Septoplasty corrects a deviated nasal septum, the wall separating the two nostrils. This surgery aims to improve airflow and alleviate breathing difficulties. Proper preparation is paramount for ensuring patient safety and promoting a successful recovery. Following pre-operative instructions minimizes risks and maximizes the outcome.
Pre-Operative Medical Clearance and Medication Review
Preparation involves a comprehensive review of the patient’s health status. Depending on age and pre-existing conditions, the surgeon may require mandatory pre-operative testing, such as a blood test, EKG, or chest X-ray. This medical clearance confirms the patient is stable enough to safely undergo and recover from the procedure.
Medication adjustment is a major focus, particularly concerning compounds that affect blood clotting. Patients must discontinue all non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, and aspirin, typically for two weeks before surgery. These medications interfere with platelet function and increase the risk of bleeding. Similarly, many common vitamins and herbal supplements must be stopped, including fish oil, Vitamin E, Ginkgo Biloba, and Ginseng, due to their blood-thinning properties.
For individuals taking prescription blood thinners, the surgeon will coordinate with the prescribing physician to create a safe plan for temporarily stopping the medication. Acetaminophen (Tylenol) is the only common over-the-counter pain reliever generally permitted up to the day of surgery, as it does not inhibit clotting. Complete smoking cessation is another requirement, ideally for several weeks prior to the procedure. Nicotine limits blood flow, impeding healing, and increases the risk of complications related to general anesthesia.
Setting Up Logistics and Recovery Supplies
Practical planning for the days following surgery is essential. Since anesthesia makes driving unsafe, arranging for a responsible adult to transport the patient home is mandatory. It is also advisable to arrange for a caretaker to be present for at least the first 24 to 48 hours to assist with basic needs and monitor for post-operative concerns.
Patients should plan for a rest period, often taking five to seven days off from work or school for initial healing. Prepare the home recovery area beforehand by setting up the resting place with extra pillows to keep the head elevated. Head elevation helps minimize swelling and congestion. A cool-mist humidifier running nearby can keep nasal passages moist and prevent discomfort from dryness.
Stocking the pantry with bland, easy-to-chew foods is recommended, as the patient may experience temporary jaw stiffness or nausea. Gentle options include soups, yogurt, and mashed potatoes. Cold compresses or ice packs should be readily available to apply gently to the cheeks or forehead to reduce swelling and provide pain relief. Ensure only surgeon-approved pain relievers, typically Tylenol, are on hand.
Immediate Steps Before Arriving at the Hospital
The final 24 hours require strict adherence to the hospital’s instructions, especially the fasting rule. Patients must cease all food and drink consumption (NPO) typically after midnight the night before the procedure. This safeguards against the risk of aspiration during anesthesia. If the surgeon instructs the patient to take specific morning medications, they should be taken with only a small sip of water.
On the morning of the septoplasty, a shower or bath is recommended, sometimes using antibacterial soap. Remove all jewelry, including piercings, and ensure no makeup, nail polish, or lotions are worn, as these interfere with monitoring equipment. Wear loose-fitting, comfortable clothing that buttons or zips up the front to avoid pulling fabric over the nose post-surgery. Bring photo identification, insurance card, and a complete list of current medications for check-in.