Many people find a deviated septum during a physical examination and often have “?” in mind Should I have surgery? First, let’s look at the definition of deviated septum: a deviation of the nasal septum from the midline to one or both sides that bends or forms a local bump and affects the physiological function of the nasal cavity. In fact, most people have a somewhat deviated septum, but it does not require surgical correction. Surgery is only needed if symptoms are present. The symptoms of deviated nasal septum are: 1. Nasal congestion: a common symptom. If the nasal congestion is heavy, there may be smell disorder.
2, headache: nasal septum convex surface or spine, crestal prominence compression turbinate, can cause ipsilateral head and face reflex pain, headache aggravated when nasal congestion. Headache can also be caused by cold airflow stimulation of the wide nasal cavity, or caused by sinusitis due to obstruction of the sinus opening.
3, nasal bleeding: the front convex surface of the nasal septum or spine, crest surface of the mucosa is thin, but also easily stimulated by the inhalation of airflow and dust, the mucosa is dry and erosion, so it is easy to bleed. Sometimes the bleeding site is on the concave side of the deviation, which may be caused by excessive air flow and heavy mucosal load.
4.Other: nasal septal deviation causes nasal physiological dysfunction, which can cause rhinitis (alternating, intermittent nasal congestion is its characteristic), sinusitis and pharyngeal dysfunction, and the corresponding symptoms.
Common complications that can be caused by deviated septum 1. purulent sinusitis or fungal infection: caused by high septal deviation that hinders sinus drainage.
2. Secretory otitis media: deviated nasal septum can affect the ventilation and drainage of the eustachian tube.
Therefore, if the above symptoms and complications occur, surgical treatment is required.
The specific mechanism is unclear.