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Deviated Nasal Septum Treatment | Bent Nose Correction

Get the best treatment for deviated septum only at Pristyn Care. Our surgeons have several years of experience in performing advanced septoplasty procedures for correcting a deviated septum and relieving its symptoms.. Book your appointment today.

Get the best treatment for deviated septum only at Pristyn Care. Our surgeons ... Read More

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    Dr Nikhil Jain (R59On9aojl)

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  • What is Deviated Nasal Septum?

    The septum is a structure composed of cartilage and bone that divides the nose into two equal parts. When this cartilage is inclined towards either side, it results in a condition called deviated septum. A deviated septum can be either congenital or caused by an accident. It is considered a health condition and can lead to significant problems for those affected.

    People with a deviated septum often experience difficulty in breathing and nasal congestion due to the blocked nasal passage. It is estimated that around 80% of the global population has some degree of nasal septum deviation, but in most cases, it is minor and doesn’t interfere with normal nose functioning. However, in more severe cases, it can significantly impact daily life and productivity.

    Medication or oral treatments are usually not effective in curing a deviated septum since it involves both bone and cartilage. As a result, surgical intervention is often recommended. The most common and effective surgical procedure for fixing a deviated septum is advanced septoplasty. This minimally invasive surgery utilizes modern medical technology to correct the deviation and restore normal nasal functioning.

    • Disease name

    Deviated Nasal Septum

    • Surgery name

    Septoplasty

    • Duration

    1 - 2 hours

    • Treated by

    ENT Surgeons (Otolaryngologists)

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    What Are Deviated Nasal Septum Types?

    Deviated nasal septum types are typically classified based on the severity and location of the deviation. Different types of deviated nasal septum are as follows:

    • Deviation to the left: In this type, the septum is shifted more towards the left nasal passage and is known as a left deviation.
    • Deviation to the right: This type of deviation occurs when the septum is shifted more towards the right nasal passage.
    • Spur deviation: A spur is a bony outgrowth or projection along the nasal septum, which can cause blockages and hinder proper airflow.
    • High septal deviation: In this type of deviation, the upper part of the nasal septum is displaced, causing obstruction in the upper part of the nose.
    • Low septal deviation: In lower septal deviation, the lower part of the nasal septum is displaced, causing obstructions in the lower part of the nose.
    • C-shaped deviation: In this type, the nasal septum is bent in a C-shape, causing one nostril to be larger and more open than the other.
    • S-shaped deviation: This type involves an S-shaped curve in the nasal septum, leading to more complex and pronounced obstructions in the nasal passages.

    It is important to note that most people have some degree of nasal septum deviation, but not everyone experiences symptoms or requires treatment. However, in some severe cases where it causes significant breathing difficulties or other complications, medical intervention such as septoplasty (surgical correction of the septum) may be recommended. If you suspect you have a deviated nasal septum or experiencing chronic nasal issues, it’s best to consult with an ENT surgeon for a proper evaluation and guidance.

    Are you going through any of these symptoms?

    What Happens During Nasal Septum Repair Surgery Procedure?

    Nasal septum repair surgery, also known as Septoplasty, is typically performed on an outpatient basis, allowing patients to return home on the same day of the surgery. The procedure is carried out under the influence of general anesthesia, ensuring that the patient is asleep throughout the procedure. Alternatively, local anesthesia can be used to numb the specific area targeted for surgery.

    The entire procedure is conducted internally within the nose. The surgeon makes an incision on one side of the nose, gently lifting the mucosa (a thin protective membrane covering the septum). This provides access to the septum’s bone and cartilage, which can then be reshaped as necessary. In some cases, portions of the bone and cartilage may be removed, followed by the repositioning of the underlying structures. Afterward, the mucosa is carefully placed back over the septum. The entire procedure typically lasts between 30 to 90 minutes.

    Post-surgery, the surgeon may insert splints or soft packing to support the nasal tissue, prevent nosebleeds, and minimize the risk of scar tissue formation. These splints are usually left in place for about a week. In certain cases, dissolving stitches may be used, which naturally disappear over time.

