Can nasal septum deviation be treated under general anesthesia?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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Nasal septum deviation refers to the deviation of the cartilage and bone tissue of the nasal septum towards one or both nasal passages, causing symptoms such as nasal congestion, blood-tinged nasal discharge or nosebleeds, and headaches. After the deviation of the nasal septum, nasal congestion can cause symptoms of snoring. Surgery for nasal septum deviation or other operations can be performed under general anesthesia. The deviated nasal septum does not affect the state of anesthesia. However, due to the presence of a deviated nasal septum, oral intubation should be chosen instead of nasal intubation during general anesthesia. If nasal intubation is desired, it should be performed on the side with a wider nasal passage. Thus, attention should be paid to the choice of intubation location during surgery under general anesthesia.

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Written by Deng Bang Yu
Otolaryngology
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What are the dangers of deviated septum and enlarged turbinates?

Nasal septal deviation and hypertrophy of the turbinates refer to the cartilaginous and bony parts of the nasal septum leaning towards one side, or both sides, of the nasal cavity, which interferes with the normal drainage function of the nasal passage. The deviation of the nasal septum to one side can cause compensatory hypertrophy of the turbinate on the same side, primarily the enlargement of the inferior turbinate. Clinically, this is mainly manifested by symptoms such as nasal congestion, nosebleeds, and headaches. Therefore, for severe nasal septal deviation, it is often necessary to perform a sinus CT scan to determine the degree of deviation, followed by endoscopic surgery to correct the deviation.

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Written by Li Mao Cai
Otolaryngology
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Does a deviated nasal septum need to be treated?

Deviated nasal septum is a common clinical occurrence in otolaryngology, and many people are told they have a deviated septum during a physical examination, or they feel uncomfortable with their nose and then find out they have a deviated septum when checking. Whether to treat these conditions depends on the specific circumstances. If there is no discomfort in the nose, breathing is normal, the sense of smell is unaffected, and there are no other clinical symptoms, surgery is unnecessary for a deviated septum discovered during a physical examination. However, if there are uncomfortable symptoms caused by the nasal cavity or deviated septum, and after examination, the doctor confirms that these are due to the deviated septum, then active surgical treatment is necessary. Only by correcting the deviated part can a satisfactory treatment outcome be achieved.

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Written by Li Mao Cai
Otolaryngology
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Can a deviated nasal septum be left untreated without surgery?

Whether or not surgery is needed for a deviated nasal septum ultimately depends on the individual's specific symptoms and the extent of the deviation. This condition, which is a very common congenital developmental abnormality, can also be caused by postnatal trauma. Deviations are very common in the human body, but not everyone requires surgery. The diagnosis of a deviated nasal septum mainly considers whether the extent of the deviation affects function or appearance, that is, whether it causes pathological changes. If the nasal septum deviation does not cause functional changes or affect appearance, then surgery is not necessary. If it causes nasal congestion or leads to complications such as rhinitis or sinusitis, or affects appearance, then surgical treatment should be considered. Therefore, whether surgery is needed for a deviated nasal septum should be based on the severity and the presence of related clinical symptoms.

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Written by Zhang Jun
Otolaryngology
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Can a deviated septum be seen from the outside?

A deviated nasal septum is not apparent externally; it requires a hospital examination including a nasal endoscopy and a sinus CT scan for a definitive diagnosis. A deviated nasal septum is a common and frequently occurring condition in otolaryngology, with about 90% of people having some degree of deviation. This condition is mainly due to abnormal nasal septum development during the embryonic stage or due to trauma to the nasal septum or compression from nasal tumors occurring later. When the nasal septum deviates to one or both sides, it primarily causes persistent, progressive nasal obstruction on both sides. It also accompanies symptoms like mucous nasal discharge, a sense of swelling or a foreign body in the nasal cavity, facial pain, and headaches. A deviated nasal septum can also lead to complications such as sinusitis and nasal polyps. Diagnosis can be confirmed at a hospital with a nasal endoscopy and sinus CT scan. Treatment involves surgical correction of the deviated nasal septum, which can cure the condition.

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Written by Zhang Jun
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Is a deviated septum related to wearing glasses?

Deviated nasal septum has no relation to wearing glasses. Deviated nasal septum is a common and frequently occurring condition in the field of otolaryngology. It is directly related to developmental abnormalities of the nasal septum during the embryonic stage, or due to trauma to the nasal septum and pressure from nasal tumors. A deviated nasal septum can lead to persistent nasal congestion and headaches. Additionally, it may also trigger sinusitis and nasal polyps in patients. Minor deviations in the nasal septum do not require any clinical treatment. However, if a patient experiences severe nasal congestion, headaches, and other related symptoms, it is necessary to visit a hospital for corrective surgery for the deviated nasal septum. A prior examination using an endoscope and sinus CT scan is needed to assess the extent of the deviation. After the surgery, it is important to keep the nasal cavity dry, avoid catching colds, and exercise regularly.