Deviated nasal septum
Etiologically, a deviated septum is most often congenital, but it may also be due to trauma / injury to the face or nose, a birth injury during delivery, or previous nasal surgery.
A deviated septum is clinically significant when it results in nasal obstruction or facial asymmetry. It is important to understand whether the patient has one or both of these concerns. A patient's quality of life can be affected when the deviated septum causes nasal obstruction.
Deviated nasal septum may be characterized by bilateral or unilateral nasal congestion. It is sometimes associated with snoring or difficulty sleeping. Other signs and symptoms include epistaxis, positional nasal obstruction, postnasal drainage, facial pressure, and headache.
Management includes topical nasal corticosteroids / antihistamines and corrective surgery.
J34.2 – Deviated nasal septum
126660000 – Deviated nasal septum
Differential Diagnosis & Pitfalls
- Acute or chronic sinusitis
- Allergic rhinitis
- Nonallergic rhinitis including vasomotor rhinitis and drug-induced rhinitis
- Nasal polyps
- Iatrogenic nasal obstruction due to previous nasal and sinus surgery
- Previous injuries to the nose and face
- Foreign object obstruction, especially for pediatric patients