Curvature of nasal septum: symptoms and treatment

Curvature of the nasal septum is a deviation in which the septum shifts to one or both sides of the middle nasal line. Curvature of the nasal septum, the symptoms of which give more idea of ​​what this condition is, is often enough, moreover, its perfectly even parameters are extremely rare. This, in turn, allows us to state that before certain manifestations, deformation does not belong to the category of pathologies.




General Description

Considering that from the above feature, on the basis of which the curvature of the nasal septum can be regarded almost as a normal state, treatment of such deformation is simply not necessary, again, in most cases. Meanwhile, of all rules, as is known, there are exceptions, and in this case, exceptions are the effect of the altered state of the nasal septum, in which one can not do without treatment. This is due in part to a number of factors that adversely affect the quality of life of the patient and his overall well-being. It is precisely such factors and symptoms, under which it becomes clear that there is a specific problem that is related specifically to the state of interest, which will be discussed in our article.

So, first of all, let’s look at what a nasal septum is, what are the functions of the nose and what, in fact, are the functions of the nasal septum of interest to us. The nasal septum is an anatomical formation concentrated in the very middle of the nasal cavity, it provides its division into two identical parts, the left and, respectively, the right. The nasal septum also has its own structure. So, it similarly includes two parts, one of these parts is concentrated in the nasal cavity (in its very depth), that is, from behind, the other part is concentrated in front. The front part is a cartilaginous structure, when carried along the back of the nose with a finger, it can be easily probed, thus determining its suppleness and elasticity. The cartilaginous part is most often susceptible to injury when it is injured.

The nasal cavity itself is the initial section in our respiratory system. Air, when it hits the nasal cavity, is in the nasopharynx, then it goes to the larynx, followed by the trachea and, accordingly, into the bronchial system. The further path of air continues to the pulmonary alveoli, in which processes are directly connected with gas exchange, in which, as the reader is certain, air and blood participate.

Returning to a more detailed structure of the nose, let’s outline its main departments:


  • nostrils — are the inlet openings that allow the passage of oxygen directly into the nasal cavity;
  • nasal cavity: initial department — this department is divided into two spaces, this division, as already noted, is carried out by a nasal septum, located here in an upright position;

  • nasal passages — they are concentrated from the initial section in the nasal cavity to the posterior, divide into the upper, middle and lower nasal passages, they are confined to the lower, middle and upper nasal concha in a similar arrangement;

  • Choans — are two such holes, due to which the nasal cavity is communicating with the nasopharynx.

The nasal cavity also consists of several types of walls, we list them below:


  1. anterior wall — this wall is formed by nasal cartilage and bones of the skull (nasal bones and process in the area of ​​the upper jaw)
  2. The bottom wall — this wall is the bottom of the nasal cavity, it is formed due to the soft palate and palatine processes in the region of the upper jaw (bone / hard palate)
  3. side walls — such walls are formed mainly due to the latticed bone
  4. nasal septum — at its expense it is ensured the division of the nasal cavity in half, from the front part it is formed by cartilage, from the back part — by the opener.

The inner surface of the nose is lined with mucus, which in turn is subject to abundant blood supply, in addition, it also releases a significant amount of mucous discharge. Nerve receptors that have a significant degree of sensitivity, focus from the side of the upper nasal passage, it is this area is olfactory.

In the structure of the nose there are also nasal conchas. They are concentrated from the back of the nasal cavity bone formation, they also divide the nasal cavity into the nasal passages (lower, middle, upper). The lower shell is a small and independent bone, the middle and the upper have the form of processes starting from the latticed bone.

The nasal passage occurs with the paranasal sinuses. Thus, the upper nasal passage is directly connected with the sinus, concentrated in the region of the sphenoid bone and with the posterior sinuses concentrated in the region of the latticed bone. The message of the middle nasal passage occurs with the middle and anterior latticed sinuses, and also with the sinuses concentrated in the maxillary bones — this is nothing more than the maxillary sinuses.

