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Nasal Reconstruction

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In patients where chronic sinus blockage is a factor in obstructive sleep apnea, surgical options can be pursued to reduce this problem. However, these methods are primarily expected to improve patients’ tolerance for nighttime use of a CPAP device, rather than to cure obstructive sleep apnea entirely.

Septoplasty and Turbinate Reduction

A septoplasty is a surgical procedure in which the nasal septum that divides the right and left nostrils is straightened or otherwise corrected to address a defect that may be present due to natural occurrence, injury or disease. To accomplish this, the surgeon makes a small cut on one side of the inside wall of the nasal septum, pulls the mucous membrane up and away from the bone, removes any obstructions, and when necessary, reconstructs a portion of the septum to address a perforation or otherwise straighten the wall to allow for improved airflow. The surgeon then puts the mucous membrane back into place and secures it using sutures, packing material or both.

Turbinate reduction surgery is a procedure that is often paired with septoplasty and involves reducing the size of the sponge-like bone shelf that extends into the nasal airway in order to expand and clear that airway for easier breathing. One method of turbinate reduction is through radio frequency ablation, which is a relatively simple procedure that can be done in the doctor’s office under local anesthesia. Depending on the specifics of each patient’s condition, other options for accomplishing turbinate reduction may include submucous resection or a partial turbinectomy, both of which are outpatient procedures that are usually done in a hospital operating room.

For more information on surgical techniques to address obstructive sleep apnea, contact Florida ENT Surgical Specialists at 407.303.4120 or by filling out an appointment request form on our website.