How to treat enlarged turbinates and a deviated nasal septum?

Written by Deng Bang Yu
Otolaryngology
Updated on September 10, 2024
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For the condition of enlarged turbinates and a deviated nasal septum, we need to understand that these are pathological changes in the anatomical structure of the nose. In dealing with anomalies in the anatomical structure, our first step should be to perform a CT scan, then assess the extent of the enlargement of the turbinates and the deviation of the nasal septum. If the condition is severe, and there are relatively prominent symptoms such as nasal congestion, nosebleeds, and even headaches, then we should consider correcting these abnormal structures surgically, by removing these anomalies or correcting the deviated nasal septum or addressing the factors causing the turbinate hypertrophy. If there are no significant symptoms or only minor deviation or enlargement, treatment usually involves medication, primarily nasal sprays such as intranasal corticosteroids. In summary, there are mainly two treatment methods: surgical and medical treatments.

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Written by Deng Bang Yu
Otolaryngology
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Can a deviated nasal septum cause rhinitis?

A deviated septum refers to the condition where the cartilage and bone tissues of the nasal septum are skewed towards one side of the nasal cavity. This structural deviation can lead to nasal congestion, nosebleeds, and even headaches. If these symptoms are not present, it might be that the septum is deviated but not severely so. However, if these symptoms do appear, then it is necessary to address the deviated septum. There is an inevitable connection between a deviated septum and rhinitis, meaning a deviated septum will certainly lead to rhinitis. Rhinitis involves inflammation of the nasal mucosa. Therefore, the presence of a deviated septum will definitely cause rhinitis. Thus, actively treating a deviated septum greatly aids in the recovery from rhinitis.

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Written by Li Rui
Otolaryngology
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How to treat a deviated nasal septum?

The treatment of a deviated nasal septum primarily depends on the severity of the condition. If it is a minor deviation without noticeable clinical symptoms, most people can simply be observed and may not require specific treatment. However, if the deviation is significant and accompanied by clinical symptoms, such as frequent poor nasal ventilation, particularly blocked nostrils on the deviated side, as well as possible nosebleeds or headaches, surgery might be considered. Currently, corrective surgery for a deviated nasal septum under endoscopy is a minimally invasive procedure. Although there are certain risks associated with the surgery, the overall risk is not high. After surgical treatment, most patients are able to recover normally.

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Written by Deng Bang Yu
Otolaryngology
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The main reason that a deviated septum causes headaches

In clinical practice, a deviated nasal septum can be structural, which often leads to symptoms such as nasal congestion, nosebleeds, and headaches. There are primarily two reasons why a deviated nasal septum may cause headaches. First, the deviated septum directly irritates the middle turbinate, leading to anterior ethmoid nerve syndrome and severe headaches. Second, the deviated septum may lead to secondary conditions such as rhinitis or sinusitis, which also cause headaches. Therefore, in clinical practice, surgical intervention is needed to correct a deviated nasal septum causing headaches. Before surgery, a CT scan is usually conducted to rule out sinusitis or other diseases causing the headaches. However, it is important to inform patients preoperatively that even after the surgery, headaches caused by the deviated septum may not be completely relieved or eliminated. This is crucial information to communicate to patients before the procedure.

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Written by Zhang Jun
Otolaryngology
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symptoms of cancerous transformation of a deviated nasal septum

A deviated nasal septum does not lead to cancerous changes in patients. It's a condition involving a bony deviation and is a common and frequent disorder in the field of otolaryngology. Generally, a deviated nasal septum occurs due to abnormal development of the nasal septum during the embryonic stage or from subsequent trauma to the nasal septum or tumors in the nasal cavity, causing local pressure and deviation to one or both sides of the septum. Following a septal deviation, patients may experience persistent nasal congestion, accompanied by nasal discharge, facial pain, and headaches. A deviated nasal septum can also trigger the occurrence of nasal polyps and sinusitis, but it does not lead to local cancerous changes. If a patient's symptoms are mild, special treatment is generally unnecessary. However, if clinical symptoms appear, corrective surgery for the deviated nasal septum can completely cure the condition.

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Written by Li Rui
Otolaryngology
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Is the deviation of the nasal septum severe?

Deviated nasal septum is generally not too severe. Overall, its harm to health is not significant. Whether a deviated nasal septum is serious depends on individual differences, and one should primarily examine the specific condition inside the nasal cavity. If the degree of deviation is not severe and there are no clinical manifestations, it generally does not require specific treatment, mainly regular reviews to observe any changes. However, if the deviation is quite pronounced and accompanied by clinical symptoms such as headache, dizziness, nasal congestion, or nosebleeds, it may be necessary to consider surgical correction. Currently, the main approach is minimally invasive surgery using an endoscope, and the overall results are quite definitive.