The cranial bone has a number of small cavities in the form of sinuses (anterior sinuses, middle and sinus sinuses). The wedge-shaped bone that we select from the text is located directly at the base of the skull, it is practically not visible from the outside. The body of this bone resembles a cube with «wings» that extend to the sides. In the very body of this bone there is an air cavity, in which quality the sphenoid sinus acts.

Now let’s look at what functions the nose and nasal sinus, directly related to it, perform. In particular, the functions of the nose include the following:


  • carrying to the nasopharynx and the larynx of the air;
  • ensuring moistening of incoming air due to the secretion of glands concentrated in the nasal mucosa
  • airflow heating — this function is entrusted to the venous plexus concentrated in the area under the mucous membrane
  • providing protection for the respiratory tracts required by them against the background of the influence of various forms of mechanical stimuli (mucus and hairs located in the nasal cavity ensure the retention of dust particles and their subsequent discharge to the outside)
  • providing protection against infection (again, nasal mucus ensures the retention of various pathogens with subsequent removal from the nasal cavity, in addition, this mucus also has bactericidal properties)
  • odor perception (this function is provided by the corresponding (olfactory) cavity.)

As for the function assigned to the nasal septum, it in particular is to ensure the correct distribution of air flows for both halves of the nasal cavity. In other words, the air we inhale divides into two identical streams by the nasal septum, which, in turn, ensures the possibility of linear movement of these streams through the respiratory tract. Due to this separation, the nasal cavity functions under optimal conditions (that is, with warmed, cleansed and moistened air falling into it). Similarly, it can be understood that the deformation of the nasal septum becomes the cause of the violation of these functions.

What is noteworthy, in newborns, the nasal septum is in that ideal state, in which otherwise it is considered something of a kind of fantasy — that is, it is even and straight. Distinguish where the cartilaginous is located, where the bone tissue in it is still difficult, because it almost completely looks like a cartilage with only a few ossification areas. Over time, there is a transformation in the bones, which also accompanies their fusion with each other. As a result of the disorders that accompany these processes, the nasal septum begins to bend. The original reasons that led to such changes, it is difficult to establish in some cases.




When distinguishing the age group with this pathological change, it can be indicated that the curvature of the nasal septum is diagnosed extremely rarely in early childhood, mainly the period of deformation development occurs at the age of 13-18 years. According to some reports, it is also known that in men the curvature of the nasal septum is diagnosed three times more often than in women.

Peculiarities of the pathogenesis of the curvature of the nasal septum

Most often the curvature of the nasal septum is accompanied by a disorder of nasal breathing, which can be associated with a violation on the background of deformation both on one side of the nasal passages, and at both simultaneously. Such a violation is caused not only by the curvature of the constriction of the nasal cavities formed as a result of curvature, but also because the air current passes incorrectly, its vortices are formed and areas with reduced pressure are formed.

Because of the pathological impulses from the mucosal receptors towards the central nervous system, a response occurs to the nasal vasomotors, the correct circulation is therefore violated, the nasal conchae swell, the nasal lumen narrows. It is also a well-known fact that in normal processes during inhalation, the air current, according to physical laws, follows not along the lower nasal passage, according to the shortest path for this path, but in an arcuate manner, that is, first it rises high up to the area of ​​the middle shell , Even higher, and finally, it follows down to the region of the khana. With exhalation, the current follows along the lower nasal passage.

Considering such airflow pathways and breathing features, with narrowing of the nasal gleam against the background of curvature of the septum, the middle sections of the nose under the condition of a free lower part, the forced direction of the air current during inspiration is caused by an unusual channel, that is, the air current is directed through the lower Nasal passage. Similar difficulties arise when narrowing the area of ​​the lower nasal passage during exhalation. Given this, under the condition of a free middle or lower nasal passage, the possibility of developing a nasal breathing disorder is also excluded.

