What is deviated nasal septum?

Sep 13, 2022 Source: Cainiu Health

Dr. Xu Gang

Introduction

Deviated nasal septum: most people in the general population have some degree of deviated nasal septum, which is caused by uneven growth and development of the cartilage and bone within the nasal septum during physical development. A deviated septum can be more clearly observed by a doctor through direct examination. If symptoms are caused by septal deviation, the affected nasal cavity should be stabilized and possibly obstructed, and surgical treatment should be considered.

A well-defined nose can enhance the three-dimensional appearance of facial features. However, a deviated septum can significantly diminish the aesthetic appeal of the nose. What exactly is a deviated septum?

What Is a Deviated Septum?

Septal deviation is quite common in the general population. It usually results from uneven growth and development of the cartilage and bone within the nasal septum during physical maturation. A deviated septum can be clearly observed by doctors during a direct examination. If symptoms are caused by septal deviation, the affected nasal cavity may require fixation and packing, and surgical intervention should be considered.

A deviated septum is primarily caused by congenital developmental factors or trauma. Some individuals may have a curved septum but experience no discomfort or disruption to daily life. This condition is known as physiological curvature and typically does not require special treatment. However, if the deviation leads to clinical symptoms such as chronic nasal obstruction, recurrent nosebleeds, or frequent reflexive headaches, submucosal septoplasty may be considered for patients who have not responded to systematic non-surgical treatments.

The nasal septum is a normal anatomical structure of the nasal cavity and an essential component for its function. If there is a high perforation in the septum, it may lead to collapse of the external nose, resulting in a saddle-nose deformity, while anterior septal defects can cause nasal obstruction. Normal nasal resistance is crucial for effective gas exchange within the alveoli. We hope this information has been helpful. Wishing you good health and happiness.

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How many levels of disability does a nasal bone fracture and septal fracture constitute?

Under normal circumstances, nasal bone fractures and septal fractures are classified as Grade IX to Grade X disabilities. Disability grading is determined according to the severity of the injury, ranging from Grade I (most severe) to Grade X (least severe). Nasal bone fractures and nasal septum fractures are common nasal injuries that may affect functions such as breathing, smell, and appearance, thus leading to a certain level of disability classification.

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What is the best medication for nasal septum erosion?

There is no single best medication for nasal septum erosion; however, antibiotics, topical nasal sprays, and topical ointments are commonly recommended. For oral treatment, cefprozil granules or cephalexin capsules may be used. Topical corticosteroid nasal sprays such as fluticasone propionate nasal spray or triamcinolone acetonide nasal spray are frequently prescribed. Additionally, ointments like roxithromycin ointment or erythromycin ointment can be applied inside the nasal cavity for treatment.

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What should I do about redness, swelling, and congestion of the nasal septum?

Nasal septum redness, swelling, and congestion can generally be managed under a doctor's guidance through medications, surgical treatment, or other therapeutic approaches depending on the underlying cause. Inflammation within the nasal mucosa may lead to mucosal congestion, swelling, and turbinate enlargement, often accompanied by symptoms such as nasal obstruction and runny nose. In such cases, antibiotic medications may be used as directed by a physician.

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The entire process of septoplasty for deviated nasal septum

The entire process of septoplasty surgery is relatively complex. The procedure begins with administering general anesthesia to the patient. Then, an L-shaped incision is made in the mucosa of the nasal area, and the bilateral nasal septal mucosa are dissected. Next, part of the nasal cartilage is removed, followed by resection of the perpendicular plate of the ethmoid bone and the vomer bone. Finally, the mucosal incision is sutured and packed with hemostatic material to control bleeding.