Internal nasal splints are thin, flexible devices, typically made of silicone or plastic, placed inside the nasal cavity following certain procedures. Their primary function is to act as internal scaffolding, stabilizing the newly corrected nasal septum and supporting internal structures. The splints also compress the internal lining, which helps reduce post-operative swelling and minimizes the risk of a septal hematoma. Furthermore, the splint prevents the formation of synechiae, which are scar tissue adhesions that can block the nasal passage. Patients often feel anxiety about whether these devices might shift from their intended position during recovery.
How Internal Nasal Splints Are Secured and Whether Displacement Occurs
The splints are designed to remain securely in place throughout the initial healing phase using a direct fixation method. During surgical closure, internal nasal splints are typically sutured directly to the septum using a non-dissolvable stitch that runs through both splints. This anchoring technique provides a robust lock that makes significant, spontaneous displacement unlikely. Because the splints are tethered, they cannot simply slip out or fully rotate inside the nasal passage.
The sensation of movement is often the result of minor shifting caused by internal edema or the accumulation of dried mucus and blood around the device. As swelling decreases in the first few days, the splints may feel slightly looser within the nasal cavity. This minor adjustment is a normal part of healing and does not represent a fixation failure. True displacement, where the splint pulls completely free or visibly protrudes significantly, almost always requires an external force or trauma.
Common Triggers for Splint Movement and Warning Signs
Displacement is typically not spontaneous but results from an action that places undue stress on the securing suture. Triggers include accidentally hitting or bumping the nose, especially in the first week when sutures are under maximum tension. Actions generating sudden, high-pressure airflow, such as aggressive nose blowing or a forceful sneeze, can also strain the fixation point. Patients must also be careful not to snag the visible portion of the stitch or the splint while cleaning the nostrils.
Recognizing the difference between normal post-operative discomfort and a complication requires attention to warning signs. A sudden, sharp pain much greater than expected soreness may indicate the splint has pulled against the suture line. Patients should also be concerned if they notice a sudden, persistent increase in bleeding that does not subside with light pressure or rest. A noticeable change in the splint’s position, such as one edge visibly protruding further or a feeling that the device is scraping the nose, suggests a potential issue requiring professional assessment.
What to Do If Splints Feel Displaced
If you suspect your internal nasal splint has moved, avoid attempting to correct the problem yourself. Patients must resist the urge to push the splint back into position, pull on visible stitches, or try to cut the suture. Manipulating the splint introduces a high risk of damaging the newly repaired tissue or introducing infection, which could compromise the surgical result. Intervention should only be performed by a medical professional.
The immediate step is to contact your surgeon or medical provider to report the sensation or observation. Depending on the timing and severity of symptoms, they may advise you to come in for an urgent assessment. Medical resolution typically involves the surgeon gently repositioning the splint or, if necessary, removing it entirely during a brief in-office procedure. Timely communication ensures that any displacement is addressed quickly to prevent delayed healing or complications.