Nasal septum

What is Nasal septum?

The wall dividing the nasal cavity into halves; it is composed of a central supporting skeleton covered on each side by a mucous membrane.

Questions and answers on "Nasal septum"

I have breathing problem.It seems there is some kind of blockage .I sleep with my mouth open.Recently I consulted with ENT doctor .She told me I will have to go through septoplasty.She told me that i have "Nasal Septum Deviation".How severe is this problem.Should i go through surgery.or should i take medicine?I have difficulty in speaking due to mucus stuck in nose sometime.I often breathe with my mouth.I am also very thin.I don't know if it has anything to do with nasal septum deviation.I weigh 54 kg.Please tell me about it?


The doctor told me I will have to go through "septoplasty ".Should i go through it?How severe is this problem.I have attached the image of CT Scan film in jpg format.

doctor1 MD

Brief Answer:
Deviated nasal septum

Detailed Answer:
Hi
Welcome to HealthcareMagic and thanks for putting up the query
Your CT pictures show that you have marked nasal septum deviation and even nasal mucosa hypertrophy causing severe nasal blockage.
Septoplasty is recommended in such cases.
You...

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Hi, My husband is 35yrs old, when he was 8,he had fallen off a bike and had injured his nose, recently we found out that there is deviation in his nasal septum which is causing a block,he has constant cold, sneezes all the time with slight irritation around, surgery is what 2 out of 3 ent specialists have suggested? I wanted to know if surgery can be avoided, and is there alternative for this?? Thanks

doctor1 MD

Brief Answer:
Severe DNS requires surgical treatment

Detailed Answer:
Hi Bhat,
Thanks for writing in to us.

I have read through your query in detail.
It will help to see how severe is the deviation of nasal septum. Patients like your husband are first put on medications like nasal drops and...

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I am suffering from Post Nasal drip for the last about 15-20 year.Some times my problem aggravates.My problem has been aggravated for the last about two months back and Post nasal drip is taking place on the right side on my head and thick mucus is dripping down to my right ear and throat. There is heaviness in my head due to this.
I had visited an ENT specialist,who got my CT Scan done which showed that a soft tissue density polyp measuring 16 mmx16mm in the inferior wall of right maxilliary sinus and also deviated nasal septum with bone spur. Besides this the inferior turbinates are also hypertrophied.(Images and reports uploaded)
He had also got my IgE level test done which was 443 IU/ML.
He diagnosed Allergy sinusitis and prescribed me Taxim OZ anti biotic and Mondeslor anti allergy medicine .Besides this he also prescribed Ezicas-F nasal spray and Rhinoset decongestant nasal spray and steam inhalation.
.However,I have not got any relief .During my second visit he told me that there was no need for any surgery of my sinus polyp and deviated nasal septum and said that Post nasal drip is taking place due to allergy. But I failed to get relief.
During my second visit the doctor told me that Post nasal drip is taking place due to Allergy.
Thereafter I visited another doctor who prescribed short course of oral steroid predinisol- 20 course for one week along with steroid nasal spray Efnase and anti allergy tablets..I had completed that course also .But I failed to get any relief.I have tried all the anti allergy medicines but failed to get any relief.

Kindly suggest me effective treatment for my problem.Also let me know whether allergy is the root cause of my Post nasal drip.
Kindly also let me know wether poly in inferior wall of my maxilliary sinus can cause abnormal secretions.
Do you think that now surgery is an option in my case for the removal of poly,correcting deviated septum and bone spur and hypertrophied turbinates.
I want to made it clear that I am not feeling any notable nasal stuffiness due to post nasal drip but heaviness in the head is bothering me quite a much.

doctor1 MD

Brief Answer:
continue with the allergy medication

Detailed Answer:
Hello and welcome to healthcaremagic,

I have gone through your history and seen your CT scan. You are suffering from allergy in the nose. The treatment you have recieved is correct.

The mainstay of allergy treatment is local...

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Dear Sir,

I've had a stammering problem since early childhood.
Since from when I was 10-12 years old.

Also, since early adulthood I've had issues with cough, congestion, breathing and similar issues all throughout the year.

Recently I've been having some allergy issues for which I visited a E & T Doctor.

It was then when I found out that I have a deviated nasal septum.

Now as far as I can remember since early childhood, I've had some problems with breathing.

Like I couldn't even blow a lighted candle off in a one go (just an example)
Or had trouble blowing up a balloon
or other examples like that..

Now my only and most important question is..

Is there any way at all that Deviated Septum and Stammering are related??

I'm well aware there stammering is also a mental problem. I've had several treatments for it since childhood. And I've also researched it thoroughly many times.

But at the same time I also know that stammering is caused by irregular breathing pattern. Which I have been told that I suffer from (irregular breathing pattern) by many speech therapists as well.

