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Septoplasty Nerve Damage Risks?
I'm a good candidate for septoplasty to address deviated septum and very swollen turbinates. But I have facial SFN symptoms: cobwebs, tingling/burning lips and tongue, heat sensitivity. Has anyone here with diagnosed SFN undergone septoplasty that caused post-surgical nerve problems in the nose like allodynia and sensitivity to warm or cold air when you breath? I'm going to consult with my Neuro about this but would appreciate community input. I definitely have SFN; confirmed by 2 skin biopsies.
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@danye1
Yes. I ended up with allodynia and sensitivity to the air when I breathe in, warm & cold.
I was perfectly healthy before. No issues with any of this. And now it is constant.
Also-something to ask yourself, what makes you a “good candidate”? Everyone has a deviated septum (pretty much).
If your surgeon told you, you were a good candidate, there are many different reasons for this.
How long has it been since your septoplasty? My CT scan showed mildly deviated septum and moderate hypertrophy of both turbinates in the context of sleep apnea, which my ENT says could be helped some by surgery. But now I am going to pass on that given your experience. I can't stand any more pain. I also had ankle surgery that resulted in a flare up of CRPS undoubtedly due to SFN.
@danye1
Most people have a mild deviated septum.
And moderate turbinate hypertophy can happen for many reasons.
I would get a second opinion and if you don’t have constant breathing issues throughout the day then I wouldn’t touch your nose.
As a rule of thumb for nasal procedures, best to leave well enough alone.
Address the reasons for nasal swelling on your own.
Put it this way-I never had a clue what nerve sensitivity was until after this. The nose is the most sensitive place on the body. You don’t realize it, until it has been altered.
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1 ReactionDear @nrd1 -- I located two journal articles in which post-septoplasty nerve damage and pain were successfully treated. Thought I would pass them along to you in case these treatments might be an option for you to explore.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688083/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8716246/
@danye1
That is so kind of you. I appreciate it.
I have read a couple before in the past.
And these are journal articles that only make it into literature.
There are many patients who are seen at a pain clinic for regular nerve injections, but their cases will never be documented.