A deviated nasal septum is a contraindication for rhinoplasty, as undergoing the procedure can lead to a skewed nasal bridge. Deviated nasal septum is a common and frequently occurring condition in otolaryngology, generally related to abnormalities in the development of the nasal septum during embryonic stages or to acquired trauma to the nasal septum.

A deviated nasal septum can lead to symptoms such as a crooked nasal bridge, persistent nasal congestion on both sides, facial swelling, pain, and headaches. It is necessary to visit a hospital for a thorough examination using an endoscope and sinus CT scan to confirm the diagnosis. During the examination, the nasal septum may be found to be deviated to one or both sides in an S-shaped or C-shaped curve.

In terms of treatment, a mild deviated nasal septum may not require any intervention. However, if the patient experiences nasal congestion, headaches, and other related symptoms, local surgical treatment is necessary. Only after the nasal septum is centrally aligned through surgery, can rhinoplasty be considered.