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расширения воспаленных носовых ходов.</p>"},"1291":{"operation":{"name":"Уменьшение носовых раковин (вазотомия)","alias":"umenshenie-nosovyh-rakovin-vazotomiya","use_for_listing":true},"country_price":{"US":{"amount":3200,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":4400,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":5800,"max_amount":10400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":7800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":true},"description":"<p>Процедура помогает уменьшить застой за счет изменения формы носовых структур, улучшения воздушного потока с меньшей инвазивностью и временем простоя.</p>"},"1292":{"operation":{"name":"Эндоскопическая септопластика","alias":"endoskopicheskaya-septoplastika","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1900,"max_amount":4000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":2600,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":4800,"max_amount":6300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":true},"description":"<p>Эта операция исправляет искривление перегородки, улучшая дыхание и проблемы с носовыми пазухами с минимальными разрезами и быстрым восстановлением.</p>"},"1293":{"operation":{"name":"Гистероскопическая септопластика","alias":"gisteroskopicheskaya-septoplastika","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2200,"max_amount":2800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2000,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":1500,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":false},"description":"<p>Операция септопластики проводится при помощи эндоскопа, что позволяет осуществлять все манипуляции через миниатюрные разрезы. При помощи этой процедуры можно исправить искпивление перегородки и улучшить носовое дыхание.</p>"},"1294":{"operation":{"name":"Турбинопластика","alias":"turbinoplastika","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":2600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1900,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":2300,"max_amount":2400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":true},"description":"<p>Эта терапия изменяет форму носовых ходов, чтобы облегчить дыхание, улучшить сон и уменьшить храп,.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":1},"illness_kind_details":{"requests_processed":4449}},"direction":{"id":6,"name":"Оториноларингология","alias":"otorinolaringologiya"},"illness_kind":{"id":6,"name":{"en":"Otorhinolaryngology/Ear, Nose and Throat(ENT)"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":10,"unit":"days","qualifier":"About 5-10 days to desk work; physical work needs later clearance. Standalone adult septoplasty only."},"complication_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Major complications (hematoma/abscess, perforation, bleeding needing intervention, serious infection, saddle deformity) within about 3 months; minor events excluded."},"contraindications":["Active nasal or sinus infection (relative, usually postponed)","Uncontrolled bleeding disorder or unmanaged anticoagulation","Unfit for anesthesia due to uncontrolled systemic disease","Active cocaine use (intranasal) or untreated vasculitis/granulomatous nasal disease","Pregnancy (usually deferred unless necessary)","Asymptomatic septal deviation without functional complaints","Active heavy smoking (relative; impairs healing)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Planned day case with same-day discharge under general anesthesia; unplanned overnight observation is possible but not part of the plan."},"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 walking earlier; strenuous exercise and contact sports after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"About 3-6 months for internal swelling to settle and airflow to stabilize; healing varies."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Counted from surgery, after predeparture surgeon clearance (bleeding settled, splints removed). Arrange follow-up reviews at home."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of internal splints or packing, if placed, with nasal check."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Review of healing and breathing."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"Final functional outcome review."}}],"indications":["Symptomatic nasal obstruction due to deviated septum","Recurrent nosebleeds related to septal deformity","Deviation worsening chronic sinus problems or poor response to medication","Obstruction contributing to snoring or CPAP intolerance"],"main_risks":["Bleeding or nosebleed","Infection","Septal hematoma or abscess","Septal perforation","Persistent or recurrent deviation/obstruction","Altered nasal shape or tip/dorsum changes (saddle deformity)","Temporary numbness of upper teeth or nose tip","Reduced smell","Adhesions (synechiae)","Anesthesia-related risks"],"pain":"Usually mild to moderate discomfort, pressure and congestion rather than severe pain; controlled with simple oral analgesia for several days.","preparation":["Preoperative ENT evaluation with nasal endoscopy and sometimes CT","Medical history and anesthesia assessment, with blood tests as indicated","Medication and supplement review by surgeon and anesthesiologist","Stop smoking before surgery","Fasting before general anesthesia","Arrange transport and help at home for the first day"],"recovery_timeline":[{"phase":"Day of surgery to day 3","description":"Same-day discharge after anesthesia recovery. Congestion, mild oozing and swelling expected; splints or packing may be present. Short light walks encouraged.","restrictions":["Keep head elevated","No nose blowing","Avoid strenuous activity","Adult must accompany and stay with you the first night"]},{"phase":"Days 4-10","description":"Splints, if placed, are removed at the scheduled visit. Congestion and crusting improve with saline care. Desk work often resumes.","restrictions":["No nose blowing","Avoid bending and heavy lifting","Protect nose from contact","Avoid strenuous exercise"]},{"phase":"Weeks 2-6","description":"Swelling and crusting settle. Exercise resumes gradually; strenuous exercise and contact sports usually wait about 3-6 weeks.","restrictions":["No strenuous exercise until cleared","Avoid contact sports and blows to nose"]},{"phase":"Months 3-6","description":"Internal healing completes and airflow stabilizes.","restrictions":[]},{"phase":"At any time","description":"Seek same-day care for heavy bleeding, fever, severe pain, one-sided blockage, clear discharge, vision change, severe headache, stiff neck or breathing difficulty.","restrictions":["Do not wait for a routine visit"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"About 7-14 days to comfortable light activities; desk work may resume at 5-10 days. 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Later reviews done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the surgeon has hospital privileges to perform this procedure, and at which hospitals","scope":"procedure","source":{"url":"https://plasticsurgery.org/reconstructive-procedures/septoplasty/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure? If so, at which hospitals?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Make sure you can ask the clinicians questions about your treatment before you commit","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, through forceful persuasion or time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Package deals that combine surgery with holidays are a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Large amount of bright red blood from nose","urgency":"contact_clinic","general":false,"source":{"url":"https://leaflets.ekhuft.nhs.uk/septoplasty/html/","host":"leaflets.ekhuft.nhs.uk","quote":"If you get a large amount of bright red blood, this is not normal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Nosebleed that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://leaflets.ekhuft.nhs.uk/septoplasty/html/","host":"leaflets.ekhuft.nhs.uk","quote":"If this bleeding does not stop within 20 minutes, contact the hospital for advice.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Nose getting increasingly blocked or painful","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/septoplasty-and-septorhinoplasty/","host":"uhsussex.nhs.uk","quote":"Infection in your nose is rare after this operation, but if it happens it can be serious, so you should see a doctor if your nose is getting increasingly blocked or painful.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to try medication before considering surgery","name":"Nasal sprays","source":{"url":"https://evidence.nihr.ac.uk/alert/surgery-is-better-than-nasal-sprays-for-people-with-severely-blocked-airways","host":"evidence.nihr.ac.uk","quote":"People can be treated with nasal sprays to reduce inflammation, or with surgery to straighten the septum (septoplasty).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-septoplasty","name":"Conventional septoplasty (Killian or hemitransfixion incision)","how_it_works":{"text":"Surgeon reshapes the bone and cartilage of the 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