And would doing a surgery for Deviated Septum help (even if in a little way) with my stammering issue??



doctor1 MD

Brief Answer:
Deviated Septum not related Stammering

Detailed Answer:
Hi Sir,
I have gone through your query; and suggests you that Deviated nasal septum not related to the stammering.

Causes of the stammering are unclear but most of think that it is related with psychological, genetic and...

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have a deviated septum, and cannot find any medication that will help my symptom. I have tried allegra D, and nose drops. I still am hoarse. nose runs and it feels as if there is something in my ear (middle ear) I have drainage I have been to an allergist and an ear and nose specialist. Can you help me?

doctor1 MD

Brief Answer:
Steam inhalation should help.

Detailed Answer:
Thanks for asking on HealthcareMagic.

You need to understand the condition that you have. The nasal septum is supposed to lie in the middle so that the sinuses from both the sides have enough space to drain. But with the nasal septum...

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What is the right treatment for chronic stuffy nose? ( nose congestion )

doctor1 MD

Brief Answer:
Steam inhalation

Detailed Answer:
Hello

Thanks for the query

Stuffy nose is one of the most difficult symptoms to treat. Here is what I do for my patients and I have been moderately successful

1. Oxymetazoline nasal drops for immediate relief
2. ct of the paranasal sinus to rule out...

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Hello

My Son has been having terrible nose problems effecting his breathing, He is 16 and has exams over the next 7 months and he's having problems sleeping due to his breathing. Hi was initially diagnosed with Sinusitis and a Deviated nasal septum and was prescribed Mometasone 50 micrograms/dose nasal spray 1 spray twice daily, and also given Clarithromycin 500mg 42 tablets 1 at bedtime



After months it had not improved and he went to see another ENT specialist that gave the diagnoses of Chronic rhinitis Please see attached letter on diagnosis and treatment. its been well over a month and there has not been any improvement. He really needs his sleep.

Can you tell me what else can be done to get results?

is there a better medication for this?



The first Doctor who diagnosed it as Sinusitis and a Deviated nasal septum mentioned an operation could be done in the future to correct the Deviated nasal septum, but with the new diagnoses dose this still stand as an option, I believe the Deviated nasal septum was minor, and surely that would only help if the restriction was on one side of the nose? His obstruction is sometimes one side of his nose and other times its on the opposite side of his nose and even both sides at times with one being worse. So how could this operation help with that?



He own GP reluctantly after i pushed to w have hime tested for pollen and dust mights both came back negative. I have been told there is a much larger panel of test for allergies that can be tested for can you tell me what these are and recommend what ones should be done so I can approach a different GP and ask for the tests to be done.

Many Thanks

doctor1 MD

Brief Answer:
Chronic nasal pathology

Detailed Answer:
Hi
Welcome to HealthcareMagic and thanks for putting up the query
I have read the complete history. From the complaints it seems to be either a deviation in nasal septum or nasal mucosal hypertrophy or polyps.
Please attach the reports and...

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Hi Doctor- on the advise of my ENT, i got a CT scan of PNS and seek the advise about the problem and guidence on the treatment. The report is as udner

Focal polypoid mucosal thickening seen along infero-medial wall of left
maxillary sinus. There is mild mucosal thickening involving bilateral frontal sinuses,
bilateral anterior ethmoid air cells and ethmoid bullae. No intrasinus air-fluid levels
seen.
Minimal mucosal thickening seen along right hemicompartment of sphenoid
sinus with partial obliteration of sphenoid recess.
Bilateral maxillary infundibulae & uncinate processes are normal. Patent right
accessory maxillary osteum seen.
The fronto nasal recesses are blocked. The osteomeatal complexes are clear.
The nasal septum is deviated towards left, impinging onto left inferior nasal
turbinate. Right inferior nasal turbinate is hypertrophied. Bilateral middle turbinates
show paradoxical curve with pneumatization of their vertical lamella.
Crista galli is well developed. Bilateral cribriform plates & fovea ethmoidales
are intact. Kero`s type II ethmoid roof seen.
Basal lamella & lamina papyracea are intact.

doctor1 MD

Brief Answer:
Your nasal septum is bent slightly to the left side

Detailed Answer:
Hi XXXXXXX XXXXXXX
Thanks for writing in to us.

I have read through your query in details.
The finding on your CT scan PNS is explained below.

