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 Gao Tian
General Surgery
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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 Li Rui
Otolaryngology
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What medicine is good for a deviated nasal septum?

Nasal septum deviation is a relatively common ENT disorder, and typically it does not require medication for treatment. This is because the deviation of the nasal septum is primarily due to either bony or cartilaginous bends, which are difficult to effectively treat with medications. Medications cannot correct a deviated septum. If the nasal septum deviation is severe and accompanied by related clinical symptoms, surgery may be considered for correction. A common procedure is the endoscopic nasal septum deviation correction surgery, which is minimally invasive and generally has good outcomes. If the deviation is minor and does not present any clinical signs, observation may be sufficient without the need for specific treatment.

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Written by Deng Bang Yu
Otolaryngology
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How to treat enlarged turbinates and a deviated nasal septum?

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 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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The main reason that a deviated septum causes headaches

In clinical practice, a deviated nasal septum can be structural, which often leads to symptoms such as nasal congestion, nosebleeds, and headaches. There are primarily two reasons why a deviated nasal septum may cause headaches. First, the deviated septum directly irritates the middle turbinate, leading to anterior ethmoid nerve syndrome and severe headaches. Second, the deviated septum may lead to secondary conditions such as rhinitis or sinusitis, which also cause headaches. Therefore, in clinical practice, surgical intervention is needed to correct a deviated nasal septum causing headaches. Before surgery, a CT scan is usually conducted to rule out sinusitis or other diseases causing the headaches. However, it is important to inform patients preoperatively that even after the surgery, headaches caused by the deviated septum may not be completely relieved or eliminated. This is crucial information to communicate to patients before the procedure.