How to treat enlarged turbinates and a deviated nasal septum?

Written by Deng Bang Yu
Otolaryngology
Updated on September 10, 2024
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For the condition of enlarged turbinates and a deviated nasal septum, we need to understand that these are pathological changes in the anatomical structure of the nose. In dealing with anomalies in the anatomical structure, our first step should be to perform a CT scan, then assess the extent of the enlargement of the turbinates and the deviation of the nasal septum. If the condition is severe, and there are relatively prominent symptoms such as nasal congestion, nosebleeds, and even headaches, then we should consider correcting these abnormal structures surgically, by removing these anomalies or correcting the deviated nasal septum or addressing the factors causing the turbinate hypertrophy. If there are no significant symptoms or only minor deviation or enlargement, treatment usually involves medication, primarily nasal sprays such as intranasal corticosteroids. In summary, there are mainly two treatment methods: surgical and medical treatments.

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Written by Deng Bang Yu
Otolaryngology
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Causes of Deviated Nasal Septum

A deviated septum refers to the condition where the cartilage and bone structure of the nasal septum are off to one side or both sides of the nasal cavities, resulting in symptoms such as nasal congestion, nosebleeds, and headaches. Clinically, the formation of a deviated septum is commonly caused by trauma. Other factors include congenital and acquired reasons. Congenitally, it may be due to compression during childbirth, and acquired reasons may include conditions like rhinitis or enlarged adenoids, leading to nasal dysfunction. This affects the development of the nasal septum, particularly the uneven growth of the septal cartilage and bones, which results in the deviation of the septum, primarily due to these factors.

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Written by Zhang Jun
Otolaryngology
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Can a deviated nasal septum undergo rhinoplasty?

A deviated nasal septum is a contraindication for rhinoplasty, as undergoing the procedure can lead to a skewed nasal bridge. Deviated nasal septum is a common and frequently occurring condition in otolaryngology, generally related to abnormalities in the development of the nasal septum during embryonic stages or to acquired trauma to the nasal septum. A deviated nasal septum can lead to symptoms such as a crooked nasal bridge, persistent nasal congestion on both sides, facial swelling, pain, and headaches. It is necessary to visit a hospital for a thorough examination using an endoscope and sinus CT scan to confirm the diagnosis. During the examination, the nasal septum may be found to be deviated to one or both sides in an S-shaped or C-shaped curve. In terms of treatment, a mild deviated nasal septum may not require any intervention. However, if the patient experiences nasal congestion, headaches, and other related symptoms, local surgical treatment is necessary. Only after the nasal septum is centrally aligned through surgery, can rhinoplasty be considered.

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Written by Zhang Jun
Otolaryngology
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Is a deviated septum related to wearing glasses?

Deviated nasal septum has no relation to wearing glasses. Deviated nasal septum is a common and frequently occurring condition in the field of otolaryngology. It is directly related to developmental abnormalities of the nasal septum during the embryonic stage, or due to trauma to the nasal septum and pressure from nasal tumors. A deviated nasal septum can lead to persistent nasal congestion and headaches. Additionally, it may also trigger sinusitis and nasal polyps in patients. Minor deviations in the nasal septum do not require any clinical treatment. However, if a patient experiences severe nasal congestion, headaches, and other related symptoms, it is necessary to visit a hospital for corrective surgery for the deviated nasal septum. A prior examination using an endoscope and sinus CT scan is needed to assess the extent of the deviation. After the surgery, it is important to keep the nasal cavity dry, avoid catching colds, and exercise regularly.

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Written by Deng Bang Yu
Otolaryngology
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What are the symptoms of a deviated nasal septum?

Nasal septum deviation refers to the condition where the cartilaginous and bony tissue of the nasal septum leans to one side, affecting one or both nasal cavities. Clinically, it primarily presents as nasal congestion. This congestion is unilateral and persistent, or it can be persistent on both sides. Additionally, nosebleeds occur because the mucous membrane on the deviated side is very thin, making it susceptible to bleeding due to friction from the airflow during breathing. Furthermore, the deviated nasal septum can irritate the turbinates, leading to nerve reflex pain and resulting in headaches. Thus, the main symptoms of nasal septum deviation include the ones listed above.

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Written by Deng Bang Yu
Otolaryngology
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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.