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managed","Uncontrolled hypertension or other medical conditions making general anesthesia unsafe","Active intranasal cocaine or vasoconstrictor decongestant abuse (relative)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night if observation is needed."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise and contact sports later."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Swelling and mucosal healing settle over months; airflow improvement is often noticed within weeks."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After splint or packing removal and surgeon check; earlier if no splints used, later if bleeding or congestion persists."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"conditional","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of internal splints or packing if used, with nasal cleaning."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Check of healing and crusting."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Assessment of breathing and healing."}}],"indications":["Symptomatic nasal obstruction from deviated nasal septum","Septal spur or localized, especially posterior or high, deviation","Recurrent nosebleeds related to septal deformity","Septal deviation worsening sinus disease or limiting surgical access","Septal deviation contributing to CPAP intolerance or snoring"],"main_risks":["Bleeding or hematoma of the septum","Infection","Septal perforation","Persistent or recurrent deviation or obstruction","Nasal crusting, dryness or reduced smell","Numbness of upper teeth or nasal tip","Saddle deformity or change of nasal shape (uncommon)","Adhesions (synechiae)","Anesthesia-related risks"],"pain":"Usually mild to moderate pressure and congestion rather than severe pain, controlled with simple analgesics for several days.","preparation":["Preoperative ENT assessment with nasal endoscopy, possibly sinus CT","Medical history and medication review with surgeon and anesthesiologist","Fasting before general anesthesia as instructed","Stop smoking in advance if possible","Arrange post-operative transport and home support"],"recovery_timeline":[{"phase":"First 48 hours","description":"Nasal congestion, mild oozing, discomfort; head elevation.","restrictions":["Avoid nose blowing","Avoid strenuous activity"]},{"phase":"Days 3-10","description":"Congestion gradually eases; splints or packing, if used, removed; saline irrigation.","restrictions":["No nose blowing","No heavy lifting","Avoid contact injury to nose"]},{"phase":"Weeks 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anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone primary septoplasty."},"success":{"metric":"Patients with improved nasal obstruction (NOSE score)","value":80,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with symptomatic septal deviation undergoing primary septoplasty","evidence_status":"limited"},"techniques":[{"name":"Endoscopic septoplasty (intranasal incision, mucoperichondrial flap elevation, endoscope-guided correction of deviated cartilage/bone with conservation of structural support)","suits_whom":"Adults with symptomatic septal deviation, particularly localized or posterior deviations or spurs.","recovery":"Typically same-day discharge; return to light work in about 1 week."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.75,"max":2,"unit":"hours","qualifier":"Operative time for isolated primary endoscopic septoplasty."},"initial_assessment_documents":["Front, side and base photos of the nose","Sinus CT scan report","Nasal endoscopy report (if available)","Previous nasal surgery or trauma records (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days to cover splint or packing removal; later checks done locally or remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that your consultant or one of their team will see you","scope":"treatment_type","source":{"url":"https://leaflets.ekhuft.nhs.uk/septoplasty/html/","host":"leaflets.ekhuft.nhs.uk","quote":"You will also be seen by your consultant or one of their team.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the hospital gives you all the information you need to decide on 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procedure in detail.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"No consultation with the surgeon or their team before the operation","scope":"treatment_type","source":{"url":"https://leaflets.ekhuft.nhs.uk/septoplasty/html/","host":"leaflets.ekhuft.nhs.uk","quote":"You will also be seen by your consultant or one of their 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