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Deviated Septum

A deviated septum is a condition where the nasal septum, the structure that divides the nasal cavity into two nostrils, is significantly off-center or crooked. This condition may cause breathing difficulties, nasal congestion, frequent nosebleeds, sinus infections, and other related symptoms.

At Kimball Health Services, we offer comprehensive care for a deviated septum after a thorough diagnosis of your symptoms. We address deviated septums with treatments such as decongestants, antihistamines, or nasal steroid sprays. Additionally, our board-certified ENT surgeon, Dr. William O. Dickey offers surgical interventions for severe cases. 

Our team ensures that throughout the treatment and after, compassionate support and care are provided to restore normal breathing and improve your overall quality of life.

Understanding Deviated Septum

A deviated septum occurs when the nasal septum is displaced to one side, making one nasal passage smaller than the other. The nasal septum is composed of bone and cartilage. It divides the nasal cavity into two separate chambers, ideally positioned in the center, to allow equal airflow through each nostril.

A deviated septum can lead to an uneven nasal cavity, causing obstruction in one or both nostrils. When the septum is severely crooked, it can also cause breathing difficulties by blocking one side of the nose and reducing airflow. 

Symptoms of a Deviated Septum

Most cases of septal displacement do not show symptoms. However, severe septal deformities may change the shape of the nose. Other deviated septum symptoms may include:

If a severely deviated septum goes untreated, you may develop complications such as:

Causes of a Deviated Septum

A deviated septum can result from several causes, including:

  • Congenital condition: Many people are born with a deviated septum.
  • Injury or trauma: A blow to the nose from sports, accidents, falls, or physical altercations can cause the septum to deviate. 
  • Developmental factors: As a child grows, the septum may not develop evenly, leading to a deviation. 

Diagnosis of a Deviated Septum

During your visit, Dr. Dickey is likely to discuss your symptoms and perform a physical examination.

The inside of your nose is examined using a bright light and he may employ an instrument to widen your nostrils gently for better viewing. He may use a long, tube-shaped scope with a bright light at the tip to check farther back in your nasal passage. 

Additionally, Dr. Dickey observes your nasal tissues both before and after applying a decongestant spray to look for a deviated septum and assess the severity of your condition.

Treatment of Deviated Septum

Depending on the severity of the deviated septum, Dr. Dickey may recommend medications or surgical intervention. Medications help with mild symptoms. However, if a deviated nasal septum keeps you from breathing properly, you may need a surgical intervention.

Medications

While medications do not help in correcting the deviation, they can help manage symptoms associated with a deviated septum.

  • Decongestant: It reduces nasal tissue swelling, helping to keep airways open.
  • Antihistamine: It helps control allergy symptoms that can exacerbate nasal congestion.
  • Nasal Steroid Spray: It reduces inflammation in the nasal passages and helps with drainage.

Septoplasty

Septoplasty is a surgical procedure that straightens the nasal septum by trimming, repositioning, and replacing the cartilage or bone. This procedure may require cutting and removing parts of the septum before reinserting them in the proper position.

Septoplasty significantly improves airflow and alleviates symptoms. It is an outpatient procedure, taking between 30 and 90 minutes to complete.

Before the procedure, Dr. Dickey may ask you to avoid certain medications, fast before surgery, and arrange for post-surgical care and transportation.

Septoplasty is usually performed under local or general anesthesia. During the procedure, Dr. Dickey removes or reshapes the deviated portions of the septal bone and cartilage. He stabilizes your septum using stitches, splints, or packing material inside the nose to hold it in place and support healing.

After the surgery, we monitor you in a recovery room until the effects of anesthesia wear off. Our team guides you on postoperative care at home and may recommend pain relievers.

Deviated Septum Treatment at Kimball Health Services

At Kimball Health Services, we assess your symptoms and the severity of the deviated septum before tailoring a personalized treatment. In case of surgery, our team also provides post-procedure support and guidance to ensure proper healing.

As one of the top critical access hospitals in the nation, we pride ourselves on delivering high-quality, patient-centered care. 

In case of an emergency, call 911 or walk into our emergency department anytime. For appointments, call us at 308-235-1966 or request an appointment online. We're here for you whenever you need us. 

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