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Nasal septum deviation

A deviated septum occurs when the thin wall (nasal septum) between your nasal passages is displaced to one side. In many people, the nasal septum is displaced — or deviated — making one nasal passage smaller.

When a deviated septum is severe, it can block one side of your nose and reduce airflow, causing difficulty breathing. The additional exposure of a deviated septum to the drying effect of airflow through the nose may sometimes contribute to crusting or bleeding in certain individuals.

Nasal obstruction can occur from a deviated nasal septum, from swelling of the tissues lining the nose, or from both. Treatment of nasal obstruction may include medications to reduce the swelling or nasal dilators that help open the nasal passages. To correct a deviated septum, surgery is necessary.

Causes

  • A deviated septum occurs when your nasal septum — the thin wall that separates your right and left nasal passages — is displaced to one side.
  • A deviated septum can be caused by:
  • A condition present at birth. In some cases, a deviated septum occurs during fetal development and is apparent at birth.
  • Injury to the nose. A deviated septum can also be the result of an injury that causes the nasal septum to be moved out of position. In infants, such an injury may occur during childbirth. In children and adults, a wide array of accidents may lead to a nose injury and deviated septum — from tripping on a step to colliding with another person on the sidewalk. Trauma to the nose most commonly occurs during contact sports, active play or roughhousing, or automobile accidents.

Symptoms

The most common symptoms of a deviated septum are difficulty breathing and ongoing sinusitis, infection, or inflammation of the nasal mucous membranes.

Symptoms are often mistaken for those of a respiratory infection, common cold, or allergy.

People with mild cases of deviated septum may only notice symptoms during these times.

Other symptoms and signs associated with deviated septum include:

  • nasal blockage, often more intense on one side
  • nasal congestion
  • frequent sinus infections
  • sinus infections that are resistant to medication
  • frequent nosebleeds
  • frequent crusting or dry nose, often in the larger nostril due to increased air flow drying out mucous membranes
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