Nasal Obstruction & Septoplasty

Can a deviated septum affect my health?

Depending on the location and the severity of the deviation, a deviated septum can lead to nasal obstruction. Nasal obstruction causes difficulty breathing, dry mucous membranes, nose bleeding, nasal pain or headaches, sinusitis, decreased smell and taste, snoring, post nasal drip, sore throat and a variety of other problems. Oftentimes, enlarged turbinates are associated with septal deviations, and smoke, allergies or infections can make symptoms worse. Finally, septal deviations can lead to external, visible deviations of the nose. It is important to have a complete evaluation of the upper airway with symptoms of nasal obstruction.

Septoplasty is surgery to straighten or change the shape of the nasal septum to treat symptoms and problems associated with nasal obstruction. Depending on the problem at hand, a septoplasty can be performed endoscopically, with small incisions inside the nose, or as an open procedure, if needed. It can be performed under local or general anesthesia, usually on an outpatient basis.

The bone or cartilage of the septum is often repositioned or removed to allow the surgeon to open the nasal airway. Septoplasty itself does not involve sinus surgery or breaking of the nasal bones, although these procedures can also be performed at the same time if needed. Septoplasty itself does not lead to "black eyes" and is associated with very little discomfort or pain. Unless performed as part of a rhinoplasty, septoplasty will not change the appearance of your nose.

Turbinate enlargement is commonly seen with a deviated septum. When performing a septoplasty, it is sometimes necessary to reduce the size of the turbinates. There are many ways of performing this procedure.

There may be initial swelling and nasal congestion after surgery. Occasionally, nasal packing is necessary to help the newly shaped septum heal straight or to prevent bleeding. You should avoid aspirin, nonsteroidal anti-inflammatory medicine, or other herbs and drugs which can cause excess bleeding before surgery. Risks and complications are unusual, however, you should review these with your surgeon. Over the next three to six weeks after surgery, you should start to experience improved nasal airflow. Treatment of nasal obstruction will lead to a better quality of life. Please consult with your otolaryngologist to further discuss treatment of a deviated septum and nasal obstruction.