It should be noted that the disorder of nasal breathing is also caused by the relationship between the curvature of the septum and the shells. It is well known that the curvature of the septum is often accompanied by thickening (hypertrophy) of the shells, which is defined as compensatory hypertrophy, and hyperplasia of the latticed labyrinth also develops. Sometimes the curvature of the nasal septum is accompanied by hypertrophy of the shells from the posterior ends, mainly the lower ones, this is already revealed with the appropriate method of diagnosis (this is a rhinoscopy).

The changes listed above explain the fact that curvature of the septum to one of the sides leads to difficulty breathing immediately on both sides, moreover, sometimes patients complain even that breathing is more difficult not from the side of overlapping the septum, but from its side Concavity.

What is noteworthy, in frequent cases it happens that the curvature of the septum diagnosed in adolescence manifests itself with the corresponding clinical symptoms much later, sometimes even in such a way that such symptomatology appears already in old age. This is due to the addition of certain diseases of the nose, accessory sinuses and the general type of concomitant disorders (violations in the lungs, cardiovascular disorders, etc.), against the background of which it is increasingly difficult for the patient to overcome resistance from narrowed nasal passages.


Curvature of the septum can also cause the development of reflex neuroses in patients, caused by irritation of the nerve endings of the nasal mucosa. Especially it concerns thorns and ridges, which in some cases cut deep enough into the shells. Irritations can provoke reflex changes, both in the nose, and in the neighboring or at some distance organs. Rhinogenic reflex disorders, that is, disorders of this nature of origin, are the development of bronchial asthma, eye diseases, spasms of the larynx, headaches and other conditions (we will highlight them in more detail below in the relevant section of our article).

Curvature of nasal septum: causes

One of the main reasons provoking the curvature of the nasal septum is a nose injury. The frequency of this deformation in men only confirms this fact, because men (in particular boys, adolescents, young people) are often more likely to experience trauma in this area than women. Even more rare is the variant in which the cause of the curvature of the nasal septum is the excessively developed embryo of the Jacobson organ located in the anterior-lower part of the nasal septum.

In general, there are three types of causes that provoke curvature of the nasal septum:


  1. Physiological bending. This type of curvature of the septum is mostly found in children and adolescents. Such a curvature is caused by a discrepancy between the cartilaginous and bony parts of the nasal septum.
  2. Compensatory curvature. This type of curvature develops because of the long-lasting irritation of the nasal septum due to the foreign body, the polyp that has formed in the nasal cavity, the effect exerted by the thickened nasal shell, etc.
  3. Traumatic curvature. This type of curvature, as the name implies, is caused by a trauma that provoked nasal bleeding and a sudden disruption of nasal breathing. In frequent cases, the curvature of the nasal septum is preceded by a fracture of the nose.

Curvature of nasal septum: species

There are the following main types of curvature:


  • Direct curvature of the nasal septum
  • Thorn
  • comb;
  • A mixed curvature that combines 2 or 3 listed curvature options.

Actually, the curvature of the nasal septum can manifest itself in the following varieties:


  1. curvature in the horizontal plane or in the plane of the vertical;
  2. one-sided curvature or bending two-sided;
  3. curvature localized from the front of the septum or curvature localized to the rear;
  4. a curvature in which a certain part of the septum (for example, a cartilage dislocated with a detachment from the bone) is captured, with the vertical plate of the graticule (with the formation of the front part of the bone part of the septum) captured, with the opener seizure (with the formation of the posterior part of the septum ).

Predominantly diagnosed are the curvatures of the nasal septum, in which it focuses from the front. The seizure of the opener, which is localized from behind, occurs less frequently. Almost always its posterior edge is in a vertically precise position. Thorns and ridges, as a rule, are located from the lower or upper edge of the opener, they can have different directions and different lengths. Mostly, the basis of the crests and spines is bone tissue, in some cases the cartilage may be at the base of their apex.

