Deviasi Septum Hidung

What is deviated nasal septum?

The nasal septum deviation is the condition that occurs when the nasal septum (the wall divides the nasal cavity into two) is very shifted from the midline. The ideal nasal septum is located exactly in the middle, separating the left and right cavities of the nose into two channels of almost same size. This shifting or bent (deviation) septum may cause difficulty breathing through the nose of the affected side. Symptoms usually feel worse on one side of the nose, and sometimes even occur on the opposite side of the bending. In some cases, a crooked septum can disrupt the sinus function, resulting in repeated sinus infections. It is estimated that 80 percent of the population has deviated septum, but these conditions are usually unnoticed. 

How common is the nasal septum deviation?
The nasal septum deviation is a very common condition. According to the American Academy of Otolaryngology - Head and Neck Surgery: 80% of the population has certain degree of septal deviation. Symptoms usually feel worse on one side of the nose, and sometimes even occur on the opposite side of the bending. In some cases, a crooked septum can disrupt sinus function, resulting in repeated sinus infections.

What are the signs and symptoms of the nasal septum deviation?
Most septal disorders do not cause symptoms, and you may not even realize that you have a diffuse septum. However, some septal disorders may present the following signs and symptoms:

Blocking one or both nose noses
This blockage can make it difficult to breathe through one or both nostrils. This may be more noticeable when you have a cold (upper respiratory tract infections) or allergies that may cause your nasal passages to swell and narrow.

Nos
Your nasal septum surface can be dry, increasing the risk of nosebleed.

Face pain
Although there is a debate about the possibility of facial pain due to the cause of the nose, the diffuse septum that affects the inner wall of the nose, when present on the same side as the face pain, is sometimes regarded as the possible cause.

Breath is noisy during sleep
This can occur in infants and young children who suffer from septal deviations or intranasal tissue inflammation.

Awareness of the nasal cycle
It is normal for the nose to alternately clogged on one side, then turn into clogging on the other. This is called a nasal cycle. The nasal cycle is a normal phenomenon, but being aware of the nasal cycle is unusual and can be an indication that there is a large nose blockage.

Preference for sleeping on one side
Some people may choose to sleep on one side to optimize breathing through the nose at night. This may be due to a septum deviation that narrows a nasal cavity.

KPJ Pasir Gudang Specialist Hospital, Persiaran Dahlia 2, Taman Bukit Dahlia, 81700 Pasir Gudang, Johor, Malaysia.

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©2020 by Dr Cheong Jack Pein Ear Nose and Throat (ENT), Head and Neck Surgery.