Symptoms of the deviated septum

A deviated septum might not bother a patient. However, after some time inflammatory and atrophic changes start to develop in the nose leading to some symptoms. Nasal breathing gets undermined, one has to breathe through the mouth when exercising, suffers from snoring at night.  Turbulent air flows going through the deformed nasal passages irritate and dry out the nasal and nasopharynx mucosa. So polypuses are created as a result of this chronic inflammation. Irritation and pressure on the nasal turbinate cause its hypertrophy leading to even more compromised nasal breathing. Mucosa atrophy manifests as dryness in the nose, nose bleeding, loss of the sense of smell. Hearing senses also suffer. An untreated deviated septum leads to a recurrent sinusitis and otitis, and all attempts to enhance nasal breathing with various vasoconstrictor medicine used regularly without proper supervision – to vasomotor rhinitis.

Causes of the deviated septum

More than a half of all cases of the deviated septum are caused by a trauma. Most often a nasal cartilage is injured, more seldom – a vomer (a bone part of the septum). A nose trauma can occur when a child is passing through the birth channel during the labour (especially, in case of a prosopotocia), then a child is born with a deviated nose.

Uneven development of facial bones can also cause a deviated septum. The thing is that the cartilage grows faster than bones. Moreover, ear and nasal cartilages grow during the entire lifetime. As a cartilage is inserted into the facial bones like in a frame, a septum is bending upon its growth creating an S-shaped deviation. The growth spurt comes at a teenage period, that’s when a deviation becomes the most visible.

Sometimes a deviated septum happens due to expansive processes of the nasal cavity and face – tumors, polypuses, nasal bones hypertrophy. Sometimes it’s hard to distinguish between the reason and its cause – was it polypuses that caused the deviation or vice versa. In any case, all these diseases (in case of presented symptoms) must be treated with a surgical procedure.

Diagnostics of the deviated septum

Sometimes only appearance of a patient is enough to make a diagnosis. However, an anterior and postnasal rhinoscopy, meaning an examination of the nasal cavity combined with mucous anemisation, is made to define the character and location of the deviations. Some other methods, such as ORT- and laryngoscopy, X-ray radiography, CT scan – can be used to exclude comorbidities (sinusitis, otitis, etc.).

Treatment of the deviated septum

In case of drastic cosmetic defects and acute symptoms of the deviated septum a surgery is a treatment of choice. There are several methods jointly referred to as septoplasty. At the present day, submucous resection in its different variants is most commonly used. The surgery is performed by resecting a deformed cartilage area through a small incision inside the nose. In some cases, the mucosa is just closed after the resection, while in others – a deformed cartilage is straightened out with a special press and then implant to the previous position, which allows saving a supporting function of the septum.

Good results are achieved with an endoscopic technique used when the deformation is located in the back part of the septum.

A septoplasty procedure lasts for up to half an hour. Adults have the surgery performed under local anesthesia, children – under general one. At the end of the surgery, doctors apply tampons (a front, more seldom – back tamponade of the nose for two days) to prevent complications and stop bleeding.

Some bleeding, as well as a septum hematoma, is possible after the surgery. Long-term complications include nasal septum perforation, formation of synechias (adhesions) between the nasal cavity walls and septum.

A circumferential approach is used as an alternative to the submucous resection in case of minor deviations. Only some parts of the deformation – lumps, pins and cristae – are removed during the partial resection.

A surgery for correcting the deviated septum allows restoring normal nasal breathing, neutralizing apparent nose asymmetry, improving a quality of life.

MEDICAL TESTS required for the septoplasty procedure:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)

An approximate price for the nasal septum correction is from 1800.00 BYN to 2800.00 BYN. A doctor will tell you the exact price at your consult after evaluating the workscope.

A price for an ORT specialist consult is 30.00 BYN.

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