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Ear, Nose and Throat

How Is a Deviated Nasal Septum Treated, and When Is Surgery Necessary?

Not every blocked nose is caused by allergies or a common cold. The cause may be a deviated nasal septum, especially when breathing difficulty continues or becomes worse during sleep, with repeated snoring, dry mouth upon waking, or a feeling that one nostril is blocked. This often leads people to look for an effective solution. Can a deviated nasal septum be treated with medication, or is surgery the solution? When does a patient need intervention? The following sections explain the main treatment options and when surgery may be necessary.
How Is a Deviated Nasal Septum Treated, and When Is Surgery Necessary?

What Is a Deviated Nasal Septum?

A deviated nasal septum is a shift of the cartilage and bone wall that separates the two nostrils toward one side, which may make one nasal passage narrower than the other.

The deviation may be mild and cause no symptoms, so a person may live with it without knowing it exists. If the deviation is significant, however, it may obstruct airflow through the nose and cause congestion or difficulty breathing.

What Are the Signs of a Deviated Nasal Septum?

Symptoms vary according to the degree of deviation and may include nasal congestion, difficulty breathing, recurrent nosebleeds, and snoring during sleep.

Common symptoms include:

  1. Blockage of one or both nostrils, especially during a common cold.
  2. Difficulty breathing through the nose.
  3. Breathing through the mouth, especially during sleep.
  4. Recurrent nosebleeds caused by dryness and irritation of the nasal lining.
  5. Facial pain or pressure.
  6. Snoring or noisy breathing during sleep.
  7. Preferring to sleep on one side to make breathing easier.

Symptoms may not be noticeable all the time, but they may become more bothersome when the nose is congested or during sleep.

Can a Deviated Nasal Septum Cause Dizziness?

Some people may feel dizzy or unbalanced along with nasal problems, but dizziness is not a primary direct symptom of a deviated nasal septum.

In some cases, dizziness may be related to chronic nasal blockage, associated sinus problems, or middle-ear problems. Therefore, a deviated septum should not automatically be assumed to be the only cause of dizziness.

If dizziness is recurrent or severe, it is better to evaluate its cause separately.

Is a Deviated Nasal Septum Dangerous?

In most cases, a deviated nasal septum is not dangerous or life-threatening.

A mild deviation may not require treatment if it causes no symptoms. A severe deviation, however, may lead to chronic blockage that affects breathing, sleep, and quality of life, and it may be associated with recurrent sinus problems.

For this reason, the decision to treat a deviated nasal septum depends on the severity of symptoms and their effect on a person’s life, not simply on the presence of the deviation.

How Is a Deviated Nasal Septum Treated?

Treatment depends on the severity of symptoms. Medication can help relieve congestion and related symptoms, while correcting the structural deviation itself requires surgery.

If the deviation is mild, or if symptoms are partly caused by congestion or allergies, a doctor may recommend conservative treatment to relieve symptoms.

If the septum is deviated enough to cause persistent blockage and symptoms do not improve with treatment, surgery may be an appropriate option.

Non-Surgical Treatment for a Deviated Nasal Septum

Medication cannot reposition deviated bone or cartilage, but it may help reduce related symptoms and improve breathing.

Non-surgical treatment may include:

  1. Nasal corticosteroid sprays: These help reduce inflammation and swelling of the tissues inside the nose.
  2. Antihistamines: These may help relieve accompanying nasal allergy symptoms.
  3. Decongestants: These help open the nasal passages for a short period, according to a doctor’s instructions.
  4. Saline solution: This helps clean the nasal passages, moisturize their lining, and reduce the buildup of secretions.

The difference between symptom relief and correction of the deviation should be understood. Medication does not return the septum to its normal position.

Home Treatment for a Deviated Nose

Some simple measures may help reduce the feeling of blockage and improve comfort, but they do not correct a deviated nasal septum.

These measures include:

  1. Using a humidifier in the bedroom.
  2. Inhaling warm steam to help loosen secretions.
  3. Rinsing the nose regularly with saline solution.

These methods can therefore be considered part of managing the symptoms of a deviated nasal septum, not a treatment for the deviation itself.

Are There Exercises to Treat a Deviated Nasal Septum?

There are no proven exercises that can correct a deviated septum or return its bones and cartilage to their normal position.

Some exercises or methods involving pressure on the nose may be promoted as ways to correct the deviation. However, these methods cannot change the septum’s anatomy after the bones and cartilage have finished developing.

Can a Deviated Nose Be Corrected Without Surgery?

The structural deviation of the nasal septum cannot be permanently corrected without surgery.

Medication, saline solution, and other conservative measures may reduce congestion and improve symptoms, but they do not change the position of the septum itself.

When the deviation is severe and causes ongoing breathing problems, a doctor may therefore discuss surgery as an option.

What Is Deviated Septum Surgery?

Deviated septum surgery, or septoplasty, is a surgical procedure used to adjust the deviated parts of the bone and cartilage to improve airflow through the nose.

The procedure is usually performed from inside the nose. The surgeon reshapes or removes the parts that cause blockage in order to improve the nasal passages.

Endoscopic Treatment for a Deviated Nasal Septum

Septoplasty can be performed using an endoscope, which gives the doctor a clear, magnified view of the internal tissues during surgery. This technique helps identify the deviated part and treat it precisely, while limiting the effect on surrounding tissues according to the nature of the condition and the technique used.

Can a Deviated Nasal Septum Be Treated With a Laser?

A laser does not correct the bones or cartilage that make up the nasal septum. In some cases, it may be used to treat the mucosal tissues or enlarged nasal turbinates associated with blockage. However, it does not replace septoplasty when the problem is caused by structural deviation itself.

When Do You Need Deviated Septum Surgery?

Surgery may be an appropriate option when a deviated nasal septum causes persistent symptoms that affect breathing, sleep, or daily life and do not respond to conservative treatment.

Situations that may lead a doctor to consider surgery include:

  1. Persistent symptoms despite medication and conservative treatment.
  2. Nasal blockage that clearly affects sleep and daily breathing.
  3. Recurrent sinus infections.
  4. Recurrent nosebleeds that cannot be controlled with usual methods.

An ear, nose, and throat doctor determines whether surgery is needed after evaluating the symptoms and examining the nose.

Can You Live With a Deviated Nasal Septum?

Yes. A person can live with a deviated nasal septum if it is mild and does not cause significant symptoms.

Not every deviation requires surgery. It may exist without causing difficulty breathing or sleep problems.

In summary, treatment for a deviated nasal septum varies from person to person according to the degree of deviation and the symptoms it causes. Medication may help relieve some related symptoms, while septoplasty may be the most suitable option when the deviation affects breathing or causes recurrent problems. If you have chronic nasal blockage or difficulty breathing, it is better to consult an ear, nose, and throat doctor to evaluate your condition and determine the appropriate treatment instead of using medication at random.

If you still need a doctor’s consultation regarding this condition, you can easily book an appointment through Vezeeta.

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References

https://www.mayoclinic.org/diseases-conditions/deviated-septum/diagnosis-treatment/drc-20351716

https://www.mayoclinic.org/tests-procedures/septoplasty/about/pac-20384670

https://my.clevelandclinic.org/health/diseases/16924-deviated-septum

https://my.clevelandclinic.org/health/treatments/17779-septoplasty

https://medlineplus.gov/ency/article/003012.htm

https://medlineplus.gov/noseinjuriesanddisorders.html