Is the deviated nasal septum bone removed directly?

Written by Deng Bang Yu

Otolaryngology

Updated on February 22, 2025

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A deviated nasal septum refers to the cartilage or bone of the nasal septum being skewed towards one or both sides of the nasal cavities, leading to a series of symptoms such as nasal congestion, nosebleeds, and headaches. Surgical correction of a deviated nasal septum is usually carried out under nasal endoscopy. The surgery involves the removal of the deviated cartilage and bone tissue while preserving the mucosa. Since the mucosa is straight, this corrects the deviated nasal septum, thereby clearing the nasal passages. Symptoms such as nasal congestion, nosebleeds, and headaches can be effectively alleviated through surgery, so for severe cases of deviated nasal septum, surgical removal is often adopted.

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Written by Li Mao Cai

Otolaryngology

1min 2sec

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What should I do if a deviated nasal septum causes nosebleeds?

Nasal bleeding caused by a deviated nasal septum requires active hemostasis treatment. During the period of nasal bleeding, the deviated area of the nasal septum often forms a protrusion, making one side thinner and more severely deviated, forming a bony spur with a sharp point. The mucosa at this point is thinner and more prone to injuring the surrounding tissue structure. Therefore, nasal bleeding is more likely to occur in a dry nasal cavity or when water intake is low. Once bleeding occurs, the treatment method is similar to that of common nasal bleeding. Firstly, the most common method is compression hemostasis, pressing on the bleeding point to stop the bleeding. Additionally, electrocoagulation can also be considered. After the nasal bleeding has stopped, combined with the patient's medical history, if there is a recurrent condition of nasal bleeding, considering correction of the deviated nasal septum might be needed to fundamentally correct the cause of recurrent nasal bleeding.

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Written by Li Rui

Otolaryngology

49sec

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How to relieve a deviated nasal septum?

The decision is mainly based on the severity of the deviation. If it is just a simple nasal septum deviation and not particularly severe, and there are no obvious clinical symptoms, then treatment is not necessary. Most patients may not have clear symptoms, and the deviation is often discovered during a physical examination or through a nasal endoscopy; in such cases, specific medication or surgery is not required. However, if the deviation is particularly severe and accompanied by obvious clinical symptoms such as nasal congestion, runny nose, induced sinusitis, headaches, or nasal bleeding, it is advisable to consider corrective surgery under nasal endoscopy. This procedure is minimally invasive, and the general recovery period is about a week, and the overall results are relatively clear.

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Written by Zhang Jun

Otolaryngology

1min 1sec

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Can you wear a ventilator with a deviated nasal septum?

People with a deviated nasal septum should generally avoid using breathing machines, as the deviation is a bony misalignment that can cause persistent nasal congestion. If a breathing machine is used, the airflow from the machine can irritate the nasal septum membrane, leading to erosion, and in severe cases, cause local rupture and bleeding. A deviated nasal septum is a common and frequent condition in otolaryngology, typically caused by abnormal nasal septum development during the embryonic stage, or by subsequent trauma or tumoral pressure, causing the septum to deviate to one or both sides. This deviation can lead to continuous bilateral nasal congestion, along with a sensation of a foreign body in the nasal passages, swelling, headaches, and other related symptoms. It is advised to consult a hospital for an examination, where a diagnosis can be confirmed with an endoscope. For treatment, the deviated nasal septum usually requires surgical correction, which can effectively cure the condition.

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Written by Zhang Jun

Otolaryngology

1min 9sec

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Can a deviated nasal septum be manually adjusted by hand?

A deviated nasal septum cannot be manually adjusted, as the site of deviation is deep within the nasal cavity and thus inaccessible by hand. A deviated nasal septum is a common and frequent condition encountered in otolaryngology. It mainly results from abnormal nasal septum development during the embryonic stage or from postnatal trauma to the nasal septum and pressure from nasal tumors causing the septum to deviate to one side. After developing a deviated nasal septum, the patient may experience continuous, progressive nasal congestion, as well as facial swelling, pain, and headaches among other symptoms. In severe cases, the deviation may lead to complications such as sinusitis and nasal polyps, which can be diagnosed with an endoscopic examination and sinus CT scan at a hospital. In terms of treatment, minor deviations of the nasal septum do not require intervention. However, if associated symptoms are present, localized surgical correction may be necessary and can be curative.

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Written by Deng Bang Yu

Otolaryngology

53sec

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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.