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Functional Septorhinoplasty

Combined nasal airway and aesthetic surgery: indications, techniques, and postoperative care

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Functional Septorhinoplasty?

Functional septorhinoplasty integrates septoplasty (correction of deviated nasal septum) with rhinoplasty (modification of external nasal framework). Approaches: open (transcolumellar) for complex deformities, closed (endonasal) for limited reshaping. The procedure addresses internal nasal valve angle (10-15° normal), external nasal valve, septal deviation, turbinate hypertrophy, and dorsum/tip aesthetics.

Functional components: septoplasty with cartilage scoring/cross-hatching, spreader grafts (widen internal valve), alar batten grafts (support external valve), turbinoplasty (inferior turbinate reduction). Aesthetic components: dorsal hump reduction (preservation rhinoplasty popular - dorsal preservation, structural rhinoplasty for revision), tip refinement (tip suturing, lateral crural strut grafts), osteotomy (lateral, transverse, medial).

Outcomes: NOSE score improvement >50%, ROE (Rhinoplasty Outcome Evaluation) high satisfaction in 85-90%. Revision rate 5-15% (functional/aesthetic). Recovery: splints 7 days, edema resolves 6-12 months, final result 12-18 months. Complications: bleeding, infection, septal perforation, saddle nose, persistent deviation.

Symptoms

Bilateral or unilateral nasal obstruction (functional component)
Mouth breathing, sleep-disordered breathing
Visible nasal deformity (dorsal hump, tip drooping, deviation)
Recurrent sinusitis or rhinitis (impaired drainage)
Snoring, sleep apnea (severe obstruction)
Olfactory dysfunction (advanced cases)
Cosmetic dissatisfaction

Risk Factors

Trauma history (childhood, sports, MVA)
Congenital nasal deformity (cleft lip-palate)
Iatrogenic deformity (previous nasal surgery)
Ethnic nasal characteristics (functional and aesthetic considerations)
Skin type (thick sebaceous skin - difficult definition)
Smoking (compromised wound healing - relative contraindication)
Body dysmorphic disorder (psychological screening)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent nasal obstruction not responding to medical therapy >3 months
  • Visible nasal deformity affecting quality of life
  • Sleep-disordered breathing related to nasal obstruction
  • Recurrent sinusitis with anatomical obstruction
  • Post-traumatic deformity with breathing impairment
  • Failed prior septoplasty alone with persistent deviation

Treatment Methods

01
Septoplasty (deviated septum correction) - functional core
02
Spreader grafts (internal valve widening - cartilage from septum/ear/rib)
03
Alar batten grafts (external valve support)
04
Turbinate reduction (radiofrequency, microdebrider, submucous resection)
05
Dorsal preservation rhinoplasty (modern, preserves keystone area)
06
Structural rhinoplasty (rib/ear cartilage grafts for revision)
07
Osteotomy (lateral, transverse, medial - dorsal narrowing)
08
Tip refinement (tip sutures, lateral crural strut grafts)
09
Postoperative care: splints 7 days, taping 2-3 weeks, no contact sports 6 weeks
10
Multidisciplinary evaluation (allergy, sleep medicine, psychology)

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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