No-Scalpel Septoplasty (or Incisionless Septoplasty) is a new procedure performed in the office under local anesthesia. The procedure generally takes just a few minutes (10 minutes or so after numbing is complete). This incisionless technique uses pressurized inflatable dilators to remodel the nasal septal spurs and deflection that lead to nasal blockage.
Dr. Aaron Rogers performs this procedure often alongside other related nasal procedures (such as balloon sinuplasty, turbinate reduction, or nasal valve collapse repair). Correction of nasal septal deformities is often critical for patients with nasal blockage and chronic congestion.
This procedure is an alternative to more invasive traditional septoplasty or sinus surgery done in the operating room. Surgery in the operating room is still preferred to treat very severe sinus disease or patients who have certain types of cartilage deformities.
No-scalpel septoplasty begins with local anesthesia applied inside the nostrils, using soaked cotton strips and a small injection. The nasal scopes and magnifying display equipment are then used to position the dilator equipment. After deployment on each side the balloon dilator sits at its fully expanded position for 2-3 minutes. The procedure is repeated on each side for symmetry.
Who might qualify for Incisionless Septoplasty?
Adults who have failed conservative treatment for congestion or allergies, such as nasal sprays and allergy tablets are excellent candidates. Patients who have had prior septoplasty with a residual spur (or new fracture) who still have blockage are also good candidates for this minimally invasive procedure.
Why would I choose incisionless vs traditional septoplasty?
The recovery period from Incisionless Septoplasty is fairly minimal – Usually just a couple of days of mild pain medication, and minimal bleeding. Most people can return to work the next day. Whereas surgical traditional septoplasty produces more discomfort and the body takes longer to bounce back from anesthesia (usually missing 5-7 days of work). Cost of Incisionless Septoplasty also winds up being far lower because no facility or anesthesiologist costs are involved.