    Benefits of Deviated Nasal Septum Surgery

    Listed below are some potential benefits of nasal septum surgery:

    • Reduce the chances of sinus infections: Septoplasty helps improve mucus drainage from the sinuses that were previously partially or completely blocked, which helps in preventing further sinus infections.
    • Improved senses: Septoplasty helps in improving the senses of patients with impaired smell or taste senses by allowing a better flow of oxygenated air to the body.
    • Improved breathing: Septoplasty improves airflow to the lungs by opening the nasal passages and improves the overall breathing capability of the patient.
    • Better sleep quality: A crooked septum can lead to poor sleep quality due to obstructive sleep apnea. Septoplasty improves the airflow and the overall quality of sleep by relieving the obstruction.

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    Preparation Before Nasal Septum Surgery

    Here are some preparation tips to follow before nasal septum surgery to avoid the chances of complications: 

    • Before surgery, discuss your medical history, including information regarding your dietary and medical allergies, without fail.
    • If you have any bleeding or clotting disorders for which you are taking blood thinners, then you need to consult your ENT specialist regarding their dosage.
    • Smoking and tobacco usage slow down recovery and increase the risk of complications, so refrain from smoking for at least a week leading to the surgery.
    • If you are undergoing surgery under general anesthesia, then refrain from eating or drinking anything after midnight on the day before the surgery.
    • Avoid wearing any makeup, nose rings, etc., on the day of the surgery. Wear loose-fitting clothing during the surgery so that you are comfortable.

    Recovery After Deviated Nasal Septum Surgery

    The recovery period after septoplasty surgery varies from individual to individual. After surgery, incisions heal fairly quickly, and pain and swelling decrease significantly in a short period of time. However, complete recovery may take a little longer.

    • One to two days: Attend all the follows up appointments with your surgeon. After one to two days, a doctor usually advises removing dressings, packing, or splints. 
    • One to two weeks: A doctor usually suggests minimizing activities, especially those that involve lifting or straining.  
    • One to two months: You can experience some pain and swelling after surgery. It may take months to experience the complete benefit after surgery. 
    • Three months to one year: Cartilage and nasal tissue can take three to six months to heal fully. You can notice improvements in breathing problems, like snoring and dry mouth. These results can take time and vary from person to person.

    Risk & Complications Associated with Nasal Septum Repair Surgery

    Septoplasty is a low-risk procedure, but like any surgical procedure, it also carries certain risks and complications. Some common risks and complications are as follows:

    • Bleeding: A small amount of bleeding is common after nasal surgery. In some rare cases, excessive bleeding can occur.    
    • Infection: After septoplasty, there is a risk of wound infection. Some common signs of wound infection are swelling, a warm nose, yellow or greenish discharge, or a foul smell coming from the nose.  
    • Toxic shock syndrome: Postoperative TSS has been described following nasal surgery associated with the use of postoperative nasal packing.
    • Tooth and nose numbness: In some instances, some of the nerves that lead to the gums, front teeth, and upper jaw go through the nose. Septoplasty increases the risk of injury to these nerves and ongoing numbness. The numbness usually resolves after a few months.
    • Septal perforation: A small hole can sometimes develop in the nasal septum during or after the surgery, especially in the case of postoperative infection. If the perforation leads to bleeding or other similar complications, a person might require further surgery.

    Lifestyle Changes After Deviated Septum Surgery

    After deviated septum surgery, you must adopt some lifestyle changes to promote healing and to reduce the chances of any complications post-surgery:

    • Activity level: A doctor usually suggests resting for a few days after surgery. You can resume light activities after one week. Avoid strenuous physical activities for one month this includes gym, swimming, and contact sports. Avoid nose blowing, and sneeze with your mouth open for the first week.   
    • Diet: Start with a light diet, preferably liquids or soups, and then progress to a regular diet after 24 hours. 
    • Pain control: Take over-the-counter pain relievers such as acetaminophen and ibuprofen. If required, you can alternate acetaminophen and ibuprofen every three hours to control discomfort. 
    • Antibiotics: In some cases, there is a chance of wound infection, a healthcare provider usually suggests a few antibiotics to reduce the chances of infection. Take all prescribed medicines after surgery.
    • Surgical dressing: After surgery, a surgeon places gauze under the nose. If you have excessive bleeding that requires changing the gauze every hour, call your doctor for further instructions. A surgeon may also place soft splints or packing inside your nose. 
    • Keep the surgical site clean: Rinse the inside of your nose every day. If you develop crusting around the nostrils, dip a cotton swab in half-strength hydrogen peroxide. After that, gently clean the area, being careful not to insert the cotton swab into the nostrils.  

