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The nasal septum is the cartilaginous membrane dividing the nostrils. The septum is itself comprised of two parts: a hard bone toward the back, and flexible cartilage toward the front. When the cartilage is not straight, it is known as a deviated septum. When the septum is aligned disproportionately in this manner, it can impede the normal flow of air and mucous secretions through the nose.
CT Scan showing deviated septtum
What Are The Characteristics and Symptoms of Deviated Septum?
Who Is Most Likely To Have This Condition?
Risk factors for deviated septum include:
- congenital malformation
- broken nose
Treatment for Deviated Septum:
The preferred treatment for a deviated septum is surgery, known as septoplasty. When, as is often the case, this procedure is combined with cosmetic modifications to the nose (rhinoplasty), the combination is called septorhinoplasty. Septoplasty is often combined with a submucous resection of the turbinates (structures that project from the lateral wall of the nose into the nasal cavity) to ensure easier breathing.
What Does Surgery for a Deviated Septum Involve?
Usually, a general anesthetic is administered; sometimes, a sedative-hypnotic with local anesthesia is used. A small incision is made inside the nose. Then, the mucosa lining the septum is pulled back from the cartilage and bone. Bony spurs are trimmed or removed if present. Bone is also manipulated to the center to achieve reasonable straightening and better nasal airflow. The mucosal lining is then replaced, and the septum is splinted. These splints support the repaired cartilage and prevent hematoma formation (the collection of blood under the tissue). The nose is sometimes packed, but new hemostatic suturing techniques along with the splinting may render the packing unnecessary.
What Are The Advantages Of Surgery for a Deviated Septum?
The anatomical defect causing impaired breathing and congestion is permanently corrected through surgery.
How Long Does It Take?
The procedure of septoplasty alone takes about 90 minutes. When other modifications are made concurrently, the surgery time is extended considerably.
How Many Treatments Are Required?
Usually only one treatment is required.
What Are My Alternatives for Deviated Septum Treatment?
- Decongestants
- Antihistamines to combat allergic rhinitis (hay fever), which is often present as well
- Inhaled or systemic corticosteroids, e.g. Nasonex or prednisone
Will I Have Pain?
There may be minor postoperative pain with septoplasty surgery, though there is not usually significant discomfort. A short course of narcotic pain relievers is typically sufficient for pain relief.
When Can I Go Back To Work Or School?
For septoplasty alone, usually after 5-7 days. Longer for more complex procedures.
Who Will Perform My Deviated Septum Treatment?
The surgery will be performed by one of our highly-trained specialists in the field.
How Much Does It Cost?
Cost depends upon complexity of procedure. Please call TopSurgeons at 800-506-8084 for more information or a free consultation.
Will My Insurance Cover?
Most insurance companies will cover septoplasty, as it is a procedure which improves breathing function.
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