Curvature of nasal septum: symptoms

To some extent, the symptoms of curvature of the nasal septum appear in almost all people. Meanwhile, most of these symptoms do not bring any discomfort or unpleasant sensations, and therefore special treatment to eliminate such deformation is not required. Let us highlight those basic symptoms of nasal septum curvature, which most often disturb patients.


  • Difficulty of nasal breathing. These symptoms in considering the strain we are considering are practically its main manifestation. The degree of its manifestation can be different, ranging from mild violation of breathing and ending with the absolute impossibility of breathing through the nose (that is, the patient in this case breathes only the mouth). Meanwhile, in spite of the fact that this symptom is the main manifestation of curvature of the nasal septum, this does not at all indicate that its absence excludes curvature. Here, as already noted, the scheme of the development of the disease may appear after a while, that is, when diagnosed in youth, the symptoms are noted at the later age, which is determined by the compensatory abilities of the organism up to a certain time. Complaints about the difficulty of nasal breathing within this period does not arise. In general, the violation of respiration can either be moderate, or completely absent (which we have already isolated, the patient breathes with his mouth). It should be noted that if a person has a large nasal cavity, then even a pronounced curvature of the nasal septum may be accompanied by a lack of a symptom in the form of a disruption of nasal breathing — this feature makes it possible to compensate for air permeability when breathing passing through the nasal cavity. In other words, if the nose is breathing well, this does not mean there is no curvature of the nasal septum as such.
  • Chronic rhinitis (rhinitis). In this case, patients are constantly concerned about the stuffy nose, which is also accompanied by permanent mucous discharge. In some cases, this is accompanied by a complete ignorance of the patient’s need to visit the doctor, which is written off in particular for frequent colds and weak immunity.
  • Chronic frontitis, sinusitis, etmoiditis.
  • Snoring. Night snoring (and snoring in general) is also one of the violations of nasal breathing.
  • Allergic reactions. Those changes that are relevant to the nasal cavity on the background of a condition caused by the curvature of the nasal septum, in any case, are associated with a violation of immunity, as well as with violation of the functions of local defense mechanisms. Manifestations due to this factor not only consist in reducing the overall stability of the organism with respect to the effects of infections on it, but also in the development of allergic reactions in patients. A fairly common problem among patients with curvature of the nasal septum is allergic rhinitis, and in itself it is a trauma — that is, a condition that precedes the development of bronchial asthma in the future. Appear, first of all, complaints of nasal congestion, and the patient himself notes that this is accompanied by contact with a certain substance, already considered as an allergen (pollen, animal hair, etc.).
  • Dry nasal cavity.
  • Decreased efficiency, increased fatigue, low resistance to any type of physical activity. The listed symptoms are directly related to the disruption of the function of nasal breathing, as well as to the concomitant inadequate supply of oxygen through the lungs to the blood.
  • Exposure to infection. Infections are manifested with the symptoms inherent in ARI (cough, runny nose, temperature, sneezing).
  • Violation of thinking, memory, absent-mindedness. Here, too, there is a connection with the insufficient intake of oxygen into the bloodstream, which subsequently affects the functions of the brain and the central nervous system.
  • Symptoms that accompany the inflammatory process in the middle ear (hearing loss, pain)
  • Symptoms that accompany the chronic course of the inflammatory process in the larynx and throat (cough, dry throat, sore throat, sore throat).
  • Epileptic seizures. This manifestation accompanies a severe form of curvature of the nasal septum, as additional manifestations to seizures can add pain in the heart, visual impairment, shortness of breath, high blood pressure, etc.
  • Change the shape of the nose. Traumatic curvatures of the nasal septum (fracture of cartilage, dislocation), accompanied by a change in the shape and the nose itself, the displacement, as is clear, occurs to the left or to the right. This, as already highlighted, may be accompanied by a fracture of the bones of the nose. Without adequate treatment for these kinds of conditions, the cartilage does not fuse as it should be.

