Comprehensive Nasal Surgery: Success in Treating DNS and Turbinate Hypertrophy
PACE Hospitals’ expert ENT team successfully performed a Septoplasty combined with Bilateral Inferior Turbinectomy on a 37-year-old male patient who had been experiencing bilateral nasal blockage (more prominent on the right side) for six months, recurrent frontal headaches for the past two years, and episodes of snoring. After a thorough clinical evaluation, this combined surgical approach was selected to effectively relieve his symptoms, improve nasal airflow, and support optimal recovery.
As the Best Hospital for Septoplasty Surgery in Hyderabad PACE Hospitals is committed to providing advanced ENT care with a patient-centred approach. Our experienced ENT specialists use the latest techniques to ensure the best possible outcomes for patients with complex nasal conditions.
☑️ Chief Complaints
A 37-year-old male patient with a body Mass Index (BMI) of 20 presented to the ENT Department at PACE Hospitals, Hitech City, Hyderabad with a six-month history of bilateral nasal blockage (more pronounced on the right side), recurrent frontal headaches for two years, and episodes of snoring. These symptoms had suggested an underlying anatomical cause, such as deviated nasal septum (DNS) and bilateral inferior turbinate hypertrophy (ITH), which had significantly impacted his quality of life and required specialized ENT evaluation and management.
☑️ Past Medical History
The patient had no significant history of drug allergies or chronic illnesses. The absence of comorbid conditions was considered favourable in his case, as it reduced the risk of complications during and after surgery and contributed to the expectation of a smoother and more stable postoperative recovery.
☑️ Diagnosis
After initial examination, the patient underwent a comprehensive evaluation by the ENT team, which included a detailed clinical assessment, nasal endoscopy, and radiological imaging. These assessments were aimed at determining the severity of his nasal septal deviation and inferior turbinate hypertrophy and evaluating the overall nasal airway function to guide appropriate surgical management.
☑️ The Surgical Procedure
The surgery was performed under general anesthesia with the patient in a reverse Trendelenburg position for optimal access. The steps included:
Septoplasty: Endoscopic correction of the deviated septum using a left Killian incision, with careful elevation and repositioning of the mucosal flaps.
Bilateral Inferior Turbinate Submucosal Resection: Reduction of the inferior turbinates to improve airflow, while preserving the mucosal surface.
Nasal Packing: Both nasal cavities were packed to control bleeding and support healing.
Intraoperative findings confirmed a high septal deviation, right-sided spur, and polypoidal changes in the sinuses.
☑️ Intraoperative Findings
High deviation of the nasal septum (DNS) to the right
Spur to the right side
Bilateral inferior turbinate hypertrophy
Polypoidal changes in bilateral maxillary sinuses and bilateral anterior ethmoids.
☑️ Postoperative Care
The patient’s postoperative recovery was uneventful. During his hospital stay, he was treated with intravenous antibiotics, antacids, analgesics, and other supportive medications to promote healing and prevent infection. He remained stable throughout his recovery, and after the removal of the nasal packs, he was discharged in a stable condition with detailed postoperative care instructions.
☑️ Discharge Medications
Upon discharge, the patient was prescribed a combination of medications, including antibiotics to prevent and treat bacterial infections, proton pump inhibitors to reduce stomach acid and protect the gastric lining, NSAIDs to manage pain and inflammation, antihistamines with leukotriene receptor antagonists to relieve allergic symptoms and nasal congestion, and topical nasal decongestants to improve nasal airflow and reduce mucosal swelling. This regimen was aimed at promoting recovery, minimising postoperative complications, and supporting overall respiratory and gastrointestinal health.
☑️ Advice on Discharge
The patient was advised to avoid excessive nose blowing and lifting heavy weights during the postoperative period to minimise intranasal pressure, promote optimal healing, and decrease the risk of bleeding or postoperative complications.
🌟 Why PACE Hospitals?
PACE Hospitals — Best Hospital in Hyderabad, Telangana, India, has emerged as one of the leading centers for Septoplasty with Turbinectomy in India, offering cutting-edge treatment protocols for both adult and pediatric patients. The hospital’s approach integrates:
✅ Advanced diagnostics
✅ World-class surgical expertise
✅ Comprehensive post-surgery care
✅ Emotional and nutritional support for families
🔗 Read the full case study here: PACE Hospitals — septoplasty with turbinectomy for chronic nasal obstruction and breathing issues
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