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Nasal Septum Deviation

July 22, 2024

Nasal Septum Deviation

What is Nasal Septum Deviation?

The nasal septum is the thin wall of cartilage and bone that separates the nasal cavity into two equal passages. In some people, the septum is crooked or off-center, a condition called nasal septum deviation. This common condition can make one nasal passage smaller than the other, which can lead to difficulty breathing, recurrent sinus infections, and other uncomfortable symptoms. 

Minor deviations are quite common and may not cause any issues. However, more severe cases can significantly impact daily life activities and require medical intervention.

Symptoms of Nasal Septum Deviation

The symptoms of nasal septum deviation can differ from person to person. However, the most commonly observed signs are as follows: 

  • Nasal congestion or stuffiness, often more severe on one side,
  • Difficulty breathing through the nose,
  • Frequent nosebleeds,
  • Recurrent sinus infections,
  • Facial pain or headaches,
  • Postnasal drip,
  • Snoring or sleep apnea,
  • Reduced sense of smell,
  • Dry mouth due to chronic mouth breathing,

If you persistently experience any of these symptoms, you must consult an ENT specialist for a proper diagnosis and treatment plan.

Causes of Nasal Septum Deviation 

Many factors exist as the cause of nasal septum deviation. Some of the most common ones are:

  1. Congenital Defect: Some people are born with a deviated septum due to abnormal fetal development.
  2. Injury: Trauma to the nose from accidents, sports injuries, or physical altercations can cause the septum to shift out of place.
  3. Growth: As the nose grows and develops during childhood and adolescence, the septum may gradually become displaced.
  4. Age: The nasal structures can change over time. This can lead to the development or worsening of a deviated septum.
Risk factors

Certain factors can increase your likelihood of having a deviated septum. For example, 

  • Genetics: If you have a family member with a deviated septum, you may be more likely to have one as well.
  • Chronic Nasal Inflammation: Conditions like allergies or chronic sinusitis can cause the nasal tissues to swell and alter the shape of the septum over time.
  • Nasal Injuries: Trauma to the nose from sports, accidents, or physical altercations can cause septal deviation.
  • Congenital Disorders: Conditions like cleft lip or palate can pose a higher risk of developing a deviated septum.
  • Previous Nasal Surgery: Prior nasal procedures may affect the septum, which can lead to deviation.
  • Birth Injury: Infants can suffer nasal trauma during childbirth, potentially causing a deviated septum.
Treatment

The treatment for nasal septum deviation depends on the extent of deviation and its impact on your daily life. The commonly preferred methods for nasal septum deviation treatment are: 

  1. Medications: To manage the mild symptoms of nasal septum deviation, your doctor may recommend:
  • Decongestants: Over-the-counter or prescription decongestants can help reduce nasal swelling and improve airflow.
  • Antihistamines: If allergies are causing nasal congestion, the doctor may prescribe antihistamines to provide relief.
  • Nasal Corticosteroid Sprays: These prescription sprays can help reduce inflammation in the nasal passages.
  • Saline Nasal Rinses: They help in the moisturization of the nasal passages. 
  1. Nasal Dilators: For certain cases, the ENT specialist may also recommend some nasal dilators:
  • Breathe Right Strips: These adhesive strips can be applied externally to the nose to help open the nasal passages.
  • Nasal cones or Stents: These devices are inserted into the nostrils and keep the nasal passages open.
  1. Surgery (Septoplasty): If conservative measures don't provide relief, or if the deviation is severe, septoplasty surgery may be performed. In this procedure, the septum is strengthened and repositioned to the middle of the nose. Procedures like Septoplasty are typically performed under general anesthesia and require a short recovery period.
  2. Balloon Septoplasty: This minimally invasive option uses a small balloon to reposition the deviated septum gently. Balloon Septoplasty is suitable for mild to moderate cases.
  3. Turbinate Reduction: When enlarged nasal turbinates contribute to obstruction, this procedure can be performed alongside septoplasty to create more space in the nasal passages.
  4. Rhinoplasty: In some cases, rhinoplasty is performed to reshape the external appearance of the nose while correcting the deviated septum.

At Apollo Spectra, our expert ENT team specializes in the diagnosis and treatment of nasal septum deviation. We use advanced surgical techniques and the latest equipment to ensure the best possible outcomes for our patients. From pre-operative consultation to post-surgical care, we provide personalized attention and support to help you achieve lasting relief from your symptoms. Connect with our ENT department today to receive expert advice on conditions like Nasal Septum Deviation.

How common is nasal septum deviation?

It has been observed that up to 80% of people suffer from some degree of septal deviation, but not all cases cause symptoms or require treatment.

Can a deviated septum cause sinus infections?

Yes, a deviated septum can contribute to the development of sinus infections. When the septum is significantly deviated, it can obstruct the drainage of mucus from the sinuses, which can lead to a buildup of bacteria and inflammation. This can result in recurrent or chronic sinus infections. These infections may cause symptoms such as facial pain, headaches, nasal discharge, and congestion.

Is septoplasty a painful surgery?

The majority of patients experience little to moderate discomfort after septoplasty, which can be managed with pain medication and cold compresses. The recovery is generally well-tolerated, and most people can return to normal activities within a week.

Can septoplasty change the appearance of the nose?

In most cases, septoplasty is performed to improve breathing and relieve symptoms related to a deviated septum, not to change the external appearance of the nose. However, in some instances, the surgeon may need to make small incisions or alter the position of the nasal bones to straighten the septum, which could result in minor changes to the nose's appearance. However, if you have concerns about the shape of your nose, you can discuss additional cosmetic procedures with your surgeon.

How long does it take to recover from septoplasty?

The initial recovery period after septoplasty is usually 1-2 weeks, during which you may experience swelling, bruising, and nasal congestion. Complete healing can take 3-6 months, but most patients report significant improvement in their symptoms within a few weeks of surgery.

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