Septum Deviation

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Septum Deviation: Understanding, Diagnosis, and Treatment Options


Septum deviation, also known as a deviated septum, is a common condition that affects the nasal septum—the thin wall of bone and cartilage that separates the nasal passages. When the septum is significantly off-center or crooked, it can cause a range of symptoms and affect nasal breathing. Septum deviation can be congenital (present at birth) or the result of trauma or injury. This article aims to provide an overview of septum deviation, including its causes, symptoms, diagnosis, and available treatment options.

Causes of Septum Deviation

The exact causes of septum deviation are not always clear. Some individuals are born with a deviated septum, while others may develop it as a result of nasal trauma, such as a sports injury or a car accident. In some cases, septum deviation may worsen over time due to the natural aging process or structural changes within the nose.

Symptoms of Septum Deviation

Septum deviation can manifest in various ways and may cause the following symptoms:

Nasal congestion: One of the most common symptoms of septum deviation is nasal congestion or blockage on one or both sides of the nose. This can make it difficult to breathe through the affected nostril(s).

Difficulty breathing: A deviated septum can obstruct airflow, resulting in difficulty breathing, particularly during physical activity or sleep.

Nosebleeds: The altered nasal airflow caused by septum deviation can lead to frequent nosebleeds, especially in drier climates or during nasal irritation.

Facial pain or pressure: Some individuals with septum deviation may experience facial pain or pressure, particularly in the area around the nose and sinuses.

Diagnosis of Septum Deviation

A healthcare professional, typically an otolaryngologist (ear, nose, and throat specialist), can diagnose septum deviation through a thorough examination. This may involve a visual inspection of the nasal passages using a nasal speculum and a light source. In some cases, additional imaging tests such as nasal endoscopy or computed tomography (CT) scans may be recommended to assess the extent of the deviation and its impact on nasal structures.

Treatment Options for Septum Deviation

The treatment options for septum deviation depend on the severity of symptoms and their impact on an individual’s quality of life. Non-surgical management may be recommended for mild cases that do not significantly affect breathing. This may include medications to relieve congestion, such as nasal decongestants or corticosteroid sprays.

For individuals experiencing significant symptoms or functional impairment, surgical intervention may be necessary. The most common surgical procedure for septum deviation is called septoplasty. Septoplasty aims to straighten and reposition the deviated septum, allowing for improved nasal airflow. The procedure involves making incisions inside the nose, accessing the septum, and removing or reshaping the obstructing tissues. In some cases, additional procedures, such as turbinate reduction or sinus surgery, may be performed concurrently to address related issues.

Recovery and Outlook

The recovery period following septoplasty can vary depending on the extent of the surgery and individual healing factors. Swelling, congestion, and nasal drainage are common during the initial recovery phase. Pain medication and saline nasal sprays may be prescribed to manage discomfort and promote healing. Most individuals can resume light activities within a week or two, but it may take several weeks for complete healing and the resolution of symptoms. Following septoplasty, many individuals experience significant improvement in nasal breathing, reduced congestion, and relief from associated symptoms.


Septum deviation can significantly impact nasal breathing and quality of life for affected individuals. Understanding the causes, symptoms, diagnosis, and available treatment options is crucial in managing this condition. Consulting with a qualified otolaryngologist can provide a comprehensive evaluation and appropriate treatment recommendations. Whether through non-surgical interventions or septoplasty, addressing septum deviation can help individuals achieve improved nasal airflow and alleviate associated symptoms, ultimately enhancing their overall well-being.

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