ENT SURGERY

Mastoidectomy in Nairobi

The mastoid bone behind the ear contains honeycomb-like air cells. When infection or abnormal tissue growth spreads here, antibiotics cannot resolve it. Left untreated, it can cause meningitis, brain abscesses, and permanent hearing loss.
 
A mastoidectomy is a crucial ENT surgery that removes these diseased air cells, clears infection, and eliminates cholesteatoma (abnormal skin growth).
 
This procedure protects patients from chronic ear disease and life-threatening intracranial complications. At Royal Eye & Ear Hospital, our ENT specialist performs mastoidectomies with the high precision and expert post-operative care this delicate surgery requires.

How It Works

Septoplasty involves the following steps:
    1. Anaesthesia: Septoplasty is performed under general anaesthesia. You are completely asleep and feel nothing throughout the procedure.
    2. Internal incision: The surgeon makes a small incision inside the nose, on the lining of the septum. There are no external cuts and no visible scars.
    3. Correction: The deviated portions of the septal cartilage and bone are carefully reshaped, repositioned or partially removed to create a straighter, more central septum that allows free airflow through both sides of the nose.
    4. Closure: The incision is closed with dissolvable sutures. In some cases, small internal splints or soft packing may be placed inside the nose to support the septum during the initial healing period.

    The procedure usually takes between 60 and 90 minutes depending on the complexity of the deviation. It is performed as a day procedure with same-day discharge in most cases.

Why Choose Royal Eye & Ear Hospital for Cataract Surgery?

Septoplasty requires precise surgical judgment inside a small, confined space. The right surgeon and the right clinical environment make all the difference. Here are why patients across Nairobi trust Royal Eye & Ear Hospital for septoplasty:

Benefits of Septoplasty

Significantly Improved Nasal Breathing

The primary and most immediate benefit of septoplasty is restored nasal airflow. Patients who have spent years breathing through their mouth or struggling with a blocked nose frequently describe the improvement as transformative.

Better Sleep Quality

Many patients report reduced snoring and fewer sleep disturbances following septoplasty, leading to increased daytime energy levels, better concentration and improved mood. Nasal obstruction is a major contributor to mouth breathing during sleep, which worsens snoring and sleep quality.

Fewer Sinus Infections

A deviated septum impairs normal sinus drainage and creates turbulent airflow that dries the nasal lining and promotes infection. Correcting the septum can reduce the frequency of sinus infections in patients where obstruction is a contributing factor.

No External Scarring

Septoplasty is performed entirely inside the nose. There are no cuts on the face, no visible scars and no change to how your nose looks from the outside.

Enhanced Quality of Life

From exercise to daily activities, being able to breathe freely through the nose has wide-ranging benefits for energy, performance, sleep and overall wellbeing.

Long-Lasting Results

Septoplasty provides structural correction of the nasal septum. The results are lasting and durable, without the need for ongoing medication or repeated procedures in most cases.

What to Expect After Septoplasty

Timeline:

Day 1-2: Your nose will feel very blocked immediately after surgery due to internal swelling and any packing placed. This is normal and expected. You may have mild bloody nasal discharge. Rest at home with your head elevated.

Days 3-7: Swelling gradually improves. You may begin to notice some improvement in breathing as swelling reduces. Nasal saline spray helps keep the nasal passages moist and clear. Most patients return to light desk-based work within a week.

Week 2: Significant improvement in comfort and breathing. If internal splints were placed, these are typically removed at your follow-up appointment during this period. Most people return to normal daily activities within one to two weeks.

Weeks 3-8: Continued improvement as deeper internal swelling settles. Full healing of the nasal septum takes several weeks to months, and the full benefit of surgery may not be experienced until 4-8 weeks after the procedure.

Recovery Do's and Dont's:

✅ Use nasal saline spray regularly to keep nasal passages moist and support healing

✅ Keep your head elevated when resting, especially in the first few days

✅ Take prescribed pain relief as directed

✅ Attend your follow-up appointment for splint removal and assessment

✅ Rest and avoid strenuous activity for at least 1-2 weeks

 

❌ Do not blow your nose for at least one week after surgery

❌ Do not take aspirin or ibuprofen for pain relief; use paracetamol instead

❌ Do not do strenuous exercise, heavy lifting or contact sports for 2-3 weeks

❌ Do not wear glasses that rest on the nose for several weeks if nasal bones were adjusted

❌ Do not smoke; smoking severely impairs nasal healing

RESULTS

What Results Can You Expect?

1

Improved Nasal Breathing

The most consistent and significant result of septoplasty is improved nasal airflow. Patients with confirmed structural obstruction from a deviated septum typically experience meaningful improvement in breathing through their nose.

2

Better Sleep and Reduced Snoring

 Many patients report reduced snoring and fewer sleep disturbances, leading to increased daytime energy levels and improved quality of life.

3

Reduction in Sinus Infections

 Patients who suffered from recurring sinus infections related to poor nasal drainage frequently notice a significant reduction in infection frequency after septoplasty.

4

Long-Lasting Structural Correction

Septoplasty provides a permanent structural correction of the nasal septum. Unlike nasal sprays or decongestants which provide only temporary relief, the surgical results are durable and lasting in the vast majority of patients.

Risks & Considerations of Septoplasty⚠️

Septoplasty is a minor, low-risk procedure. At Royal Eye & Ear Hospital, our ENT surgeon takes every precaution to minimise risk. As with all surgical procedures, there are some risks to be aware of.

1

Bleeding

 A small risk of post-operative nosebleed exists. Most bleeding is minor and settles with simple pressure. Significant post-operative bleeding requiring further intervention is uncommon.

2

Infection

A small risk of infection inside the nose or sinuses after surgery. Prescribed nasal drops and antibiotics where appropriate significantly reduce this risk.

3

Septal Perforation

 A rare complication where a small hole develops in the septal cartilage. Small perforations are usually asymptomatic. Larger ones may cause crusting, bleeding or a whistling sound and may require repair.

Patient outcome note:

Your ENT surgeon will discuss all potential risks clearly during your pre-operative consultation. For patients with confirmed structural nasal obstruction causing significant symptoms, the benefits of septoplasty consistently outweigh these small surgical risks.

80%: Estimated proportion of people with some degree of septal deviation, though most do not require surgery
0 %
1-2 weeks: Typical time to return to light daily activities and desk-based work
1 -2 weeks
60-90 minutes: Typical duration of septoplasty depending on complexity
60 -90

Frequently Asked Questions About Septoplasty

Septoplasty is a functional procedure that corrects the internal structure of the nasal septum to improve breathing. It does not change the external shape or appearance of the nose. Rhinoplasty is a cosmetic procedure that changes the external shape of the nose. The two procedures can be combined (septorhinoplasty) when both functional and cosmetic correction are desired.

If you have persistent nasal obstruction on one or both sides that does not improve with nasal sprays, antihistamines or decongestants, and a nasal endoscopy confirms a significant deviated septum is the cause, septoplasty may be recommended. Not every deviated septum requires surgery. Mild deviations without significant symptoms do not need treatment. Your ENT surgeon will advise based on a thorough assessment.

No. Septoplasty is performed entirely inside the nose and does not alter the external shape or appearance of the nose in any way. If you also wish to change the appearance of your nose, this would be discussed as a separate or combined procedure.

The procedure is performed under general anaesthesia so you feel nothing during surgery. After surgery, you will have a stuffy, blocked feeling in the nose and possibly mild discomfort, but significant pain is uncommon. Prescribed paracetamol manages post-operative discomfort effectively in most patients.

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I had my cataract treatment at Royal Eye and ENT Hospital under Dr. Moustafa, and the experience was excellent. He explained everything clearly and made me feel very comfortable before the procedure. I highly recommend this hospital for cataract treatment.

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Best hospital ever, Dr Mahmoud, Dr tolba and the rest of team are amazing people, changing people's lives every day, Mashallah.May Allah grant them wisdom to continue doing good.if only I could rate them a million times I would.

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