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What is Nasal Bone Curvature (Septum Deviation)?

The septum, the anterior part of which consists of cartilage and the posterior part of the bone, can be defined as a wall that separates the nostrils and passages from each other. Displacement of this wall to either side causes curvature of the nasal bone. This deviation can also be defined as “Nasal Bone Curvature (Septum Deviation)”.


If all or part of the wall, called the septum, is noticeably curved, respiratory problems may occur in the person. When respiratory distress occurs, nasal bone curvature is considered a disease. The greater the curvature of the nasal bone, the greater the nasal congestion seen in the patient. Inside the nose, there are meats called “concha”, three on each side. In patients suffering from nasal bone curvature, enlargement and swelling may occur in the concha meats along with the curvature of the bone.

What Causes Nose Curvature?

The curvature of the nasal bone may be congenital or may occur due to trauma while the baby passes through the birth canal during birth. At the same time, situations such as falling, injury, and impact in childhood can cause nasal bone curvature. Because the bone and cartilage part of the nasal wall, called the “septum”, may not develop at the same rate during the growth period. During the transition to adulthood, there may be differences and deviations in the shape of the nose. At the same time, the curvature of the nose may develop due to genetic factors.

What are the Symptoms of Nasal Bone Curvature?

The most common symptom in patients with nasal bone curvature is difficulty in breathing caused by congestion in the nasal tunnels. In addition to this, other symptoms can be listed as follows;

  • Frequent nosebleeds,
  • Frequent recurring sinusitis
  • facial pain,
  • Headache,
  • Nasal discharge,
  • Loud breathing in infants and children,
  • Respiratory tract infection.

What Are the Damages of Nasal Bone Curvature?

Although many damages reduce the quality of life of nasal bone curvature, the damages seen in patients complaining of nasal bone curvature can be listed as follows;

  • Snoring may occur due to the curvature of the nose,
  • Apnea,
  • Eustachian tube obstruction
  • Fluid accumulation in the ear,
  • pharyngitis. Since the person has nasal congestion, he/she starts to breathe through the mouth continuously.
  • May cause headache.Recurrent nosebleeds and sinusitis attacks may occur depending on the curvature of the nasal bone
  • The patient may have nasal discharges,

Due to the curvature of the nasal cartilage, the passage of air through the nose decreases, so the air taken from the mouth can cause problems in the lungs and upper respiratory tract.

What are the Diagnostic Methods of Nose Curvature?

If there is a curvature of the nasal bone, the preferred diagnostic method is the endoscopic examination of the nose first. Then, with the help of rhinomanometric measurements, nasal breathing is diagnosed objectively, acoustic rhinometry method is preferred to diagnose stenosis of the nasal canal. Apart from these diagnostic methods, in case of problems such as allergy and sinusitis turbinate swelling, tomography, film, and laboratory examination methods are also preferred.

Nose Bone Curvature Surgery

Nasal bone surgery is performed as follows;

Nasal bone surgery can be performed using general or local anesthesia methods.

During nasal bone surgery, the curvature of the nose is repaired and other health problems can be treated by removing the curved tissues in the cartilage or bone.

Nasal bone surgery is performed in approximately 30 minutes to 45 minutes.

  • In nasal bone curvature surgery called septoplasty, the incision is made through the nose.
  • The bones that obstruct the nasal air passage are removed with the incision made through the nose.
  • If the cartilage curves can be corrected at this stage, the necessary repair is made and the cartilage curve is replaced.

After Nose Curvature Surgery

After nasal curvature surgery, the airway in the nose is opened. Generally, nasal packing is used after surgery. The bumpers used should also be air ducted and silicone. The reason for this is that the removal of the tampons is carried out easily because it is silicone. These tampons, which allow to breathe, help the patient to go through the post-operative process much more comfortably. Patients can return to their social lives 3 days after nasal curvature surgery.

7 days after the operation, the tampons placed in the nose are removed. Thus, there is no scar on the nose of the patient after the operation. After the curvature of the nose, there is no incision or shape change in the external structure of the nose, and there is no swelling or bruising in the lower part of the eye.