Does a deviated nasal septum need to be treated?

Written by Li Mao Cai
Otolaryngology
Updated on September 28, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Li Rui
Otolaryngology
44sec home-news-image

How to correct a deviated nasal septum?

Currently, the correction of a deviated nasal septum is mainly done through surgery. However, for some patients, if the deviation is mild and without symptoms, surgery may not be necessary. Surgery for deviated nasal septum is considered only if the deviation is severe and accompanied by significant clinical symptoms. Presently, minimally invasive surgery under endoscopy, which may involve partial removal of cartilage or septal cartilage reshaping, is a common procedure in otolaryngology. The results are generally reliable and, although there are risks, they are not considered excessively high. Typically, tertiary hospitals with an otolaryngology department can perform this surgery.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
1min 4sec home-news-image

Do deviated nasal septum and enlarged turbinates require surgery?

Whether surgery is needed for a deviated nasal septum and enlarged turbinates should be determined based on the following aspects. First, it depends on whether there are clinical symptoms, such as nasal congestion, and particularly if it is severe and persistent, and whether symptoms like nosebleeds and headaches are present. Symptoms are a necessity before considering surgery; Second, some tests can be conducted, such as a sinus CT scan, to assess the extent of turbinate enlargement and the severity of the nasal septum deviation. If the deviation of the nasal septum is severe, then surgery is absolutely necessary; Third, some tests related to nasal cavity function can be combined to determine the necessity for surgery. The main function of the nasal cavity refers to its ventilation capability, such as the nasopharyngeal reflex and nasal resistance tests. An overall assessment of the impact of enlarged turbinates and the deviated septum on the nasal cavity can then guide the decision on whether to undergo surgical treatment.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
41sec home-news-image

Is surgery necessary for a deviated nasal septum?

Nasal septum deviation is a structural abnormality where the cartilage or bone of the nasal septum leans towards one or both sides of the nasal cavities. Clinically, a perfectly vertical nasal septum does not exist; there is always some degree of deviation, but the extent can vary significantly. If nasal septum deviation is accompanied by symptoms such as nasal congestion, nosebleeds, or even headaches, a sinus CT scan should be conducted to assess the degree of deviation. If the deviation is severe, then surgery is definitely necessary. For cases with no clinical symptoms and only minor deviation, surgery is not required.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
48sec home-news-image

How to treat a deviated nasal septum?

The treatment of a deviated nasal septum primarily depends on the severity of the condition. If it is a minor deviation without noticeable clinical symptoms, most people can simply be observed and may not require specific treatment. However, if the deviation is significant and accompanied by clinical symptoms, such as frequent poor nasal ventilation, particularly blocked nostrils on the deviated side, as well as possible nosebleeds or headaches, surgery might be considered. Currently, corrective surgery for a deviated nasal septum under endoscopy is a minimally invasive procedure. Although there are certain risks associated with the surgery, the overall risk is not high. After surgical treatment, most patients are able to recover normally.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
51sec home-news-image

How is a deviated nasal septum caused?

Nasal septum deviation is a relatively common otolaryngological condition, primarily caused by congenital factors related to individual development. It can also be caused by trauma or fractures of the nasal septum. In terms of treatment, it's first important to assess the degree of deviation. If the deviation is minor and presents no significant clinical symptoms, often no special treatment is needed, and regular observation and check-ups suffice. However, if the deviation is notable and accompanied by symptoms such as nasal congestion, runny nose, headaches, and dizziness, surgery may be required. Currently, the main surgical approach is endoscopic septoplasty, a common minimally invasive procedure that generally provides definitive results. Post-surgery, regular check-ups are necessary to monitor recovery.