Deviated nasal septum (DNS)

Deviated nasal septum (DNS)

The nasal septum is a cartilage within the nasal cavity that divides the cavity into 2 halves. When the structure of the septum is abnormal (hooked or crooked) protruding into one of the nasal cavities, it is known as a deviated nasal septum. A deviated septum gives rise to breathing problems.

Causative and risk factors

A deviated septum may be present since birth. It can also occur as a result of trauma to the nose.

 

Clinical presentation

Due to its abnormal shape or location, a deviated septum makes breathing difficult. The patient experiences nasal congestion and pain in the head or face. Other symptoms include bleeding from the nose and post-nasal drip. The patient tends to develop recurrent upper respiratory tract infections. A deviated nasal septum can cause the patient to snore and can sometimes even lead to sleep apnea.

 

Investigations

A deviated nasal septum can be diagnosed on the basis of physical examination of the nose.

 

Treatment

A mildly deviated nasal septum that does not produce distressing symptoms can be left alone. When the deviated septum is severe, surgical intervention is necessary. A surgery known as septoplasty is performed to repair a deviated septum. Sometimes another procedure known as rhinoplasty is performed in addition to septoplasty to enhance the cosmetic appearance of the nose.

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