Penn Medicine Becker ENT

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Woman touching her nose gently, symbolizing nasal concerns related to a deviated septum and its treatment.

Deviated Septum

A deviated septum is a common condition that can significantly impact your quality of life. At Penn Medicine Becker ENT & Allergy in Philadelphia, PA, our team of experienced ENT specialists is dedicated to providing comprehensive care to address this issue. Whether you have trouble breathing, nasal congestion, or disruptive snoring, understanding and treating a deviated septum can improve your daily comfort and long-term health.

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The information provided below and throughout this website is presented for general educational purposes only and does NOT constitute professional medical advice. This information is NOT a substitute for professional medical advice and NO material on this site is intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding a health or a medical condition. Never disregard the advice of a medical professional or delay in seeking it because of something you have read on this website.

What Is a Deviated Septum?

The nasal septum is the thin wall of cartilage and bone that divides your nasal cavity into two nostrils. Ideally, this septum is positioned in the center, allowing for equal airflow through both nasal passages. However, when the septum is displaced to one side, it is known as a deviated septum. This misalignment can make one nasal passage significantly smaller than the other, potentially leading to breathing difficulties, congestion, and a range of associated symptoms.

While many people have some degree of septal deviation, the condition is only problematic if it obstructs airflow or contributes to chronic symptoms. When severe, a deviated septum may benefit from intervention, including medication or surgery, to restore proper nasal function.

Causes of a Deviated Septum

A deviated septum can be caused by various factors, including:

Congenital Factors

Some individuals are born with a deviated septum. This condition may develop during fetal growth or as a result of birth trauma.

Injury or Trauma

Accidents, sports injuries, falls, or physical altercations can displace the septum. Even minor trauma to the nose can contribute to a deviation over time.

Natural Aging Process

As we age, the structures in the nose can change, and a previously mild deviation may worsen, leading to increased symptoms.

Nasal Growth Imbalances

If one side of the nasal passage grows more than the other, the septum may gradually become misaligned.

Symptoms of a Deviated Septum

While many people have a mildly deviated septum without noticeable issues, a significant deviation can lead to various symptoms, including:

Nasal Congestion: Difficulty breathing through one or both nostrils, especially on one side.
Frequent Nosebleeds: The surface of the nasal septum may become dry and irritated, increasing the likelihood of nosebleeds.
Facial Pain or Pressure: Some individuals experience discomfort on one side of the face, particularly if the deviation contributes to sinus blockages.
Noisy Breathing and Snoring: Especially during sleep, as airflow is restricted through one side of the nose.
Sleep Disturbances: A deviated septum can make breathing more difficult at night which impacts sleep.

If these symptoms interfere with your daily life, seeking professional evaluation is crucial. Our specialists at Penn Medicine Becker ENT & Allergy can help determine the best course of action for relief.

Smiling woman in clinic chair with nasal bandage, suggesting post-treatment recovery from a deviated septum.
Man in yellow hoodie breathing deeply with closed eyes, representing improved breathing after septum treatment.

Benefits of Treatment

Treating a deviated septum can lead to numerous benefits, including:

Improved Nasal Breathing and decreased nasal congestion: Restoring normal airflow allows for easier breathing through the nose.
Enhanced Sleep Quality: Alleviating nasal obstruction may reduce snoring and improve sleep apnea symptoms.
Decreased Nasal Congestion: Relief from chronic stuffiness and breathing difficulties.
Better Quality of Life: Addressing nasal issues can enhance daily comfort and overall well-being.

Treatment Options for a Deviated Septum

The appropriate treatment for a deviated septum depends on the severity of the condition and the impact on your quality of life. Treatment options include:

Non-Surgical Treatments

For mild cases, symptoms can often be managed with:

  • Decongestants: Medications that reduce nasal swelling, allowing for improved airflow.
  • Nasal Steroid Sprays: These help reduce inflammation and open nasal passages.
  • Antihistamines: Useful for individuals with allergies that contribute to nasal congestion.
  • Nasal Strips: These can temporarily improve airflow by physically widening the nostrils.

