Which is not done in septoplasty:
Management of Deted Septum Minor degrees of septal detion not causing any symptoms do not require any treatment. If the patient is more than 17 years of age then the patient is taken up for septal surgery. Any surgery on the septum or on the anterior 1/3rd of nose and adjacent area (e.g. septoplasty, rhinoplasty and Cald Well Luc) is not done before 17 years of age as it interferes with growth of nasal skeleton. The two types of surgery on septum are: Sub-mucous resection of septum (SMR): It is done under local anaesthesia with 2% xylocaine and adrenaline. The incision is given 5 mm above the caudal border of the septal cailage (Killian's incision). Mucoperichondrial and mucoperiosteal flaps are raised on both sides of the septum, so that the septum is now free on both sides. Leaving a thin (1 cm) dorsal and a caudal strip, the rest of the septum is removed. Complication: This can lead to loss of suppo of dorsum and saddling of nose, perforation of the septum.
Elective hypotension
Throat pack
Nasal preparation with 10% cocaine
None