Curvature of the nasal septum in children also has some features. So, it can be either congenital, or acquired, that is, it develops in the course of labor, after it. The main signs on the basis of which it can be assumed that the curvature of the nasal septum is relevant in this case consist in breathing through the mouth (the mouth is in a constantly open state), frequent detection of rhinitis, frequent nasal bleeding, snoring during sleep. In addition to the curvature of the nasal septum on the basis of manifestation of the abovementioned symptoms, it is also possible to assume the urgency of the adenoids in the child.

Curvature of nasal septum: concomitant disorders

Complications of curvature of the nasal septum can be quite diverse. Thus, for example, it is proved that the disturbance of nasal breathing causes the development of changes in blood and in the vascular system of the organism, in the sexual sphere. In addition, the patient’s body becomes more predisposed to hypothermia and various kinds of influences from the external environment and negative factors in it in particular.

Now let us dwell on those violations that occur in the changes provoked by the curvature of the nasal septum, and begin with the most basic of the symptoms, that is, with difficulty nasal breathing. Among the pathological mechanisms provoking disturbance of nasal breathing against the background of curvature of the nasal septum, we distinguish the following:


  1. Change the nasal course (its narrowing) from the side where the septum has a convex shape . Due to a decrease in the space on one side, it leads to the corresponding difficulties accompanying the passage of air, which, as already noted, can cause a complete impossibility of breathing the nostrils along this side.
  2. Development of disturbances related to air dynamics directly inside the nasal cavity. Normal breathing is accompanied by a rise of air with an upward inspiration during its subsequent passage through the middle nasal passage, and also in the upper course (partially). At exhalation the air is directed, again, in the norm, to the lower nasal passage. If the septum is curved, then the air current, respectively, is disturbed, because of which breathing is violated in one of the nasal passages. This feature is relevant even if on the same side of the other two nasal passages the lumen is in a normal state.
  3. Narrowing of the nasal passage space, as well as the disturbance of nasal breathing along the side in which concavity was formed against the background of deformation of the nasal septum . Here, which has already been noted, the symptomatology can manifest itself in an even more pronounced form than from the side of the convexity formed on the background of deformation. Expansion of the nasal passage leads to the development of compensatory proliferation of nasal concha, which in the course of time become so large that they cause corresponding difficulties in breathing.
  4. The development of the reaction from the nerve endings in the nasal mucosa. The air flow in the absence of any pathologies and changes in the nasal cavity itself is uniform, if it is a curvature of the nasal septum, then the passage of air is accompanied by the formation of vortices. Because of them, nerve endings-receptors, concentrated in the nasal mucosa are subject to irritation. This, in turn, causes the formation of an appropriate protective reaction, which consists in the expansion of the vessels of the mucosa, the development of edema in it and the appearance of mucus in significant volumes.
  5. Suction to the nasal septum of the wing of the nose. This feature manifests itself quite often as a result of curvature of the nasal septum from the front part of the nose. Because of the dense and constant contiguity of the wing of the nose to the nasal septum, the passage of air is much more difficult.

Changes in the nasal mucosa on the background of curvature of the nasal septum

In the mucous membrane of the nose, there are also a number of changes, we will dwell on them in more detail. So, for example, in the normal state of the nasal cavity of the mucosa, some mucus is produced in it, which in turn ensures humidification of the air, as well as the performance of protective functions. The surface of epithelial cells has cilia, which, in turn, are in constant motion, thereby ensuring the retention of dust and various small particles during their subsequent removal from the nose.

The turbulence of the air flow arising in the curvature of the nasal septum results in the flow of this stream in a certain area of ​​the nasal cavity constantly attacking the mucosa. In such a site, its thickening subsequently occurs, which is accompanied by the loss of cilia by epithelial cells. This, as the reader can understand, leads to a violation of protective functions, as well as to the fact that the process of cleansing from dust and small particles of the mucosa is also disturbed. The mucus begins to dry up when it secrete, which causes the crusts to form. Thus, the mucosa of the nasal cavity becomes more vulnerable to the impact of various microorganisms on it. At the same time, a rhinitis condition develops, manifested as a permanent nasal congestion and a runny nose.

