Deviated Nasal Septum: Symptoms, Diagnosis, and When to Consider Surgery
Do you frequently experience nasal congestion, breathing difficulties, or sinus infections on one side of your nose? You might be dealing with a condition known as a Deviated Nasal Septum (DNS) — a common anatomical issue affecting the nasal passages.
In this blog, we’ll break down what a deviated septum is, what symptoms to watch for, how it is diagnosed, and when surgery (septoplasty) becomes necessary. If left untreated, a deviated septum can severely impact your quality of life and lead to chronic sinus issues.
What Is a Deviated Nasal Septum?
The nasal septum is the thin wall of cartilage and bone that divides your nasal cavity into two nostrils. In a perfectly aligned nose, this septum is centered, allowing for equal airflow through both sides.
A deviated nasal septum occurs when this wall is displaced to one side, partially or completely obstructing airflow in one of the nostrils. This deviation can be congenital (present from birth) or caused by trauma or injury to the nose.
Common Symptoms of a Deviated Septum
Mild deviations may go unnoticed, but significant deviations can cause the following symptoms:
- Difficulty breathing through one or both nostrils
- Chronic nasal congestion, often worse on one side
- Frequent sinus infections or post-nasal drip
- Noisy breathing during sleep or snoring
- Nosebleeds
- Facial pain or pressure
- Headaches or a feeling of fullness around the sinuses
Note: Symptoms often worsen during colds, allergies, or seasonal weather changes.
How Is a Deviated Nasal Septum Diagnosed?
If you’re experiencing persistent nasal obstruction or other symptoms listed above, it’s time to see an ENT specialist. Diagnosis typically involves:
- Medical History
Your ENT will review symptoms, frequency, and any history of nasal trauma or breathing issues.
- Physical Examination
Using a nasal speculum and light source or nasal endoscopy, the doctor examines the inside of the nose to assess the septum’s alignment and identify any blockage or swelling in the turbinates.
- Imaging (if needed)
A CT scan may be recommended in complex cases to evaluate the extent of deviation and its effect on surrounding structures.
Non-Surgical Management: Can a Deviated Septum Be Treated Without Surgery?
While a deviated septum cannot be corrected without surgery, certain medications may temporarily relieve symptoms such as congestion or inflammation:
- Nasal corticosteroid sprays (to reduce swelling)
- Decongestants (short-term relief)
- Antihistamines (if allergies are involved)
- Saline nasal sprays (for dryness or irritation)
These treatments do not fix the structural issue but may help manage mild symptoms.
When Should You Consider Surgery (Septoplasty)?
- Persistent difficulty breathing through the nose
- Frequent or chronic sinus infections
- Sleep disturbances due to snoring or obstructed breathing
- Dependence on nasal sprays or decongestants for relief
- Recurrent nosebleeds
- A visibly crooked or misshapen nose (may require septorhinoplasty)
What Is Septoplasty?
Septoplasty is a surgical procedure performed by an ENT surgeon to straighten and reposition the nasal septum. It is done under local or general anesthesia and typically involves:
- Removal or reshaping of deviated cartilage and bone
- Restoring proper nasal airflow
- Usually performed as a day-care surgery
- Recovery in 7–10 days, with minimal downtime
Recovery After Septoplasty: What to Expect
- Nasal packing or splints may be used for support (removed after a few days)
- Temporary swelling or mild discomfort
- Avoid strenuous activities for at least a week
- Nasal breathing improves significantly within 2–3 weeks
A deviated nasal septum is more than just a structural issue — it can have a serious impact on your breathing, sleep quality, and overall health. If you’re dealing with chronic nasal blockage, recurring infections, or snoring, don’t ignore the signs. Early diagnosis and expert treatment can make a world of difference.
If you’re experiencing symptoms of a deviated nasal septum, consult Dr. Shailesh Pandey, one of the leading ENT specialists in Mumbai, at AUM ENT Clinic. With extensive experience in nasal and sinus surgeries, Dr. Pandey provides accurate diagnosis and personalized treatment plans — including advanced septoplasty procedures — to help you breathe freely and live comfortably. Book your consultation today and take the first step toward better nasal health!
