Septoplasty is a common surgical procedure performed to correct a deviated nasal septum, the wall of cartilage and bone separating the nasal passages. This correction improves airflow and alleviates breathing difficulties. To support the newly straightened internal structure during the initial healing phase, surgeons frequently place temporary internal nasal devices, often referred to as stents or splints. These devices maintain the septum’s correct position and are a standard part of the post-operative care plan.
Why Nasal Devices Are Used After Surgery
The internal nasal devices serve several functions important for a successful outcome. Their primary purpose is to provide mechanical stabilization to the septum immediately following the surgical reshaping. They act as internal supports, ensuring the septum remains aligned in the midline while the tissue begins to heal.
These splints also secure the mucosal flaps, the delicate tissue lining the inside of the nose that is replaced during the surgery. By pressing these flaps firmly against the septum, the devices help prevent a septal hematoma (a collection of blood) from forming between the tissue layers. Furthermore, the physical barrier created by the splints helps prevent the formation of scar tissue, or synechiae, which are adhesions that can form between the healing septum and the turbinates.
Standard Duration of Stent Placement
The duration the internal nasal splints remain in place typically ranges from three to ten days after the septoplasty procedure. Surgeons commonly schedule the first post-operative visit for removal around five to seven days following the operation. This timeframe is sufficient to allow the internal tissue layers to begin bonding and stabilizing the repaired septum.
The exact length of time can vary based on the surgeon’s preference, the complexity of the initial surgery, and the material of the device used. Some surgeons may prefer a shorter three- to five-day period, while others may opt for up to ten days to ensure maximum tissue adherence. Research suggests that a removal time between three and seven days does not significantly affect the rate of complications or patient comfort.
What to Expect During the Removal Appointment
The removal of the nasal stents is a quick, in-office procedure performed during the initial follow-up appointment. The process is generally not associated with severe pain, although patients often describe feeling strange or experiencing noticeable pressure. To minimize discomfort, the physician typically applies a topical decongestant spray, sometimes combined with a local anesthetic. This spray shrinks the nasal lining and numbs the area, making the removal smoother.
If the splints were secured with a suture, the physician will first snip this stitch. The splints, which are usually made of soft, flexible silicone, are then gently grasped and pulled out of the nostril. The entire procedure usually takes only a few seconds per side.
The sensation is more of a strong pressure or a brief, odd feeling of extraction. Many patients report an immediate sense of relief and improved breathing once the splints are out. Minor side effects are common, such as a brief rush of watery discharge or light bleeding, which quickly subsides. Following the removal, the surgeon often performs a gentle cleaning (debridement) to remove any crusted material.