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Septal deviations
Septal deviations can cause a blocked nose and breathing difficulty.
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The nasal septum is the midline partition of the nose, that divides the nasal cavity into a right and a left side.

It is constructed from a skeleton made of cartilage at the front, and bone at the back. This skeleton is covered by the same lining that covers the rest of the nose and sinuses.

Deviations (twists) of the septum can be caused by injuries, but in many cases, patients do not recall any trauma and the septum may have simply become ‘buckled’ during a person’s growth.

What are the septal deviations? 

Septal deviations are a condition in which the nasal septum, the bone and cartilage that divides the nose into two halves, is crooked. This can cause one nasal passage to be smaller than the other, making it difficult to breathe through the nose.

Symptoms

The most common symptom of a septal deviation is difficulty breathing through the nose, especially during exercise or when lying down. Other symptoms may include:

  • Frequent sinus infections
  • Nosebleeds
  • Postnasal drip
  • Headaches
  • Facial pain
  • Snoring
  • Sleep apnea

Effects on people

A septal deviation can have a significant impact on a person's quality of life. Difficulty breathing through the nose can make it difficult to exercise, sleep, and work. It can also lead to other health problems, such as sinus infections and chronic headaches.

Common conditions and problems for people

People with septal deviations may be more likely to experience the following conditions and problems:

  • Sinus infections
  • Nosebleeds
  • Postnasal drip
  • Headaches
  • Facial pain
  • Snoring
  • Sleep apnea
  • Dry mouth
  • Mouth breathing
  • Chronic fatigue

Why do people get septal deviations?

The exact cause of septal deviations is unknown, but they are thought to be caused by a combination of genetic and environmental factors. Some people are born with septal deviations, while others develop them as a result of a nose injury.

Genetics

Some studies have shown that septal deviations may be more common in families with a history of the condition. This suggests that there may be a genetic component to the disorder.

Lifestyle

There is no evidence that lifestyle factors, such as smoking or drinking alcohol, can cause septal deviations. However, these factors can worsen the symptoms of the condition.

Disease

Some diseases, such as cystic fibrosis and sarcoidosis, can increase the risk of developing a septal deviation.

Who gets them? (sex/age/demographics etc)

Septal deviations are more common in men than in women. They are also more common in people who have had a nose injury.

How are septal deviations diagnosed?

A septal deviation can be diagnosed by Mr Khatwa during a physical examination. Mr Khatwa will use a nasal speculum to widen the nostrils and look at the septum. If the septum is crooked, Mr Khatwa will be able to see it.

In some cases, Mr Khatwa may order additional tests, such as an X-ray or CT scan, to get a better look at the septum.

The diagnosis process for a septal deviation is typically straightforward. Mr Khatwa will ask about your symptoms and medical history, and then perform a physical examination. If Mr Khatwa suspects a septal deviation, they may order additional tests, such as an X-ray or CT scan.

Once a septal deviation has been diagnosed, Mr Khatwa will work with you to develop a treatment plan. The treatment plan will depend on the severity of your symptoms and your overall health.

If your symptoms are mild, Mr Khatwa may recommend lifestyle changes, such as using a saline nasal spray or avoiding nasal irritants. If your symptoms are more severe, Mr Khatwa may recommend medication or surgery.

Treatment options for septal deviations

The most common treatment for a septal deviation is surgery. The surgery is called a septoplasty. During a septoplasty, the surgeon will straighten the septum and make the nasal passages more equal in size.

Other treatment options for septal deviations include:

  • Medications: Decongestants, antihistamines, and nasal steroid sprays can help to reduce inflammation and improve breathing.
  • Nasal irrigation: Using a saline nasal spray or irrigator can help to flush out mucus and allergens.
  • Lifestyle changes: Avoiding nasal irritants, such as smoke and dust, and using a humidifier can help to improve breathing.
If you think you may have a septal deviation, get in touch with us so we can diagnose your condition and develop a treatment plan that is right for you.
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Brad Fisher
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I had a procedure with Mr Khatwa to reduce snoring, service was excellent throughout and was happy with the results
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Tanja Buys
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Tanja Cerff(married name) Dr Khatwa is a kind, caring doctor who saved the day for me! After a long standing issue, Dr Khatwa identified the issue and corrrected it right there and then. He is a wonderful doctor that I highly recommend!
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Alan Chatting
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Excellent kind and effective care!
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Robert Paterson
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After several years of suffering frequent nose bleeds Mr Khatwa managed to solve the issue during my initial consultation with him. He was very kind, calm and a good listener. Highly recommended
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Karen Thompson
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My Surgeon was mr Khatwa he was very friendly and put me at ease I would definitely recommend him to anyone so nice and very professional
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Ashley Miller
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The service provided by Mr Mohamed Khatwa at Nuffield Plymouth was exceptional having been messed about by the NHS for 3 years with multiple other consultants and having had surgery’s cancelled on the day of surgery. From the initial consultation Mr Khatwa explained the full procedure in detail explaining all of the procedure and providing diagrams. The day of surgery came and all went smoothly. Mr Khatwa has a very calm relaxed approach which leads you to feel relaxed and reassured I would recommend his services to anyone that needed it
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Roger Gillett
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Mr Khatwa immediately put me at my ease. With a kind and very professional manner, Mr Khatwa conducted a thorough examination, identified the cause and carried out the procedure there and then. After a follow up visit, all has healed very well. The whole experience has been excellent. We are very privileged to have seen Mr Khatwa who is a true gentleman.
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Nick L
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I recently underwent sinus surgery at Nuffield Health Exeter under the care of Mr Khatwa, and the entire experience was outstanding. From the initial consultation through to post-operative care, the process was seamless and handled with professionalism and compassion. Mr Khatwa and the whole team were exemplary throughout, and I felt well informed and supported at every stage. I would highly recommend Mr Khatwa and the team at Nuffield Health Exeter.
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Carolyn Harris
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I can highly recommend Mr Khatwa as a very professional and friendly ENT consultant. He takes the time to explain the required procedures and points out the problem areas from xrays . Having suffered from loss of taste and smell for over 20years, I now have both senses which is very life enhancing and I cannot thank him enough. (I had nasal polyps removed and a sinus endoscpy)
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James Maunder
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Professional, prompt and effective service. Dr Mohamed A Khatwa was excellent.
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