Deviated Nasal Septum

Deviated Nasal Septum

A deviated nasal septum occurs when the thin barrier between the nasal passages shifts to one side, causing partial or complete blockage in one or both nostrils. This condition can arise from injury, congenital reasons, or sometimes with no clear cause. Common symptoms include nasal congestion, nosebleeds, facial discomfort or pressure, and difficulty breathing, especially during sleep. While some people may not experience serious problems, others may need treatment such as nasal sprays, dilators, or surgery for severe cases. Correcting the deviation can greatly enhance breathing and overall quality of life for those affected.

What is a Nasal Septum?

The nasal septum is the wall of cartilage and bone that divides the nasal cavity into two separate nostrils. Ideally, it should be positioned right in the center of the nose.

Parts of a Nasal Septum:

The nasal septum consists of bone and cartilage, ideally running straight down the middle of the nose.

Deviated Nasal Septum: Overview

Definition: A deviated nasal septum occurs when the septum is displaced to one side, causing it to be off-center. If not identified and treated promptly, it can lead to significant health problems. Symptoms might not always be obvious, so recognizing the signs is crucial for timely intervention.

What is a Deviated Nasal Septum?

A deviated nasal septum is when the septum shifts to one side, making one nostril smaller than the other. In severe cases, this can obstruct airflow, leading to breathing difficulties.

Signs and Symptoms of a Deviated Nasal Septum

  • Symptoms can include: 
  • Blocked nostrils
  • Breathing difficulties
  • Frequent cold
  • Swollen nasal tissues
  • Nosebleeds
  • Facial pain
  • Noisy breathing
  • Trouble sleeping
  • Headaches
  • Nasal congestion
  • Sinusitis
  • Sleep apnea
  • Snoring
  • Change in nose shape.

Causes of a Deviated Nasal Septum

A deviated septum may be caused by:

  • Congenital Condition: Present at birth due to fetal development issues or complications during childbirth.
  • Injury or Accident: Resulting from trauma like accidents or falls.
  • Natural Development: Occurring as the septum grows unevenly during development.

Types of Deviated Nasal Septum

Congenital: Present from birth due to developmental issues in the womb or childbirth.

Acquired: Develops due to injury, accidents, or natural growth deviations.

Diagnosis of a Deviated Septum

Diagnosis of a deviated septum

An ENT specialist diagnoses a deviated septum by asking about symptoms and examining the nose. Internal examination may involve using an instrument to view the nasal cavity, which helps in assessing the condition and planning treatment.

Treatment for a Deviated Septum

Treatment options include:

Decongestants: Reduce nasal tissue swelling and congestion.

Antihistamines: Address allergy-related symptoms.

Medications manage symptoms but don’t correct the deviation. For correction, septoplasty is recommended, especially for persistent symptoms like breathing issues or recurrent infections.

Septoplasty Procedure

During septoplasty, the surgeon uses local or general anesthesia. The procedure involves trimming and repositioning the septum through small internal incisions. Sutures are used to close the incisions.

Prevention of a Deviated Septum

Congenital deviations cannot be prevented, but acquired deviations can be managed. Prevent injury by using protective gear in sports, driving safely, and wearing helmets. Managing allergies and nasal congestion can also help.

Conclusion

A deviated nasal septum is a common and treatable condition. If you suspect you have it, monitor symptoms and consult an ENT specialist. Surgery is advised if symptoms persist or are severe. For assessment and corrective treatment, book an appointment with our ENT specialist.

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