While these treatments may provide temporary relief, they may have side effects that need to be monitored, and do not correct the underlying structural issue.

Septoplasty: The Surgical Solution

For individuals with significant nasal obstruction, septoplasty is the most effective treatment. This outpatient surgical procedure involves:

  1. Anesthesia Administration: Septoplasty is typically performed under general anesthesia, ensuring the patient remains comfortable and pain-free during the procedure.
  2. Incision Inside the Nose: The surgeon makes a small incision inside the nostril to access the septum. Because the incision is internal, there are no visible scars.
  3. Repositioning of the Septum: The surgeon carefully reshapes or removes the deviated portions of the septum, straightening it to allow for improved airflow.
  4. Stabilization: Small splints or sutures may be placed inside the nose to keep the septum in the correct position as it heals.
  5. Closure of the Incision: The nasal tissue is repositioned, and dissolvable sutures are used to close the incision.
  6. Recovery Process: Patients can usually return home the same day but should expect mild swelling and congestion during the initial healing period.

Patient Testimonials and Reviews

Read more reviews or leave your own to help others find expert ENT care.

My headaches were very severe and I saw every doctor I could think of until I met Dr. Becker, who treated my sinuses and deviated septum with medicine and surgery. I still take medication daily, but now I feel much better.

  • Star full Star full Star full Star full Star full 5 stars

Candidates for Treatment

You may be a candidate for treatment if you experience:

Difficulty breathing through one or both nostrils.
Frequent nasal congestion.
Persistent nosebleeds due to nasal dryness and irritation.
Disruptive snoring or sleep apnea symptoms.

A consultation with our specialists can help determine the most appropriate treatment plan for you.

The Consultation Process

During your consultation, our ENT specialists will:

Review your medical history and symptoms
Perform a detailed physical and nasal examination.
Use diagnostic tools such as nasal endoscopy to assess the severity of the deviation.
Discuss the most suitable treatment options, including potential benefits and risks.
Address any questions or concerns to ensure patients feel fully informed before making a treatment decision.

Choosing a Specialist

Selecting an experienced ENT specialist is essential for effective treatment. At Penn Medicine Becker ENT & Allergy, our board-certified physicians specialize in advanced nasal procedures, ensuring safe and successful outcomes. Our specialists have extensive experience performing septoplasty and utilize the latest techniques to minimize discomfort and recovery time. By choosing a skilled specialist, patients can feel confident that they are receiving the highest level of care.

Septoplasty Recovery and Post-Operative Care

Recovery Timeline

Patients may experience nasal congestion, mild bleeding, and swelling. Pain is usually manageable with prescribed or over-the-counter pain medication. Rest is essential during this period.

First 24-48 Hours

Swelling begins to subside, but nasal congestion may persist. Patients should avoid heavy lifting, strenuous exercise, and blowing their nose. Follow-up appointments will be scheduled to monitor healing.

First Week

Most patients can return to work and light daily activities. Swelling continues to diminish, and breathing improvements become more noticeable.

Weeks 2-3

The majority of swelling resolves, and nasal airflow is significantly improved. Normal physical activity can typically resume.

Weeks 4-6

Complete healing occurs, with final results visible. Patients enjoy long-term benefits, including easier breathing and reduced sinus issues.

Months 3-6

Post-Operative Care Tips

Saline Nasal Spray and/or saline washes

Helps keep nasal passages moist and clear of debris.

Avoid Irritants

Smoke, dust, and strong odors should be avoided during early recovery.

Sleep with Head Elevated

Reduces swelling and promotes drainage.

Follow All Post-Operative Instructions

Compliance with care recommendations ensures a smooth recovery.

Locations in Philadelphia, PA

We provide comprehensive ENT services at multiple locations in Philadelphia, including Walnut Street and South Street.