    Cost of Deviated Nasal Septum Surgery

    The cost of deviated nasal septum surgery in India typically ranges from around INR 40,000 to INR 60,000. This is the estimated cost of surgery, the final cost can vary depending on various factors, including

    • Consultation fees of the surgeon
    • City of the treatment 
    • Choice of the hospital
    • The severity of the condition
    • Cost of diagnostic tests
    • Any pre-existing health condition
    • Post-surgical care and complications

    Deviated Septum Surgery Coverage Under Insurance

    Septoplasty is a surgical procedure that aims to correct a deviated nasal septum. The total expense of this procedure can be quite high, which is why it is always beneficial to have health insurance or mediclaim coverage. It prevents you from having to manage medical expenses on your own. Learn how health insurance and mediclaim policies can benefit you if you have to undergo septoplasty.

    Home Remedies For Deviated/Crooked Nasal Septum

    Listed below are some home remedies that you can try for deviated nasal/crooked nasal septum:

    • Nasal steroids

    Individuals with a deviated septum often experience discomfort and difficulty breathing, particularly when dealing with allergies and infections. To provide relief from allergic reactions, one of the most effective treatment options available over the counter is nasal steroids. However, it’s essential to understand that these medications need to be used consistently over an extended period for optimal results. It’s worth noting that some side effects may occur, such as dryness, stinging, throat soreness, and, in rare cases, nosebleeds. If someone has a prolonged medical condition, it’s crucial for them to consult their doctor or pharmacist before using steroid nasal sprays.

    • Allergic medicines

    Allergic inflammation can exacerbate the impact of a deviated septum. In these situations, antihistamines can be beneficial. These medications are offered in both chewable tablets and nasal spray forms. However, it is essential to select a non-drowsy option to avoid any interference with driving or work while using them.

    • Nasal strips

    These nasal aids are similar to band-aids with spring-like bands that adhere to the nose. When worn at night before bedtime, they lift the sides of the nose away from the septum, effectively widening the nasal passages and improving airflow. Additionally, wearing these aids during sleep can significantly reduce snoring. They are readily accessible at local pharmacies and do not require a prescription for purchase.

    • Nasal dilators

    Nasal dilators function by mechanically opening the nasal passages, reducing air resistance for improved airflow. Two primary types of nasal dilators are available: external and internal. External dilators exert outward force from the outside, while internal dilators apply pressure from within the nostrils.

    • Nasal Valve Support

    The nasal valve support is discreetly inserted inside the nose to alleviate blockages in the front nasal area, resulting in enhanced airflow without causing any discomfort or irritation. Its placement inside the nose ensures that it remains unnoticeable to others.

    • Nasal irrigations or Neti-Pot

    A Neti-pot is a nasal irrigation system that involves gently pouring a saline solution through the nasal cavity. This natural method effectively clears mucus and alleviates sinus pressure. It can also enhance the function of cilia in the nasal lining, aiding in mucus clearance. Saline solutions for nasal irrigation are conveniently available in bottled form at local pharmacies. After using a Neti-pot, it’s crucial to clean it thoroughly to reduce the risk of infection. It is recommended to use boiled and cooled water instead of tap water for this purpose.

    • Vaporizer or Humidifier

    A vaporizer or humidifier is a compact device designed to add moisture to the air. Dryness in the nose can exacerbate symptoms of a deviated septum, making it beneficial to breathe in moist air, particularly during sinusitis episodes. Vaporizers generate steam by heating water, so it’s essential to keep them out of reach of children. When using a vaporizer or humidifier in a room, ensure proper ventilation to prevent the accumulation of moisture, which can create an ideal environment for bacteria, mold, and dust mites. After each use, be sure to clean the device to maintain its hygiene thoroughly.

    • Taking a hot shower

    The effects of using a vaporizer and taking a hot shower are the same- breathing in moist air. Hence, taking a hot shower will help in reducing nasal congestion due to nasal obstruction caused by a deviated septum.

