Deviated Nasal Septum
Deviated Nasal Septum and Treatment in Dubai and Abu Dhabi
A deviated nasal septum is a common condition that can interfere with normal nasal airflow and sinus drainage. It occurs when the thin wall of cartilage and bone separating the two nasal passages is displaced to one side. While mild deviation may not cause symptoms, significant deviation can lead to breathing difficulty, recurrent sinus infections, and sleep disturbances.
The nasal septum divides the nasal cavity into two air passages. Ideally, it is centrally positioned, allowing equal airflow on both sides. When the septum is deviated, airflow through one or both nasal passages may be restricted.
Septal deviation can be present at birth, develop due to injury, or worsen over time as the nasal structures change. In some individuals, it may remain asymptomatic, while in others it can significantly affect breathing and sinus health.
Common causes include:
Congenital deviation: Present from birth due to developmental variation
Nasal trauma: Injury from sports, accidents, or falls
Age-related changes: Gradual structural changes in cartilage and bone
Previous nasal surgery: Alteration of septal alignment in some cases
Regardless of cause, a deviated septum can affect nasal comfort and airflow if not properly evaluated.
Symptoms vary based on severity and may include:
Difficulty breathing through one or both nostrils
Persistent nasal congestion
Frequent nosebleeds due to dryness
Recurrent sinus infections or headaches
Postnasal drip or nasal pressure
Snoring or disturbed sleep
Facial discomfort or pressure
ENT evaluation is recommended when these symptoms are persistent or affect daily function.
Diagnosis is based on clinical assessment and may include:
Nasal endoscopy: Visualization of septal alignment and obstruction
CT imaging: Evaluation of sinus structures and extent of deviation
Airflow assessment: Measurement of nasal breathing efficiency
Based on findings, a treatment plan is developed according to symptom severity and clinical need.
Treatment depends on symptom severity and impact on breathing or sinus health.
Medical Management
For mild symptoms, treatment may include:
Saline sprays to moisturize the nasal passages
Nasal steroid sprays to reduce inflammation
Antihistamines or decongestants when allergies are present
These measures can reduce symptoms but do not correct the anatomical deviation.
Surgical Treatment (Septoplasty)
When symptoms persist despite medical management, septoplasty may be recommended. Septoplasty is a functional surgical procedure that straightens the nasal septum to improve airflow.
During the procedure:
Deviated cartilage or bone is repositioned or removed
The mucosal lining is preserved
Normal airflow is restored
Surgery is typically performed under local or general anesthesia and is usually completed within 60–90 minutes. Most patients are discharged the same day.
Recovery is generally well tolerated and includes:
Temporary nasal congestion or swelling
Avoidance of strenuous activity for the first week
Sleeping with head elevation
Use of prescribed nasal sprays or saline rinses
Most patients resume normal activities within one week, with full recovery in two to four weeks.
Surgical correction may result in:
Improved nasal breathing
Reduced sinus infections
Better sleep quality
Decreased snoring
Relief from chronic congestion and facial pressure
Although septal deviation cannot always be prevented, maintaining nasal health may help reduce complications:
Avoid nasal trauma
Treat allergies early
Use humidifiers in dry environments
Avoid smoke and irritants
Treatment cost varies depending on:
Diagnostic tests required
Severity of deviation
Whether surgery is needed
Follow-up care
Cost details are discussed during consultation based on the individual treatment plan.
