Deviated Nasal Septum

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.