Understanding a Deviated Septum
The nasal septum is the wall of cartilage and bone that divides your nose into two nostrils. Ideally, it sits in the center. When the septum is significantly off-center (deviated), it can block airflow through one or both nostrils.
Many people have a slightly deviated septum, but significant deviation causes symptoms. A deviated septum is often present from birth or results from injury. It can worsen with age as nasal structures change.
Symptoms
Diagnosis
We diagnose a deviated septum through nasal endoscopy, which allows direct visualization of the septum and nasal passages. A CT scan may be ordered if surgery is being considered or if there is concern about sinus involvement.
Treatment Options
Conservative Management
For mild symptoms, medical management may provide relief.
- Nasal steroid sprays to reduce swelling
- Saline irrigation to keep passages clear
- Allergy treatment if contributing to symptoms
Septoplasty
Septoplasty is a surgical procedure to straighten the nasal septum. It is performed entirely through the nostrils with no external incisions or changes to the nose appearance.
What to Expect
- 30-45 minute procedure under general anesthesia
- Same-day discharge in most cases
- 1-2 weeks recovery before returning to work
- 90% of patients report improved breathing