ENS represents one of the more complex conditions in otolaryngology, characterized by the paradoxical feeling of nasal obstruction despite objectively patent airways. In addition to the feeling of severe nasal obstruction—one patient called it “suffocating with every breath”—patients also report dryness, burning, and crusting. The quality-of-life impact can be so great that some patients travel the world seeking multiple consultations and revision surgeries.
This article provides a detailed description of a dynamic endonasal columellar strut placement technique, as well as its clinical relevance and impact on patients after they have undergone routine septoplasty.
Both septoplasty and rhinoplasty are associated with mostly mild pain, and postoperative opioid requirements are quite low.
Both septoplasty and rhinoplasty are associated with mostly mild pain, and postoperative opioid requirements are quite low.
Septoplasty should be performed in patients with functional problems related to congenital anomalies or trauma.
Concurrent septoplasty and younger age were associated with increased opioid usage, although the majority of FESS patients did not take more than five opioid tablets after surgery.
Pregabalin given one hour before septoplasty decreases postoperative pain and lowers the requirement for postoperative analgesics, with no significant increase in side effects
Reliance on CT for selection of septoplasty candidates is discouraged
Research shows no increase in rate of unplanned revisits or postoperative hemorrhage
Clinical Consensus Statement on septoplasty clarifies role of the procedure