Deviation surgery is not actually very difficult, but there is an old fear of tampons among the public. However, tampons are no longer a problem. Techniques in which no tampon is placed or in which tampons are placed through which the patient can breathe, make the patient feel better by allowing him to breathe more easily. Although many patients diagnosed with deviation surgery hesitate from this operation, deviation treatment is not a surgery to fear at all and prevents many discomforts that the patient may experience in the future, especially hearing problems.

What is Deviation?
Briefly defined, deviation means the curvature of the cartilage and bone wall in the middle of the nose. The most serious complaint caused by deviation is nasal congestion. In such a case, the patient may feel that he cannot breathe sufficiently through his nose, especially when exerting himself, and that his mouth is dry and rusty when he wakes up in the morning. Deviation can contribute to snoring, can lead to pharyngitis as it causes continuous mouth breathing, and can predispose to sinusitis and nosebleeds. Although deviation surgeries can be performed with local anesthesia or sedation, general anesthesia is now preferred for patient comfort and for the surgeon to work more smoothly.

From what age can deviation surgery be performed?
The classically accepted lower age limit for deviation surgery is 18. It has been reported in the literature that surgery can be performed at younger ages in special cases.

What is turbinate?
Turbinate is the name of the nasal meatus sector located on both side walls of the nose. There are 3 pairs of turbinates in the nose: lower, middle and upper turbinates.

What can enlarged nasal flesh cause?
Physiologically, in a framework we call the nasal cycle, the lower nasal concha humidifies, warms and filters the air by periodically swelling with blood, one on the right and one on the left. For this reason, even in someone who has no deviation, one side of the nose can be felt more clearly than the other at any time. However, if an abnormal growth occurs in these meats, it may cause nasal congestion. Especially in patients with deviation, the nasal concha on one side is exposed to more extreme air and swells permanently over time, so the nose can become completely blocked. In addition, the middle nasal concha may swell with air like a balloon (concha bullosa), blocking the mouth of the sinuses and predisposing to sinusitis, or pushing the wall in the middle of the nose and causing deviation.

How is Deviation Surgery Performed?
Although deviation surgeries can be performed with local anesthesia or sedation, general anesthesia is preferred at these times for the comfort of the patient and for the surgeon to work more easily.

Before deviation surgery
Stay away from aspirin, ibuprfen or medications containing vitamin E 2 weeks before the surgery. This is an extremely serious thing to remember if you buy a medicine from the pharmacy or doctor. Many painkillers and cold medications contain these substances. Painkillers such as Vermidon and Novalgin can be used when necessary. We stay away from all tobacco containing nicotine, such as cigarettes, pipes and cigars. Nicotine can affect healthy blood circulation and ultimately a successful surgery outcome. However, it puts you in a higher risk group during anesthesia. Vitamin C 1000 mt 3 times a day. can be taken as . The reason is that vitamin C helps wound healing. 1 week before surgery: Laboratory, ECG, if necessary, lung x-ray and eye examination should be performed. These tests must either be brought to the office or faxed before surgery.

Possible Symptoms That May Occur After Surgery
During awakening from anesthesia; restlessness or sleepiness,
As long as there is a tampon in the nose; mouth breathing,
After removing the tampon; swelling and crusting of the nasal lining (temporary nasal congestion may occur during this period)
Decreased ability to smell.
Undesirable situations (complications) The undesirable situations (complications) listed below have been reported in the medical literature regarding this surgery. This list was not created to scare you, but to make you more knowledgeable about this surgery.

Nosebleed: It is rare. It is usually stopped with a new tampon, rarely a new surgery is required.

Hematoma: Collection of blood under the nasal covering as a result of the rupture of the blood vessel; The wound is emptied by reopening and a tampon is placed again.

Abscess: A new surgery and insertion of cartilage may be required if necessary.

Edema and Ecchymosis: Swelling and bruising around the eyes. While it is seen in rhinoplasty surgery, the possibility of developing it during this surgery is extremely rare.

Infection: It is rare: It has been reported at a rate of 0.8 – 1%.

Septum Perforation: Hole formation in the middle compartment of the nose; If necessary, it is closed with a new surgery. It is a rare thing.

Olfactory impairment: 10% due to intranasal swelling after surgery rate can be seen. It almost always gets better.

Too many rare risks:
Permanent impairment of the ability to smell,
Changes in the external appearance of the nose; nasal dorsum collapse due to cartilage loss, abscess
It may occur depending on its development and scar formation (it is extremely rare) and may require a second surgery.
can be corrected.
Skull base injuries that pose the risk of inflammation of the brain membrane,
Visual impairments that can lead to blindness may be due to medication used to reduce bleeding, but this is an extremely rare condition.
Blood transfusion is required in extremely rare cases of late bleeding.
After Deviation Surgery
A tampon or silicone mold may be placed in your nose to prevent bleeding after surgery. Unless your doctor has another recommendation, these tampons will probably be removed after three or 4 days.
After surgery, the patient can drink water at the earliest 3 hours after discharge. If you drink water earlier, vomiting will occur because bowel movements do not return to normal. However, lips can be wiped with water during this period. Fluid and food intake should be at the earliest 4 hours after surgery.
It is natural to have complaints such as nasal congestion, sneezing, pink or slightly red blood leakage, a mild headache, and watery eyes due to the tampon in your nose. These complaints will decrease after the tampon is removed and will disappear within 1 week.
Pink color leaking from the edge of the tampon is not bleeding. It occurs as a result of the normally existing nasal secretion increasing with the tampon and diluting the blood clots at the surgery site. However, if there is fresh bleeding in the form of dripping and abundant red color, inform your doctor.
On the day of surgery and the next day, defecation may be black due to blood swallowed during surgery, or the patient may vomit like coffee grounds on the day of surgery. Don’t worry. If the event persists for a few days, inform your physician.
You will feel dryness in your throat, mild burning and sore throat due to tampons. These complaints will last for about 3-4 days due to the anesthesia tube placed during general anesthesia. Keeping your throat moist with warm drinks and drinking plenty of fluids will reduce these complaints.
Nose Structure
The nose, which helps breathing, is located in the middle of the face and is the first organ of the respiratory system. One of the main functions of the nose is to humidify, warm and filter the air we breathe and make it ready for the lungs. It can perform this function with the help of the very special structure of the mucosa that covers it (we can call it a special carpet layer). When everything works correctly anatomically and physiologically, these functions of the nose are not well known. However, when the person complains of nasal congestion, this organ becomes the focus of great attention (like when we have a cold). There is a middle section of the nose (septum) that divides the large space inside the nose into two equal parts. This compartment consists of cartilage near the outer side of the nose and bone further inside. This cartilage and bone structure is covered with mucosa. On the side wall of the nasal cavities, there are turbinates (= turbinates) that are also covered with mucosa. These meats contribute to the heating, humidification and filtering of the air entering the nose in the same way as radiators.