Can a deviated nasal septum be treated without surgery?

Written by Li Rui
Otolaryngology
Updated on April 26, 2025
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A deviated nasal septum does not necessarily require surgery. The treatment for a deviated nasal septum mainly depends on the severity of the deviation and clinical symptoms. If it's just a minor deviation without obvious clinical manifestations, most patients don't need specific treatment. Generally, they can just be rechecked in the near future to observe any changes. However, if the deviation is significant and accompanied by clinical symptoms, such as nasal congestion, nosebleeds, runny nose, headaches, or dizziness, surgery might need to be considered. Currently, the surgery can be conducted under endoscopy as a nasal septum deviation correction surgery or as a nasal septoplasty. Overall, the surgery is not very traumatic, and generally, the results are quite definitive. Typically, the recovery period is about two weeks.

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Does a deviated septum require surgery?

First, it is necessary to ascertain the degree of deviation, as a normal person's nasal septum is usually somewhat deviated. It is recommended to visit an otolaryngology department to complete relevant examinations to determine the extent of the deviation, and then decide on the next steps. If the deviation is severe and accompanied by clinical symptoms such as nasal congestion and nasal discharge, surgical treatment may be considered. However, for those who do not have symptoms and whose breathing is not affected, surgery is generally not considered. Therefore, the decision should be based on clinical symptoms and the degree of deviation. After surgery, it is important to rest, avoid strenuous activity, keep the area clean and dry, and prevent infection.

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Written by Zhang Jun
Otolaryngology
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Is nasal irrigation effective for a deviated nasal septum?

Nasal septum deviation washing is ineffective because the deviation is bony. Generally, nasal septum deviation occurs due to abnormal development of the nasal septum during the embryonic stage, or it is caused by trauma to the nasal septum or pressure from nasal cavity tumors later in life, resulting in deviation to one or both sides. After the deviation of the nasal septum, it primarily causes the patient to experience bilateral nasal congestion that progressively worsens. It is also accompanied by facial swelling, headaches, and the deviation itself can potentially trigger the onset of nasal polyps and sinusitis. First, it is necessary to go to the hospital for a detailed inspection using an electronic nasal endoscope and sinus CT to make a diagnosis. If patients with nasal septum deviation do not exhibit any clinical symptoms, generally no treatment is needed. However, if the patient's nasal congestion symptoms persist and worsen, accompanied by headaches, then corrective surgery for the nasal septum deviation is required to completely cure the condition.

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

A deviated septum refers to the condition where the cartilage and bone tissues of the nasal septum are skewed towards one side of the nasal cavity. This structural deviation can lead to nasal congestion, nosebleeds, and even headaches. If these symptoms are not present, it might be that the septum is deviated but not severely so. However, if these symptoms do appear, then it is necessary to address the deviated septum. There is an inevitable connection between a deviated septum and rhinitis, meaning a deviated septum will certainly lead to rhinitis. Rhinitis involves inflammation of the nasal mucosa. Therefore, the presence of a deviated septum will definitely cause rhinitis. Thus, actively treating a deviated septum greatly aids in the recovery from rhinitis.

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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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Can a deviated nasal septum be cured?

A deviated nasal septum can be cured. Firstly, a deviated nasal septum generally arises congenitally or from trauma, leading to the deviation. Most patients have cartilage deviation, and a small portion have bony deviation. In terms of treatment, firstly it is necessary to evaluate the degree of deviation and the clinical symptoms. If it is just a minor deviation without significant clinical manifestations, treatment may not be necessary, and regular check-ups will suffice. However, if the clinical symptoms are noticeable and the degree of deviation is severe, then surgical correction should be considered. Currently, considering endoscopic septoplasty can achieve a cure.