deviated nasal septum

Deviated nasal septum. When a surgery is necessary?

A nasal Septum deviation is a common condition. A curved nasal septum may be congenital or acquired. We consider the congenital deviation of the nasal septum those where there is a lack of information in the patient’s history of any craniofacial injury and the external nose is not deformed. The cause of acquired nasal Septum deviation are injuries, including perinatal ones.


Deviated nasal septum -symptoms include:

  • nasal congestion, i.e. a feeling of “stuffy nose” on one or both sides,
  • recurrent upper airways infections such as sinusitis, paranasal inflammation, pharyngitis,
  • otitis or chronic ear inflammation,
  • snoring, li>
  • temporary ear clogging due to a poor balance of pressure in the middle ear,
  • headaches,
  • nosebleeds,
  • deterioration of the sense of smell.
deviated nasal septum


No. The indication for the treatment is a Septum deviation confirmed by a laryngologist’s examination and a presence of the above-mentioned symptoms, which have an adverse effect on the patient’s quality of life. The decision to straighten the nasal septum is made based on such examination and a thoroughly Collected interview.

Ailments reported by the patient are of key importance when referring to the surgery for a bent nasal septum, i.e. septoplasty. There are situations where a significant curvature does not cause any discomfort and, conversely, a small curvature can give significant symptoms.

Additional tests that we can uptake to support the diagnosis include endoscopic examination of nasal cavities with local anesthesia and computed tomography of the craniofacial, which allows to assess the impact of the septum on the paranasal sinuses. Currently, septoplasty is usually performed under general anesthesia after the patient has been intubated. It is also possible to perform the procedure under local anesthesia, which, in practice, is less and less common.


The procedure is performed inside the nose, i.e. the incision is made at the border of the skin and mucosa in the Nasal cavity, therefore later the scar is not visible. There is a different approach in case of a surgery of the nasal septum with concomitant deformation of the nasal bridge. This particular procedure is called rhinoseptoplasty, and is performed with external access, the nasal column is cut transversely at its base.

After healing, the scar is almost invisible. The procedure consists in removing parts of the septum causing its asymmetry. After the procedure the nasal cavities should be rinsed for about 2 weeks from the mucus retained inside, nose is also swollen, which causes some discomfort. You should stay at home for 7-14 days. It is recommended to Avoid nose injuries and physical exercises for a month.

A whole separate subject is such treatments performed on children. It is currently believed that a Properly performed septoplasty can be performed regardless the patient’s age. Although, it is recommended to postpone the surgery until the patient is 15, if it is just a Septum deviation. However, in the cases of significant external nasal deformity and major congestion disorders, septum straightening procedure should be performed as soon as possible to ensure that the child’s nose continues to develop properly.

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