Is the deviated nasal septum bone removed directly?

Written by Deng Bang Yu
Otolaryngology
Updated on February 22, 2025
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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 Li Rui
Otolaryngology
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Can a deviated nasal septum be treated without surgery?

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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Can you wear a ventilator with a deviated nasal septum?

People with a deviated nasal septum should generally avoid using breathing machines, as the deviation is a bony misalignment that can cause persistent nasal congestion. If a breathing machine is used, the airflow from the machine can irritate the nasal septum membrane, leading to erosion, and in severe cases, cause local rupture and bleeding. A deviated nasal septum is a common and frequent condition in otolaryngology, typically caused by abnormal nasal septum development during the embryonic stage, or by subsequent trauma or tumoral pressure, causing the septum to deviate to one or both sides. This deviation can lead to continuous bilateral nasal congestion, along with a sensation of a foreign body in the nasal passages, swelling, headaches, and other related symptoms. It is advised to consult a hospital for an examination, where a diagnosis can be confirmed with an endoscope. For treatment, the deviated nasal septum usually requires surgical correction, which can effectively cure the condition.

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Written by Zhang Jun
Otolaryngology
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Can a deviated nasal septum be treated without surgery?

Whether surgery is required for a deviated septum primarily depends on the clinical symptoms of the patient. Deviated septum is a common condition in otolaryngology, with over 90% of people having some form of septal deviation. It is mainly caused by abnormal development of the nasal septum during the embryonic stage or by later traumatic injuries, fractures, or pressure from nasal tumors causing the septum to deviate to one or both sides. After the septum deviates, it can lead to persistent nasal congestion and is also associated with pain in the eyes and face, and headaches. A deviated septum can also lead to complications such as sinusitis and nasal polyps. A detailed examination at a hospital, typically using an endoscope, can confirm the diagnosis. If a patient with a deviated septum experiences no symptoms, no treatment may be necessary. However, if the patient suffers from persistent nasal congestion accompanied by headaches, then localized corrective surgery may be required.

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Written by Li Rui
Otolaryngology
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How to correct a deviated nasal septum?

Currently, the correction of a deviated nasal septum is mainly done through surgery. However, for some patients, if the deviation is mild and without symptoms, surgery may not be necessary. Surgery for deviated nasal septum is considered only if the deviation is severe and accompanied by significant clinical symptoms. Presently, minimally invasive surgery under endoscopy, which may involve partial removal of cartilage or septal cartilage reshaping, is a common procedure in otolaryngology. The results are generally reliable and, although there are risks, they are not considered excessively high. Typically, tertiary hospitals with an otolaryngology department can perform this surgery.

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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.