Development of oxygen starvation in tissues and organs against the background of curvature of the nasal septum

It is from the normal course of the processes accompanying nasal breathing that it depends on whether enough oxygen will enter the lungs and then into the bloodstream. If the nasal septum is curved, then there is a violation of gas exchange in the alveoli of the lungs, which, in turn, leads to the development of a general form of oxygen starvation, affecting the entire body.

Curvature of the nasal septum: oral breathing and its attendant shortcomings

As you know, nasal breathing is the only normal form of breathing. If the nasal breathing is disturbed, which is actual for the altered state of the nasal septum against the background of curvature, then another, compensatory form of it — oral breathing, is activated. Considering the fact that in itself it is not normal anymore, then, as you can understand, there are a number of corresponding shortcomings, we will distinguish them below:


  • With oral breathing, the lungs get air that does not pass through the «procedure» of its warming and moistening, as it does when breathing through the nose. This, in turn, excludes the sufficient effectiveness of gas exchange in the pulmonary alveoli as such. As a result, the blood is not sufficiently saturated with oxygen, because of what the whole organism «suffers» in the future.
  • Oral breathing is accompanied by a «disconnection» of those protective functions that are reserved for the nasal cavity and for mucus in it in particular. This, in turn, dictates for a patient with a curved nasal septum and a breathing mouth an increased risk of the systematic development of respiratory infections.
  • The development of adenoiditis is another risk that is relevant for patients with oral breathing. This disease is accompanied by inflammation of pharyngeal tonsils.

Curvature of the nasal septum: neural disorders

Because of the curvature of the nasal septum, the nasal mucosa is in a constantly irritated state, which in turn leads to complications of the reflex nature of the onset, some of which may seem somewhat unexpected to the reader. Let’s highlight these violations below:


  1. Headaches;
  2. Reflex cough, sneezing
  3. Spasms of the larynx (this kind of condition manifests itself in the form of short-term attacks of suffocation)
  4. Bronchial asthma (a disease in one of its varieties can be manifested precisely because of a neuropsychic imbalance that is relevant to the patient)
  5. Epileptic seizures
  6. Dysmenorrhea (this disorder is relevant for women, it consists in violation of the duration and periodicity of menstruation)
  7. Visual impairment, as well as disorders that are associated with the work of the heart and other internal organs

Curvature of the nasal septum: disorders that are relevant to neighboring organs

On violations related to neighboring bodies, we will also dwell in more detail below.


  • Ears. In particular, in this case, there are violations manifested in the middle ear and Eustachian tube. When considering the location of the nasal cavity, it can be seen that it passes to the nasopharynx, and its mucosa, in turn, disposes of the left and right throat openings of the eustachian (auditory) tubes. Due to the eustachian tube, the nasopharynx and the middle ear cavity are provided. The cavity of the middle ear is a tympanum, which includes auditory bones such as a hammer, stapes and an anvil. Against the backdrop of chronic inflammation that develops in the curvature of the nasal septum, mucus, as well as those infectious agents that have not been removed from the nasal cavity due to the corresponding disorders in the functioning of the receptors, can easily be found both in the auditory tube and in the tympanic cavity.

  • Nose. In this case, the affected area is exposed to the development of an inflammatory process in the area of ​​the paranasal sinuses, this pathology has the corresponding name, most likely known to the reader is sinusitis. In the context of considering the connection of inflammatory processes from the paranasal sinuses and curvature of the nasal septum, it can be designated that it is scientifically proven. Patients who have a similar connection often suffer from the development of fronititis (a disease accompanied by inflammation of the frontal sinus area) and sinusitis (a disease accompanied by inflammation of the maxillary sinus sinus (sinus)).
  • Eyes. The tear sack and the tear ducts suffer from this point in particular. Formed at the expense of the lacrimal gland functions, the tear in the normal state is guided along the nasolacrimal canal to the nasal cavity. With pathological bending of the nasal septum, such a channel can act as a pathway through which the infection will spread.

