Is the deviation of the nasal septum severe?

Written by Li Rui
Otolaryngology
Updated on November 22, 2024
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Deviated nasal septum is generally not too severe. Overall, its harm to health is not significant. Whether a deviated nasal septum is serious depends on individual differences, and one should primarily examine the specific condition inside the nasal cavity. If the degree of deviation is not severe and there are no clinical manifestations, it generally does not require specific treatment, mainly regular reviews to observe any changes. However, if the deviation is quite pronounced and accompanied by clinical symptoms such as headache, dizziness, nasal congestion, or nosebleeds, it may be necessary to consider surgical correction. Currently, the main approach is minimally invasive surgery using an endoscope, and the overall results are quite definitive.

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Written by Deng Bang Yu
Otolaryngology
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What medicine to take for a deviated septum?

Nasal septal deviation is a structural abnormality, primarily involving the cartilage or bone of the nasal septum leaning towards one side of the nasal cavity. Clinically, this may result in symptoms such as nasal congestion, nosebleeds, and headaches. Generally, these symptoms alone, simply due to the deviated septum, do not require any medication for treatment. However, if the symptoms caused by the deviated septum are severe, we can use some medications, such as drugs for treating rhinitis, including traditional Chinese medicine formulas like Rhino Clear Granules, and also some vitamins to enhance the quality of the nasal mucosa. The fragility of the nasal mucosa can lead to nosebleeds. Of course, a more important treatment is surgical correction of the deviated septum.

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Written by Zhang Jun
Otolaryngology
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Can a deviated nasal septum be manually adjusted by hand?

A deviated nasal septum cannot be manually adjusted, as the site of deviation is deep within the nasal cavity and thus inaccessible by hand. A deviated nasal septum is a common and frequent condition encountered in otolaryngology. It mainly results from abnormal nasal septum development during the embryonic stage or from postnatal trauma to the nasal septum and pressure from nasal tumors causing the septum to deviate to one side. After developing a deviated nasal septum, the patient may experience continuous, progressive nasal congestion, as well as facial swelling, pain, and headaches among other symptoms. In severe cases, the deviation may lead to complications such as sinusitis and nasal polyps, which can be diagnosed with an endoscopic examination and sinus CT scan at a hospital. In terms of treatment, minor deviations of the nasal septum do not require intervention. However, if associated symptoms are present, localized surgical correction may be necessary and can be curative.

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Written by Deng Bang Yu
Otolaryngology
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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.

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Written by Deng Bang Yu
Otolaryngology
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Septal deviation resection

Deviated nasal septum is a common and frequently occurring condition in our department of otorhinolaryngology and head and neck surgery. It refers to the cartilage and bone of the nasal septum deviating towards one or both sides of the nasal cavities, leading to clinical symptoms such as nasal congestion, nosebleeds, and headaches. Typically, a CT scan is conducted to determine the extent of the deviation, and then, combined with clinical symptoms, surgery is performed to correct the deviated nasal septum. The surgery mainly involves removing the deviated cartilage and bone, and then repositioning the nasal septum to a central position, thus eliminating the symptoms caused by the deviated nasal septum.

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Can nasal septum deviation be treated under general anesthesia?

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.