    • Avoiding irritants

    Allergies are the main cause of congestion in people with deviated septums and make it worse. Therefore, be sure to stay away from anything that can irritate one. Avoid irritants like pollen, dust mites, animals, and so forth. Smoke, paint fumes, household chemicals, and perfumes can also cause allergies in some people. Therefore, avoid these substances as well. Several food allergies, including milk and red wine, can also cause nasal congestion.

    • Natural Treatment

    Breathing retraining therapy is another rare treatment option. It is a natural therapy that can alleviate symptoms caused by a deviated septum. This technique is specifically designed to improve functional breathing patterns. People with a deviated septum generally tend to suffer from over-breathing and need to normalize this hyperventilation. This breathing technique aims to train the body to breathe more slowly and regularly. 

    Questions to Ask Your Surgeon Before Deviated Nasal Septum Surgery

    Before surgery, you must ask the following questions to your surgeon to have a better understanding of the procedure and the risks and complications associated with it:

    • What are the risks and complications of deviated nasal septum surgery?
    • Is septoplasty painful?
    • How long does it take to recover completely after the septoplasty surgery?
    • Can I breathe after septoplasty surgery?
    • What precautions do I need to take after septoplasty surgery to promote healing?
    • Are there stitches in septoplasty surgery?
    • What is the success rate of septoplasty surgery?
    • Can I touch my nose after septoplasty surgery?
    • Is deviated nasal septum serious?
    • Can deviated nasal septum be cured?
    • What are the treatment options for deviated nasal septum except for surgery?
    • How can I fix my deviated nasal septum naturally?
    • Is deviated nasal septum permanent?

    Frequently Asked Questions of Deviated Septum

    When does deviated septum treatment become necessary?

    A deviated septum rarely causes serious symptoms. However, it can still cause some discomforts including difficulty breathing, nosebleeds, facial pain, noisy breathing, and so on that can make treatment important. In some cases, people get treatment for aesthetic reasons. 

    Is septoplasty covered under insurance?

    If you wish to receive the surgery for cosmetic reasons like modifying the shape of your nose, then it won’t be covered under insurance. But, if you’re undergoing septoplasty due to  other medical concerns, then the insurer will most likely cover the cost of the entire surgery. 

    Is septoplasty painful?

    Yes. After the surgery, you may feel mild to moderate pain around the eyes and forehead, along with some numbness in your teeth, etc. 

    How long is the duration of clinic stay after septoplasty?

    Septoplasty takes around 45 minutes to one hour to complete. Most patients get discharged from the clinic as soon as the effect of the anesthesia wears off. 

    What is the success rate of septoplasty?

    Around 85% of people experience a reduced nasal blockage from this treatment, and their noses appear a lot better as well.

    Can a deviated septum be corrected without surgery?

    Yes. If you have mild symptoms then it can be treated without surgery. But if the symptoms or discomfort are serious, then surgery is the only option.

    What are some conservative methods for treating deviated septum?

    Here are some home remedies for deviated septum:

    • Allergic medicines like Antihistamines relieve deviated septum caused due to allergies. 
    • Nasal strips lift the sides of the nose and open the passageways. 
    • Use a vaporizer or humidifier to keep the air moist. Dry air can make the condition worse. 
    • Keep yourself away from irritated triggers such as dust, mites, animals etc.

    Is deviated nasal septum serious?

    Minor nasal septum deviation may not cause any complications at all. But if you have a severely deviated septum, you may develop complications, including chronic sinus issues.   

    What symptoms does a deviated septum cause?

    The common symptoms of deviated nasal septum are as follows:

    • Nosebleeds
    • Facial pain
    • Noisy breathing during sleep
    • Obstruction of one or both nostrils

    How can I prevent nasal septum deviation?

    Some people are born with deviated nasal septum. Others may develop during development in childhood. If you don’t already have a septum, there are ways to reduce the risk:

    • Always wear your seatbelt
    • Wear protective gear 

    Can deviating septum cause sleep apnea?

    Yes, a deviated septum can block the airflow through nasal passages, which leads to snoring and sleep apnea.  

    What causes a deviated septum?

    Some common causes of deviated septum include,

    • An injury like a broken nose
    • Playing contact sports
    • Car accidents
    • Falls
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    Content Reviewed By
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    Dr Nikhil Jain
    12 Years Experience Overall
    Last Updated : September 26, 2024