Diagnosis

The doctor can diagnose the curvature of the nasal septum only on the basis of an external examination. Here, in particular, it reveals scoliosis of the nose, as well as the tip tip. Meanwhile, as the main method of diagnosis is considered a rhinoscopy. In the framework of its implementation, with a curved septum, asymmetry in comparison of nasal cavities is especially noted, in which one of the half of the nasal cavity along its entire extent or in its specific part has a greater width than in a similar section of another nasal cavity. In addition, for one of the parties in the conduct of this method of diagnostic research, nasal conchs are clearly seen, while on the other hand they are either seen worse or not at all.

A detailed examination, as well as an accurate definition of the localization of protrusions and bends in the nasal septum, including the features of their nature, is performed with thorough re-lubrication of the nasal septum and shell with the use of a solution of cocaine (5%) in combination with adrenaline. Only on the basis of the implementation of this measure, then you can get an idea about the features of the configuration of the septum and the lateral nasal walls, after which the question of the need for an operation intervention can already be decided.

Rhinoscopy can be front and back; With anterior rhinoscopy, it is advisable to supplement it with rhinoscopy of the posterior one, due to which the peculiarities of the bends located in the vomer area (from the posterior part of the vomer) can be determined, as well as the hypertrophy of the shells (their posterior ends) and the mucous membrane.

Carrying out an x-ray study is of little informative character regarding the deformation of the nasal septum. Meanwhile, it may be necessary in the event that there is a need to determine the status that is relevant for the area of ​​the paranasal sinuses.

Treatment

Given that the curvature of the nasal septum is purely anatomical, any type of conservative methods of action (use of tablets, vasoconstrictor drugs and drops, breathing exercises, folk remedies, etc.) determine insignificant effectiveness in improving the condition of patients, and in Some cases and the complete absence of it as such. Therefore, the manifestation of symptoms accompanying the condition of the curved nasal septum requires surgical treatment. Endoscopic septoplasty is considered as the main method of such influence.

Such an operation does not require any cuts on the face, and the external shape of the nose is not subject to changes in the background. It is felt through the nostril, with dissection of the mucosa, with its subsequent separation from the nasal septum, plastic and suturing. The duration of septoplasty is of the order of half an hour of time, for which a general or local form of anesthesia can be used. The completion of the operation is accompanied by the installation in the nasal cavity of the patient of silicone plates (splints), as well as gauze tampons, their removal is carried out the next day after the operation.

Based on this, it can be understood that in a hospital in order to perform an operation to correct the curvature of the nasal septum, it will take a day. Within five to seven days after the operation, you will additionally need to visit a doctor for special dressings, which allow the possibility of accelerating healing, and also prevent the formation of adhesions.

Septoplasty can also be performed using a laser, this method of exposure is modern and has several advantages. Among the latter, it is possible to designate a minimum degree of trauma, a minimal degree of blood loss, as well as an antiseptic effect provided by the laser, and a minimum of rehabilitation measures within the postoperative period. As the main drawback of the method of laser exposure, it can be distinguished that with laser septoplasty it is possible to eliminate not all forms of deformations, in particular this is actual in the case of lesion of the osseous part of the nasal septum.

In general, septoplasty (in this or that variant of its implementation) may be accompanied by the development of a number of complications. They can be included in the following:


  1. formation of bulk hematomas under the mucous membrane
  2. development of purulent sinusitis;
  3. the appearance of nasal bleeding;
  4. formation of abscess (abscess) in the area under the mucous membrane
  5. deformity of the nose (this complication is mainly accompanied by a sinking of the back of the nose due to too high a resection)
  6. perforation of the septum (appearance of a defect in it, holes)




If symptoms appear that indicate a curvature of the nasal septum, it is necessary to consult an otolaryngologist, in addition, a plastic surgeon may need to consult.