The Deviated Septum Rhinitis Causes Treatment Options
The Deviated Septum Rhinitis Causes Treatment Options A deviated septum occurs when the thin wall (septum) that separates the two nasal cavities is displaced to one side. While many individuals may have a slight deviation that doesn’t cause symptoms, a significant deviation can lead to chronic nasal congestion, difficulty breathing, and other related issues. When combined with rhinitis—which is inflammation of the nasal mucosa—the condition becomes more complex and often results in a persistent sense of nasal obstruction, sinus infections, and discomfort.
The causes of a deviated septum are varied. It can be congenital, meaning present at birth, often due to abnormal fetal development of the nasal structures. Trauma or injury to the nose, such as a blow during sports or an accident, is another common cause that can cause or worsen a septal deviation. Additionally, certain infections or surgeries can inadvertently lead to a misalignment of the septal cartilage or bone. Age-related changes may also influence septal positioning, with cartilage becoming more flexible or shifting over time.
Rhinitis, on the other hand, refers to inflammation of the nasal lining and can be triggered by allergic reactions, infections, or irritants. Allergic rhinitis is the most common form, often caused by pollen, dust mites, pet dander, or mold. Non-allergic rhinitis may be due to environmental irritants like smoke, strong odors, or changes in weather. When combined with a deviated septum, rhinitis can exacerbate nasal congestion, leading to difficulty breathing through the nose, nasal dryness or bleeding, and a reduced quality of life.
Treating a deviated septum with rhinitis often involves a combination of medical management and surgical intervention. Non-surgical treatments aim to alleviate symptoms and improve nasal airflow. Nasal decongestants, whether topical or oral, can temporarily reduce swelling of the nasal tissues, providing relief. Antihistamines and nasal corticosteroids are commonly used to manage allergic rhinitis by reducing inflammation and allergic responses. Saline nasal sprays or rinses help clear irritants and mucus, promoting better breathing.
However, when medical therapy fails to provide sufficient relief, or if structural abnormalities significantly impair quality of life, surgical correction becomes a viable option. Septoplasty is the primary surgical procedure used to straighten or reposition the deviated septum. This procedure involves carefully lifting the mucous membrane covering the septum, removing or reshaping the cartilage or bone as needed, and then repositioning the septum in the middle of the nose. Septoplasty can be performed under local or general anesthesia, and most patients experience minimal downtime with good long-term results.
Addressing rhinitis alongside septal correction may involve allergy testing to identify specific triggers and subsequent immunotherapy if applicable. Postoperative care includes avoiding nose blowing, strenuous activities, and follow-up visits to ensure proper healing. In some cases, additional procedures like turbinate reduction may be recommended if enlarged turbinates contribute to nasal obstruction.
In summary, a deviated septum combined with rhinitis can significantly impair breathing and overall comfort. A comprehensive treatment approach that combines medical management for inflammation and allergies with surgical correction for structural issues can substantially improve symptoms and enhance quality of life.
