Deviation of the nasal septum (septal deviation)
Normally, the nasal septum runs centrally and straight and separates the nasal cavity into two halves. Very often, however, there is a congenital curvature or this has been caused by force (blow, fall). As long as this phenomenon does not hinder breathing or lead to aesthetic conspicuousness, the deviation can remain. If nasal breathing is impeded ("blocked nose") or different inflammatory phenomena accumulate, the specialist should be consulted. The latter in particular can lead to infections and chronic complaints.
Since the desired straight airflow through the nose is not possible, symptoms such as rhinitis, sinusitis, pharyngitis, bronchitis and snoring increase.
During the examination, after a local anaesthetic, the doctor inserts a specific instrument with a tiny camera (nasal endoscope) into the nose so that he or she can get a precise overview of the degree of curvature, the associated constrictions and the general condition of the inside of the nose. It is also possible to carry out an objective measurement of nasal breathing.
Furthermore, possible therapies and surgical interventions are discussed with the patient. In any case, the aim is to improve the air supply during nasal breathing and to ensure the function of the nose (smell perception, regulation of the respiratory flow, coarse cleaning, warming and moistening of the respiratory air).
This can be achieved by straightening or also by removing smallest parts from the nasal septum.
The surgical procedure is performed under general anaesthesia directly through the nostril. Finally, special silicone splints are inserted for a few days so that breathing through the nose is possible immediately after the operation thanks to the air tubes in them. The in-patient stay usually lasts 3 days, an AUF is given for about 7 to 10 days.
Prof. Pfister and his team of doctors perform this operation at all hospitals.