NASAL SEPTUM, DEVIATED

 Basic information

description

The septum is the structure that divides the nose into two parts. In some people it is significantly off-center, or deviated. This can result in the obstruction of normal airflow through the nasal passages. The septum is made up of cartilage (toward the tip) and bone (closer to the forehead). Ideally, the septum should divide the right and left side of the nose into two equal parts. It is estimated that 80% of all nasal septa are slightly off-center. These are usually not noticed and do not normally cause any problems.

FREQUENT SIGNS & SYMPTOMS

• An apparently crooked nose.
• Obstruction of air through one or both nostrils.
• Nasal congestion or discharge.
• Nosebleeds, headaches, or facial pain may occur.
• Sinus infections.
• Often, there are no symptoms.

causes

Trauma to the nose, or it may be congenital (being born with a deviated septum).

risk increases with

None known.

PREVENTIVE MEASURES

Protect yourself from nose injury. Wear protective headgear for contact sports or cycling. Buckle your auto seat belt.

expected outcomes

Usually treatable with surgery. If symptoms are not troublesome, surgery is usually not needed.

possible complications

• Recurrent nosebleeds.
• Recurrent nasal or sinus infections.

 diagnosis & treatment

general measures

• Your health care provider can usually diagnose the problem by an exam of the nose. The exam involves the use of a bright light and nasal speculum (an instrument that spreads the nostril open). Medical tests may be done to confirm the diagnosis.
• No treatment may be needed if there are no symptoms or if symptoms are mild.
• Surgery to correct the deviation may be recommended if the deviated septum is causing symptoms such as sinus infections or nosebleeds. Your health care provider will discuss the options with you. Surgery may involve:
  • Submucosal removal, which relieves obstruction.
  • Rhinoplasty, which corrects anatomical deformity.
  • Septoplasty, which relieves nasal obstruction and improves appearance.

medications

• For minor discomfort, you may use nonprescription drugs temporarily, such as decongestants, to decrease nasal secretions. Antihistamines can help relieve symptoms.
• Antibiotics to fight infection may be prescribed.
• Inhaled nasal steroids may be prescribed.

activity

No limits, unless surgery is needed. If so, resume your normal activities gradually.

diet

No special diet.

 notify our office if

• You or a family member has symptoms of a deviated nasal septum, especially recurrent nosebleeds, or nasal and sinus infections.
• New symptoms develop after surgery.

Special Notes: