What is Deviated Septum (Nasal Deviation)? Symptoms, Treatment, and Surgery Process

The nose is one of the most important organs of the face both aesthetically and functionally. As the starting point of respiration, the nose filters, humidifies, and warms the air. However, in some individuals, the internal nasal structures may not be properly aligned. This condition is called deviation or deviated septum.

So, what exactly is a deviated septum, what problems does it cause, and is surgery always necessary? Here are the details:

What is a Deviated Septum?

Deviation occurs when the nasal septum, the structure that divides the nose into two equal passages, shifts from the midline. The nasal septum consists of bone and cartilage. When crooked:

• Airflow becomes restricted

• Nasal obstruction occurs

• Breathing quality decreases

A deviated septum can be congenital or develop after trauma (injury, accident).

Symptoms of a Deviated Septum

People with nasal deviation may experience:

• Unilateral or bilateral nasal obstruction

• Mouth breathing habit

• Recurrent sinus infections

• Nosebleeds

• Snoring and sleep apnea

• Fatigue and lack of concentration (due to insufficient oxygen)

In some cases, deviation is mild, while in others, it significantly affects quality of life.

How is Deviated Septum Diagnosed?

Diagnosis is made by an ENT specialist through examination. If necessary:

• Endoscopic examination

• Radiological imaging (CT, MRI)

• Pulmonary function tests

are used to determine the severity of the deviation.

Treatment Methods for Deviated Septum

1. Medication

• Can be used in mild cases.

• Decongestants, antihistamines, and nasal sprays provide temporary relief.

• However, medication cannot permanently correct a deviated septum.

2. Surgical Treatment (Septoplasty)

• Applied in severe cases.

• Septoplasty is the surgical correction of the crooked septum inside the nose.

• Performed under general or local anesthesia.

• It is a functional surgery, not aesthetic (the external appearance of the nose does not change).

Recovery After Septoplasty

• Mild pain, congestion, and bleeding may occur in the first days.

• Patients can return to normal life within 1 week.

• Full recovery takes 2–4 weeks.

• Significant improvement in breathing quality is achieved.

Is Surgery Always Necessary?

Conclusion: Healthy Breathing with Septoplasty

Mild nasal deviation may go unnoticed, but severe cases can significantly reduce quality of life. Septoplasty is a reliable surgical method that restores proper nasal function.

If you suffer from constant nasal congestion, snoring, or sinus problems, it is recommended to consult an ENT specialist without delay.