• Deviated Nasal Septum

    (Deviated Septum)

    Definition

    The nasal septum is the wall that separates the left and right nostrils. A centered septum allows air to flow equally through each nostril. In a deviated nasal septum, the wall is not centered.
    A deviated septum may cause no symptoms at all. In severe cases, airflow through one or both nostrils may be blocked. A blocked nostril may cause chronic stuffiness and a tendency to get sinus infections.
    Deviated Septum
    IMAGE
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    Causes

    Causes include:
    • Present at birth—arose during fetal development (5% of cases)
    • Birth injury to the nose
    • A blow to the nose, often during an accident or while playing sports

    Risk Factors

    Risk factors include:
    • Contact sports, especially karate or football without appropriate protective headgear
    • Trauma is the most common risk factor

    Symptoms

    Symptoms include:
    • Stuffy nose (one or both sides)
    • Sinus infections
    • Nosebleeds
    • Breathing noisily during sleep
    • Facial pain or headache

    Diagnosis

    The doctor will ask about your symptoms and medical history. A physical exam will be done. The doctor will examine the nasal passages. A nasal speculum will hold the nose open. A thin telescope is passed into the nose.

    Treatment

    Most people will not require treatment. In severe cases, surgery may be needed. Surgery on the septum alone is called septoplasty. It relieves nasal blockage by centering the septum between the two nostrils.
    Sometimes surgery to reshape the nose (rhinoplasty) is performed at the same time. The two procedures together are called septorhinoplasty. Children who need surgery usually wait until they have stopped growing, around age 16.

    Prevention

    To help prevent a deviated septum:
    • Wear seat belts in automobiles and airplanes
    • Wear appropriate protective headgear when playing sports

    RESOURCES

    American Academy of Otolaryngology–Head and Neck Surgery http://www.entnet.org

    HealthFinder, US Department of Health and Human Services http://www.healthfinder.gov

    CANADIAN RESOURCES

    Canadian Society of Otolaryngology http://www.entcanada.org

    The Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca

    References

    Beers MH, Berkow R, et al. Merck Manual of Diagnosis and Therapy. 17 th ed. Whitehouse Station, NJ: Merck and Company;1999.

    Fact sheet: deviated septum. American Academy of Otolaryngology–Head and Neck Surgery website. Available at: http://www.entnet.org/HealthInformation/deviatedSeptum.cfm. Accessed July 24, 2008.

    Revision Information


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