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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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 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 Li Rui
Otolaryngology
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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.

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Written by Li Rui
Otolaryngology
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Symptoms of a deviated septum

The symptoms of a deviated nasal septum can vary significantly from person to person. Some individuals with a mild deviation might not exhibit any obvious clinical symptoms and are only diagnosed during a physical examination or an endoscopic nasal examination. However, if the deviation is more pronounced, it may cause various symptoms such as nasal congestion, runny nose, nosebleeds, headaches, and dizziness. In some cases, it can also lead to sinusitis, characterized by sudden acute purulent nasal discharge, nasal congestion, headaches, and a reduced sense of smell. Overall, this is a relatively common condition and most patients see good results after timely and standard medical treatment.

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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.