Deviated Septum with Bone Spur Treatment Tips
Deviated Septum with Bone Spur Treatment Tips A deviated septum occurs when the thin wall between the nostrils, known as the nasal septum, is displaced to one side. While some degree of deviation is common and often harmless, a pronounced deviation can lead to breathing difficulties, nasal congestion, and recurrent sinus infections. When a bone spur—a bony growth—develops on or near the deviated septum, it can further complicate symptoms, causing persistent discomfort, blockage, or even pain. Recognizing the signs and understanding treatment options are essential for improving quality of life.
The symptoms associated with a deviated septum with a bone spur often include nasal congestion that favors one side, difficulty breathing through the nose, frequent nosebleeds, and sometimes facial pain or pressure. Sleep disturbances such as snoring or sleep apnea are common due to airflow obstruction. In some cases, individuals may experience headaches or facial tenderness, especially if the bone spur irritates surrounding tissues.
Diagnosis begins with a thorough medical history and physical examination by an ear, nose, and throat (ENT) specialist. An endoscopy, which involves inserting a thin, flexible tube with a camera into the nasal passages, allows the doctor to visualize the septum’s alignment and identify any bone spurs. Imaging studies like a CT scan can provide detailed views of the nasal structures, helping to plan appropriate treatment.
Treatment strategies depend on the severity of symptoms. Mild cases, where the deviation causes minimal discomfort, may be managed conservatively. Nasal decongestants, antihistamines, and saline nasal sprays can temporarily relieve congestion and reduce swelling. Additionally, nasal corticosteroids may help decrease inflammation, improving airflow. These measures can be effective for short-term relief but do not correct the structural issues.
For individuals with significant symptoms that impact daily life, surgical intervention is often recommended. Septoplasty, a common surgical procedure, aims to straighten the nasal septum and remove or reshape the bone spur. The surgery is typically performed under local or general anesthesia and is minimally invasive. During the procedure, the surgeon makes an incision inside the nose to access and reposition the septum. If a bone spur is present, it is carefully shaved down or removed to eliminate obstruction.
Postoperative care is crucial for optimal healing. Patients are advised to avoid strenuous activities for several days and to keep nasal passages moist with saline sprays. Nasal packing or splints may be used temporarily to stabilize the septum during recovery. Most individuals experience significant improvement in breathing and a reduction in symptoms within a few weeks post-surgery.
While septoplasty generally has a high success rate, potential risks include bleeding, infection, or a perforation of the septum. Rarely, the septum may become deviated again, requiring revision surgery. Consulting with an experienced ENT specialist helps ensure the best possible outcome.
In summary, a deviated septum with a bone spur can cause chronic nasal obstruction and discomfort, but effective treatments are available. Conservative management offers relief for mild cases, while surgical correction, primarily septoplasty, can significantly improve airflow and quality of life for those with more severe symptoms. Proper diagnosis and professional guidance are key to choosing the right approach and achieving lasting results.









