Nasal Septum Deviation

Nasal septum is a structure dividing the nasal cavity into two halves. The front portion of the septum is formed by cartilage and its back part is made of bone. The septal deviation may cause various problems that are subsequently treated by otolaryngologists.


The deviated septum may a congenital disorder when there is a discrepancy between the growth of cartilage and bone. However, the major cause is traumatic deviation, which occurred due to a side blow to the nose.


The septal deviation may be asymptomatic, especially when it is congenital. When symptomatic, it manifests with disrupted airflow through the narrowed side of the nasal cavity.  The patient may suffer from recurring infectious rhinitis and sinusitis.


The diagnosis is made by an otolaryngologist who examines the patient with the above-mentioned difficulties. The doctor can simply look into the nostrils while using special dilating tool or even by a thin endoscopic device.


The treatment is primarily surgical. The intervention is known as septoplasty and it is performed by otolaryngologists. It is usually done under general anesthesia and it includes removal of the deviated parts of the septum and fixation of the septum to the middle position. In the end of the procedure, nose tamponade is forme to prevent nosebleed. The tamponade is usually removed within two days after the surgery.


Jiri Stefanek, MD  Author of texts: Jiri Stefanek, MD
 Sources: basic text sources