Penn Medicine Becker ENT & Allergy

1608 Walnut St Suite 902
Philadelphia, PA 19103
Phone: (215) 929-8301

Penn Medicine Becker ENT & Allergy

1740 South St Suite 401
Philadelphia, PA 19146
Phone: (215) 671-6330

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Frequently Asked Questions About Deviated Septum

If you’re struggling with symptoms of a deviated septum, contact Penn Medicine Becker ENT & Allergy to schedule a consultation today.

How common is a deviated septum?

Most people have some degree of deviation of the septum, but in most cases symptoms are only associated with moderate or severe cases.

Does a deviated septum always require surgery?

No, a deviated septum does not always require surgery. Mild cases can usually be managed with medication, but surgery may be best for significant obstruction.

Is septoplasty painful?

Patients typically experience mild discomfort after septoplasty surgery, which can be managed with pain relief medications.

How long does septoplasty take?

The septoplasty procedure typically takes about 30 to 60 minutes, depending on the complexity of the deviation. Patients can usually go home the same day after surgery.

How long does recovery take after septoplasty?

Most patients return to normal activities within a week of their septoplasty surgery, but full healing may take several months.

Will my breathing improve immediately after septoplasty?

Some congestion is expected immediately after septoplasty surgery due to swelling, but as the healing process progresses over a few weeks, patients typically notice a significant improvement in breathing.

Will septoplasty change the appearance of my nose?

No, septoplasty does not change the appearance of the nose unless combined with rhinoplasty.

What are the risks of septoplasty?

While septoplasty is generally safe, there are potential risks involved with any surgery. These may include infection, bleeding, nasal obstruction recurrence, and changes in nasal shape.

Can I combine septoplasty with rhinoplasty?

Yes, some patients choose to combine septoplasty with rhinoplasty to improve both function and aesthetics. This is known as septorhinoplasty.

Can children have a deviated septum?

Yes, children can have a deviated septum. Early evaluation is recommended for persistent breathing issues.

Is septoplasty covered by insurance?

Most insurance plans cover septoplasty surgery if it is deemed medically necessary.

Can a deviated septum cause sleep difficulties?

Yes, a deviated septum can contribute to breathing difficulties during sleep.

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Appointments are available. Mon - Fri : 8 a.m. to 5 p.m.

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Freehold, NJ

732-375-9550

Hillsborough, NJ

908-271-2102

Lawrenceville, NJ

609-303-5163

Monroe, NJ

609-831-0779

Mt. Laurel, NJ

856-724-4031

Mullica Hill, NJ

856-478-3111

Philadelphia, PA (South St)

215-671-6330

Philadelphia, PA (Walnut St)

215-929-8301

Plainsboro, NJ

609-681-6939

Princeton, NJ

609-430-9200

Princeton, NJ

609-759-8500

Robbinsville, NJ

609-436-5740

Sewell, NJ

856-589-6673

Voorhees, NJ

856-565-2900

Voorhees, NJ (Haddonfield-Berlind Rd)

856-375-1440

Voorhees, NJ

856-772-1617

Woodbury, NJ

856-845-8300

Yardley, PA

267-399-4004

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Penn Medicine Becker ENT & Sinus Surgery

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  • Freehold, NJ: (732) 375-9550
  • Hillsborough, NJ: (908) 271-2102
  • Lawrenceville, NJ: (609) 303-5163
  • Monroe, NJ: (609) 831-0779
  • Mt. Laurel, NJ: (856) 724-4031
  • Mullica Hill, NJ: (856) 478-3111
  • Philadelphia, PA: (215) 671-6330
  • Philadelphia, PA: (215) 929-8301
  • Plainsboro, NJ: (609) 681-6939
  • Princeton, NJ: (609) 759-8500
  • Princeton, NJ: (609) 430-9200
  • Robbinsville, NJ: (609) 436-5740
  • Sewell, NJ: (856) 589-6673
  • Voorhees, NJ: (856) 772-1617
  • Voorhees, NJ: (856) 565-2900
  • Yardley, PA: (267) 399-4004
  • Woodbury, NJ: (856) 845-8300