1. There is a polyp in left maxillary sinus. This is not a major...

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Hi i have quit cocaine now for 10 days.Ihave gone through the acute withdrawl stage.i had been doing it snorting i mean for 4 months.i have created two small indentations or craters in both side of my septum.Iread on the internet that the septum is the only part of the nose that has great capacity to regenerate.do you think that with time those indentations will repair themselfes.please let me know i am a little scared.i dont have a deviated or perforated septum yet.Guess i stopped just in time.

doctor1 MD

Brief Answer:
Nasal septum changes

Detailed Answer:
Hi
Welcome to Healthcare Magic and thanks for putting up the query
The nasal septum indentations are indicative of chronic septal changes due to cocaine use.
If you have already stopped using cocaine, the degenerative process will stop here...

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I have been having this dry cough for arounf 3 years now. Its something that comes and goes on its own. Like every 2-3 weeks. I recently visited a ENT, he has given me some allergic meds and told me to get a CT scan as he thinks there is something wrong with my nose which is causing this irritation in my throat. I went to one doctor 2 years back he too told me that my sinus shape or something is a little different and might need a minor correction. What do you think about this?

doctor1 MD

Brief Answer:
Most probably suffering from the sinusitis with DNS

Detailed Answer:
Hi,
I have gone through your query; it suggests that you maybe suffering from the sinusitis with deviated nasal septum(DNS).

Just faith on your doctor and go for the CT scan paranasal sinuses to rule out the...

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Recent questions on  Nasal septum

doctor1 MD

i am looking for a surgeon that can fix my sons breathing. he has had 2 nose surgery s before and still can t breathe at all he says. he is 19 years old he has a deviated perforated septum plus allergies really bad witch caused a lot of swelling and blockage. he had the surgery to correct the deviated perforated septum a few weeks before his insurance ended. this was in September 2013. he went a few months later to check up on it. the doctor said it appeared that the deviation was closed and healed. ( by the way he had the back of his right ear transplanted in his perforated septum.) but the problem is that it has never stopped bleeding ever. since all of that time. ( do you think it is because it is a transplant that it doesn t stop bleeding? ) he does not blow his nose he uses a q-tip to get the boogers out. he has used a lot of creams and oils to help the inside of his nose heal but nothing works. also the doctor said while he was in surgery he realized he could not break one of the bones behind his nose so that he could breathe on one side. i asked why not? he said because my sons skull was not shaped right from the inside. so it was odd shaped. and he feared if he did break it that since it was so deep. he might make his skull collapse. i am not sure this is even true because i never saw a picture or x-ray. but my question here is he has medicade full coverage. who can preform a difficult surgery to help him. his nose is swollen again because of allergies and he can t breathe at all. he take the allergy shots to help cure the allergies since he was 9 years old and allergy prescriptions, eye drops excreta. had 2 surgery s already and still can t breathe. he just wants to breathe. is there a highly highly highly qualified doctor the specializes in this field? that will except medicade? we have utah medicade.

doctor1 MD

sir im having a deviated nasal septum to the left side and some polypoid changes r also there. i m using flutiflo nasal spray from past three months but from past 1 week i m having headache and epistaxis along wwith pharyngitis? please advise me wt should i do ? can i go for surgical correction ?

doctor1 MD

i have have affected by sinutis related problem last five years.before 1 year i have undergone septoplasty for nasal septum deviation.3 months back i have also undergone FESS and turbinoplasty for the sinus problem.now i some time affected by head ache and cold related problems .my doctor adviced me the nasal passages are very clear there is nothing cannot be done after this.and i have affected by squint from birth called as esotropia ,my right eye does not move towards end of the eye.now iam 28 years old .eye doctors suggested this DRS syndrome cannot be surgeried.is it any connection between squint and sinutis.what are the best treatment to clear both the problems.pls suggest me

doctor1 MD

about 2 months ago noticed swelling on top of and to the left side of nasal septum? the inflammation appears to be in the skin....no nevi, no redness, no discharge, no bleeding on the outside or inside the skin, no unusual sneezing.....its makes my nose look a little crooked. any suspicions on what it could be? I had a 3 month cortisone shot for allergies about 3 weeks ago but I noticed the swelling before the shot.

doctor1 MD

I HAVE A PERSISTENT RUNNY NOSE. NO OTHER SYMPTOMS - NO FEVER . IT STARTS WHEN I GET UP OF THE MORNING AND EASES UP DURING THE DAY. BUT, THEN IT STARTS AGAIN AT NIGHT. I HAVE TRIED OTC CLARITIN 24 HOUR WITH LITTLE SUCCESS. ANY SUGGESTIONS AS TO AN...

doctor1 MD

I recently saw an ENT doctor about my fairly constant sinus infections (something I've dealt with for years). The conclusion he came to is that I actually have a chronic sinus infection that flares up and is only partially beaten back by the...

doctor1 MD

I continuously smell the odor of car exhaust no matter where I am. The odor is “stuck” in my nose. I take no prescription drugs. Just had annual physical with no chronic illness. This is a first.

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