Could I have a deviated septum even though there is no visual deformity? (photo)
Doctor Answers (12)
Deviated septum and other causes of nasal airway obstruction
1. Visible external nasal deviation with internal septal deviation
2. No visible external nasal deviation (nose appears straight) with internal septal deviation
3. No visible external nasal deviation (nose appears straight) without internal septal deviation.
In your case, it is possible that your external nose appears generally straight but that you do have a deviated septum internally. Additionally, there are other areas of the nose that can be the cause of structural obstruction including the external valves, the internal valves and the turbinates. Physiologic problems can also cause nasal airway obstruction in the absence of a structural deformity - these include problems such as allergic rhinitis.
You should see seek the opinion of a board certified otolaryngologist (ear, nose and throat surgeon) to have an evaluation of your nose and nasal airway.
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Only an internal inspection of your nose can determine if you have significant septal deviation and if is contributing to your breathing problem. You should consult with a plastic surgeon or ENT doctor to determine if such is the case in your situation.
Deviated septum findings
Your doctor will need to check inside your nose to see if there are any other explanations for your nasal obstruction. Enlarged turbinates, generalized skin lining swelling and nasal polyps are other things that need to be ruled out.
You can read more about deviated septum repair at my web reference link below.
Diagnosing a deviated septum
The only way to know if you have clinically significant deviated septum is to have a physical examination by an experienecd rhinoplasty surgeon or otolaryngologist- who can also rule out other causes of nasal obstruction. Good Luck.
Deviated Septum Without Visual Deformity
Nasal obstruction symptoms
Nasal obstruction can come from a variety of issues such as a deviated nasal septum, turbinate hypertrophy, valve collapse, and vestibular stenosis. Each one of these issues are treated differently with surgery, after patients have failed medical therapy. To diagnose a deviated septum an ENT/ facial plastic surgeon will need to examine the posterior portion of the nose. Repairing the deviated septum will not change the outside appearance of the nose, only improve the airflow for medical necessity.
Nasal blockage without external deviation
There are many reasons to have nasal blockage without external deviation of the nose. You can also have a deviated septum which is purely internal, but that usually affects 1 side more than the other. Turbinate enlargement, nasal valve collapse, and nasal swelling or congestion are also common causes of this problem.
Nasal congestion can occur from allergies, non-allergic irritation, hormonal imbalance, and as a side effect of medication. Chronic sinusitis can also be a common cause of nasal congestion.
I think you'll find some answers when you go for an examination. Probably the best place to start is with a nose spray, like Nasonex or Flonase.
Best of luck
Possible Deviated Septum
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.