Sinusitis Nose – Deviated Nasal Septum

 Let’s first understand the sinusitis-nose connection… because if people complain that you snore too much or you always sound congested its most likely not your fault. The nasal septum is composed of bone and cartilage running centrally inside your nose, splitting the nasal cavity into two passageways. The septum can be very pliable and move with inspiration as well as expiration. At times it can move too much occluding a nasal passageway. This is known as a deviated nasal septum. 80% of Americans have this off-center septum; a common complaint of sinusitis.


Trauma or a congenital malformation is the general reason for this deviation. Trauma can by during childbirth, or a face injury such as in sports or an auto accident. To be absolutely sure you actually have a deviation in your septum, we look at the symptoms you suffer from when you are not sick or have sinusitis.


 If you have trouble breathing, or when you take a maximal inhalation you feel a nasal passageway become blocked… then there is a good chance that you suffer septum deviation, perhaps severe enough to be referred to an Ear, Nose and Throat doctor.


Simply put: the way your nose works is that you have a bone at the very top that goes down to about where your eye pupil is. Then beneath that is “cartilage”… the same squishy bone-like stuff that’s in your ears. Inside your nose is a thin membrane that divides your nose into two halves. That’s why when you close one nostril with your thumb you can breathe down the other channel. Both of those channels should be about the same width and height, divided by the septum. “Deviation” is exactly what is says – abnormal or unusual.


If surgery is recommended, the procedure is a Septoplasty and it consists of 1 to 1 ½ hrs of outpatient with a 2-4 week recovery. Gauze is packed inside your nasal passageways so you will feel quite ‘stuffy’ for a few weeks. Bleeding and slight bruising is common. Major benefits will be noticed after about 4-5 weeks.


You will feel like a new person with your new breathing ability. No more stuffy nose or snoring… you will breathe quietly and easily with your new nose-connection. It’s not a complicated surgery, but may be costly.




Esther Smith, author

Smith’s research has included Septoplasty, and she offers her findings here for those with a Deviated Nasal Septum. For further information go here: