cases.
3. Treatment Options
Different hospitals may offer a variety of treatment options for anterior nasal septum resection. Some may focus on minimally invasive techniques, while others may have more experience in handling complex cases with associated pathologies. It is important to choose a hospital that can offer the most suitable treatment for your specific condition.
4. Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an idea of the patient experience at a particular hospital. Look for feedback on the quality of care, the professionalism of the medical staff, and the overall satisfaction of previous patients.
5. Insurance Coverage
Check whether the hospital accepts your insurance plan. NYU Langone, for example, accepts most insurance plans, and their office staff can help you work with your insurance provider to ensure that you get the care you need in a financially viable way.
Recovery and Aftercare
Immediate Post - Operative Period
After anterior nasal septum resection, patients can expect to experience some swelling, congestion, and mild to moderate pain at the front of the nose. Nasal drainage of blood and mucous is also common. Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. Over - the - counter pain medications may be sufficient, but the doctor may prescribe a pain reliever for the first day following surgery, as well as a saline spray or irrigation treatment several times per day for the week following surgery to clear any nasal congestion.
Long - Term Recovery
Full recovery generally takes one to two months. During this time, patients should avoid blowing their nose as much as possible and refrain from any heavy lifting or vigorous exercise until permitted by their surgeon. Follow - up appointments are important so that the doctor can monitor the healing process and address any concerns.
Potential Complications
Although septoplasty is a common surgical procedure with a very low risk of complications, rare complications such as bleeding, septal hematoma, septal perforation, and hyposmia (decreased sense of smell) have been reported. It is important to be aware of these potential complications and to contact your doctor immediately if you experience any unusual symptoms during the recovery period.
Conclusion
In summary, anterior nasal septum resection is a significant surgical procedure that can improve breathing and reduce symptoms associated with a deviated septum. New York City has several top - class third - class public and private hospitals, including NYU Langone Hospitals, Mount Sinai Hospital, Memorial Sloan Kettering Cancer Center, New York - Presbyterian Hospital - Columbia and Cornell, and Manhattan Eye, Ear & Throat Hospital, that offer high - quality care for this procedure. When choosing a hospital, factors such as reputation, medical team expertise, treatment options, patient reviews, and insurance coverage should be carefully considered. After the surgery, proper recovery and aftercare are essential for a successful outcome.
If you or someone you know is considering anterior nasal septum resection, take the time to research these hospitals and consult with a medical professional to determine the best course of action. Share this article with others who may benefit from this information, and explore more about nasal and sinus health on our other resources.
