Septum Deviation: What to Expect
Septum deviation is bending of the cartilage-bone partition inside the nose.
Before
- Nasal endoscopy checks turbinates, allergy, sinusitis, and nasal valve contribution.
- Asymptomatic deviation usually does not require surgery; findings, symptoms, and quality of life are assessed together.
- Aspirin, NSAIDs, and blood thinners are adjusted with clinician guidance; smoking affects healing.
- If shape correction is the goal, septorhinoplasty is planned.
- Allergic rhinitis control affects surgical success and healing quality.
During
- General anaesthesia is applied; the procedure usually takes 1–2 hours.
- Cartilage-bone correction is made from beneath the nasal mucosa without an external incision.
- Concurrent turbinate reduction may be planned.
- Silicone splints or short supports may be placed.
- Open technique may be needed if shape correction is also targeted.
After
- Congestion, crusting, drainage, and pressure are expected early.
- Splints/supports are removed around days 7–10.
- Full airway benefit clarifies over 3–6 weeks; allergy control is critical.
- Avoid contact sports, swimming, and pressure on the nose for 3 weeks.
- Dressing changes and crust cleaning are foundational to recovery; follow instructions.
Frequently Asked Questions
- Will appearance change?
- Standard septoplasty does not target external shape; if shape correction is a goal, septorhinoplasty is planned.
- Will there be packing?
- Most cases use silicone splints or short supports; classic gauze packing is uncommon today.
- When can I return to work?
- Desk work is typically possible in 3–5 days; social activities resume around days 10–14.
- What if I have allergies?
- Uncontrolled allergy can reduce surgical success; pre- and post-op nasal corticosteroids are usually planned.
Risks
- Septal haematoma or perforation
- Insufficient airway improvement
- Unwanted external shape change
- Infection
- Symptom recurrence
This guide does not replace a personal examination and treatment plan. Base all medication, surgery, or travel decisions on your clinician's written recommendation.