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By Dr. Atul Kesarwani, Board Certified Plastic Surgeon
woman getting nose assessed

The Vital Role of Septoplasty in Addressing Breathing Difficulties

Rhinoplasty, a term that often conjures images of picture-perfect celebrities, is so much more than a route to aesthetic perfection. Often described as a 'nose job,' this surgical procedure is to improve the appearance of the nose. Septoplasty, on the other hand, plays a vital role in addressing structural abnormalities of the nose that can impede normal breathing.

Breathing problems linked to the nasal structure can arise from various conditions. One of the most frequently encountered issues is a deviated septum. The septum, composed of bone and cartilage, divides the nasal cavity in half. This division is straight and centred in an ideally structured nose, allowing easy airflow. However, the American Academy of Otolaryngology–Head and Neck Surgery Foundation estimates that as many as 80 percent of people have a nasal septum that is off-center, which may or may not cause symptoms.

While not everyone with a deviated septum experiences symptoms, severe cases can obstruct airflow, leading to difficulty breathing and other complications such as frequent nosebleeds and recurrent sinus infections. Rhinoplasty, particularly a type known as septoplasty, offers a solution to this issue. Septoplasty straightens the septum, enhancing airflow and improving breathing. A prospective study of 30 patients in the American Journal of Rhinology & Allergy found that nasal obstruction scores improved significantly after external approach septoplasty, and 96% of patients reported better nasal function.

Beyond a deviated septum, another condition that can cause significant breathing problems is nasal valve collapse. This condition is characterized by the weakening or narrowing of the nasal valve area, which is the narrowest part of the nasal airway. Alar batten grafts, a specific technique within rhinoplasty, are often employed to reinforce the nasal valve. A 2013 case series of 107 patients in the International Journal of Otolaryngology found that, among the 67 patients who completed both questionnaires, 91% reported less nasal blockage after alar batten grafting, highlighting the value of surgery in addressing this issue.

Turbinate hypertrophy is another common cause of breathing problems. The turbinates, tiny structures within our noses that clean and humidify the air we breathe, can become swollen or enlarged, obstructing normal airflow. A standard procedure to reduce the size of the turbinates, often performed alongside rhinoplasty, is known as turbinectomy. In a 2019 study of 60 patients with enlarged turbinates, published in the Indian Journal of Otolaryngology and Head & Neck Surgery, powered turbinectomy was found to be a safe and effective way to relieve nasal obstruction.

Furthermore, rhinoplasty can also significantly benefit individuals born with congenital disabilities or those who have experienced trauma to the nose. People who have rhinoplasty after an injury to the nose often report better breathing and a better quality of life.

While the benefits of rhinoplasty in alleviating breathing problems are substantial, it's essential to remember that the procedure's success depends heavily on the surgeon's expertise and experience. Therefore, patients should ensure that they entrust their care to certified professionals who specialize in rhinoplasty. Additionally, as with any surgical procedure, rhinoplasty carries inherent risks. Patients must have a comprehensive discussion with their surgeon about these potential complications before deciding to proceed with the surgery.

Rhinoplasty is not just a pathway to aesthetic enhancement. It is a scientifically backed solution for various structural abnormalities that obstruct normal breathing. By rectifying these issues, rhinoplasty can substantially improve the patient's quality of life, thus firmly establishing the procedure's immense value in both aesthetic and functional contexts. As we go into the future, research evolves. And with it, we see that rhinoplasty's role in improving breathing is just as significant, if not more so, than enhancing facial aesthetics.