What are the dangers of a deviated septum?

Written by Li Mao Cai
Otolaryngology
Updated on September 07, 2024
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The main harms of a deviated nasal septum include several points, mainly causing uncomfortable symptoms. Firstly, the most common symptom is nasal congestion, which is often unilateral, meaning one side of the nose is blocked depending on the side the septum is deviated towards while the other side remains relatively normal. Severe deviation to one side can cause blocked sensation in the nose, or it can affect both sides leading to bilateral congestion. The type of deviation, such as a simple deviation or an S-shaped one where both the front and back are deviated in different directions, can result in blockage in both nasal passages. Another issue is nosebleeds. Sometimes, the deviated septum can form a sharp edge, making the nasal mucosa fragile or piercing other areas, which can easily cause bleeding. Additionally, it can cause headaches due to the pressure exerted on the concha of the opposite side by the deviated septum. It also leads to conditions like rhinitis and sinusitis because the deviation affects the drainage of the nasal cavities and sinuses, resulting in secondary sinusitis, which causes long-term headaches, discomfort, and a series of sinusitis symptoms.

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Written by Deng Bang Yu
Otolaryngology
47sec home-news-image

Is the deviated nasal septum bone removed directly?

A deviated nasal septum refers to the cartilage or bone of the nasal septum being skewed towards one or both sides of the nasal cavities, leading to a series of symptoms such as nasal congestion, nosebleeds, and headaches. Surgical correction of a deviated nasal septum is usually carried out under nasal endoscopy. The surgery involves the removal of the deviated cartilage and bone tissue while preserving the mucosa. Since the mucosa is straight, this corrects the deviated nasal septum, thereby clearing the nasal passages. Symptoms such as nasal congestion, nosebleeds, and headaches can be effectively alleviated through surgery, so for severe cases of deviated nasal septum, surgical removal is often adopted.

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Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

Is surgery necessary for a deviated septum?

Nasal septal deviation refers to the situation where the cartilage and bone tissue of the nasal septum lean toward one side of the nasal cavity, representing a structural deviation. However, having just this deviation is insufficient for a complete diagnosis of a deviated septum. Symptoms such as nasal congestion, nosebleeds, and headaches must also be present to fully diagnose it. Treatment for a nasal septal deviation often involves surgical correction; however, surgery is not necessary for asymptomatic individuals with mere structural deviation. Surgery is opted for cases with structural deviation accompanied by symptoms like nasal congestion, nosebleeds, and headaches.

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Written by Deng Bang Yu
Otolaryngology
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Can a deviated nasal septum cause nosebleeds?

Deviated nasal septum refers to the fracture of the cartilage of the nasal septum, deviating toward one or both nasal cavities. Patients with a deviated nasal septum are prone to bleeding, and this bleeding tends to recur. This is because after the cartilage of the nasal septum deviates toward one side of the nasal cavity, continuous breathing causes the airflow to rub against the protruding nasal mucosal tissue of the deviated side. Additionally, after the deviation, the nasal mucosal tissue itself becomes thinner. Under these conditions, the thinner mucosal tissue at the deviated part is more likely to rupture and get damaged, making it prone to erosion and bleeding, and the blood vessels are also more likely to rupture, leading to bleeding. In summary, a deviated nasal septum can lead to nosebleeds.

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Written by Li Mao Cai
Otolaryngology
1min 12sec home-news-image

What are the dangers of a deviated septum?

The main harms of a deviated nasal septum include several points, mainly causing uncomfortable symptoms. Firstly, the most common symptom is nasal congestion, which is often unilateral, meaning one side of the nose is blocked depending on the side the septum is deviated towards while the other side remains relatively normal. Severe deviation to one side can cause blocked sensation in the nose, or it can affect both sides leading to bilateral congestion. The type of deviation, such as a simple deviation or an S-shaped one where both the front and back are deviated in different directions, can result in blockage in both nasal passages. Another issue is nosebleeds. Sometimes, the deviated septum can form a sharp edge, making the nasal mucosa fragile or piercing other areas, which can easily cause bleeding. Additionally, it can cause headaches due to the pressure exerted on the concha of the opposite side by the deviated septum. It also leads to conditions like rhinitis and sinusitis because the deviation affects the drainage of the nasal cavities and sinuses, resulting in secondary sinusitis, which causes long-term headaches, discomfort, and a series of sinusitis symptoms.

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.