Signs and Symptoms of a Deviated Septum: When to Consider Septoplasty

Breathing is something most of us take for granted—until it becomes a struggle. At the heart of our nasal passage lies the nasal septum, the thin wall of cartilage and bone that separates the left and right nostrils. In an ideal situation, this wall is straight, allowing air to flow evenly through both sides of the nose. However, for many people, the septum is off-centre or crooked, a condition known as a deviated septum.

This common condition can lead to a range of symptoms, impacting quality of life and even overall health. If you’ve been experiencing persistent nasal issues, understanding the signs of a deviated septum and when to consider septoplasty could be the key to breathing easier.

What is a Deviated Septum?

A deviated septum occurs when the nasal septum is displaced to one side, creating an imbalance in airflow through the nostrils. While many people have minor deviations without symptoms, a significant misalignment can cause noticeable and chronic issues. A deviated septum is surprisingly common with an estimated 80% of people having some degree of deviation, though not all experience symptoms. For those who do, understanding the signs can help in seeking timely treatment.

Signs and Symptoms of a Deviated Septum

A deviated septum can manifest in a variety of ways. If you recognise any of these signs, it may be time to consult Dr Chris Oosthuizen.

Difficulty Breathing Through One or Both Nostrils

A key indicator of a deviated septum is persistent difficulty breathing. The misaligned septum can obstruct airflow, making it harder to breathe through one or both nostrils, especially during physical activity or sleep.

Frequent Nasal Congestion or Obstruction

Chronic nasal congestion, often mistaken for allergies or colds, is another common symptom. The blockage caused by the deviated septum can result in a feeling of stuffiness or fullness in the nose.

Recurrent Sinus Infections

When airflow is restricted, mucus drainage can be impaired, creating an environment where sinus infections thrive. Frequent sinus infections may be linked to the structural issues caused by a deviated septum.

Nosebleeds

A deviated septum can cause dryness and irritation in the nasal passages, leading to frequent nosebleeds.

Snoring or Sleep Apnoea Symptoms

Nasal obstructions from a deviated septum can contribute to snoring or even sleep apnoea. These sleep disruptions not only affect the individual, but can also impact their partner’s quality of rest.

Facial Pain or Pressure

In some cases, a deviated septum can cause pain or pressure around the nasal area, particularly if it contributes to sinus problems.

Sleeping Preferences

If you consistently sleep on one side to improve nasal breathing, it may be due to a deviated septum. This preference often stems from the need to alleviate the obstruction in one nostril.

How a Deviated Septum Impacts Quality of Life

Untreated, the signs of a deviated septum can significantly affect daily activities, sleep quality, and overall health:

• Sleep Disturbances: Difficulty breathing can result in restless nights, daytime fatigue, and poor concentration.
• Chronic Discomfort: Persistent nasal congestion or facial pressure can lead to frustration and decreased productivity.
• Health Risks: Recurrent sinus infections or untreated sleep apnoea can contribute to more severe health complications over time.

Addressing these issues can lead to significant improvement in comfort, health, and wellbeing.

When to Consider Septoplasty

While conservative treatments like nasal spray, antihistamines, or decongestants may provide temporary relief, they do not address the root cause of a deviated septum. You may want to consider septoplasty, a surgical procedure to correct the alignment of the nasal septum, if:

• Symptoms persist despite non-surgical interventions.
• Structural obstructions are causing frequent sinus infections.
• Sleep disturbances, such as snoring or suspected sleep apnoea, are present.
• You wish to improve nasal airflow for better breathing and overall function.

Benefits of Septoplasty

Septoplasty is a highly effective procedure for individuals whose lives are affected by a deviated septum. Key benefits of septoplasty include:

• Improved Breathing: Patients often report a significant improvement in their ability to breathe through the nose.
• Relief from Chronic Nasal Congestion: Reduced blockage can alleviate discomfort and improve mucus drainage.
• Better Sleep Quality: Enhanced airflow reduces snoring and sleep apnoea symptoms, resulting in more restful nights.
• Enhanced Quality of Life: With improved nasal function, daily activities and overall health are easier to maintain.

What to Expect from Septoplasty

Septoplasty is typically performed as an outpatient procedure under general or local anaesthesia. During the surgery, Dr Oosthuizen will reposition or remove the deviated portions of the septum to create a straighter nasal passage.

Septoplasty Recovery:

• Most patients return to normal activities within a week.
• Temporary swelling and mild discomfort are common but manageable with prescribed medications.
• Full healing and noticeable improvements in breathing may take several weeks.

To ensure the best outcome, consult a qualified ENT specialist like Dr Chris Oosthuizen at Form and Function who can evaluate your condition and provide personalised advice.

Living with the symptoms of a deviated septum doesn’t have to be a normal part of your life. If you’ve been experiencing persistent nasal issues or suspect a deviated septum, seeking a professional evaluation can be life-changing.

Dr Chris Oosthuizen is dedicated to improving your health, comfort, and quality of life. Schedule a consultation today to discuss your symptoms, explore your options, and take the first step towards better breathing.