What Tests Diagnose Potential Issues Relating to a Swelling Septum?

This is an interesting question asked by another member yet has never been answered. I understand that you are all very busy and would appreciate a response as I also have this concern. Thank you.

Doctor Answers 6

Diagnosis and causes of a "swollen septum"


A swollen septum can be diagnosed by physical examination.  The mucosa or lining of the septum can become swollen as a result of trauma, irritation or seasonal allergies. Nasal steroid sprays can be useful to alleviate swelling caused by allergies or inflammation.

After a septorhinoplasty, the septum is always swollen for a period of time during the healing process. Following surgery or trauma, it is important to differentiate this normal amount of swelling from a septal hematoma, which can present as a bulge in the septum. A rhinoplasty surgeon or an otolaryngologist will be able to diagnose this easily based on physical exam.  Hope this helps!


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Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

"Swollen" nasal septum can result from many causes

While this is a straight-forward question, the answer is complex. "Swollen" nasal septum can result from many causes - trauma, allergy, tumors (rare) or congenital deformity. In most cases an office exam without or with a scope can fully evaluate the septum. Additional testing such as biopsy, CT/ MRI scans or allergy testing are not often required but are usually easy to obtain as needed. A Facial Plastic Surgeon will be able to counsel use as to what workup is necessary.

Stephen Weber MD, FACS

Weber Facial Plastic Surgery

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Diagnose a swollen septum in nose

 There's a very straightforward answer...to see if the septum is crooked or swollen, the plastic and cosmetic surgeon or Rhinoplasty surgeon usses a nasal speculum and a light and looks inside.  Normal nasal mucosa, of the septum and turbinates, is a soft pink color.  When swollen and irritated, the mucosa is red and appears inflammed.  Deviations (crooked portions) of the nasal septum, both cartilage and bone as well as enlarged turbinates are all visible. 

  While swollen turbinates can be treated with nasal steroid sprays and allergy treatments, hard deviations of the septum are treated by surgically removing the crooked segments in a procedure called Septoplasty.  This can be a separate procedure or can be combined with a Rhinoplasty, Septorhinoplasty, if the patient also wishes to improve the aesthetic shape of the outside of the nose.  Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Diagnosis of swollen septum

Hello Summertime,

Diagnosis of a swollen septum requires only a physical examination by a qualified rhinoplastic surgeon.

Best of luck.

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 90 reviews

Diagnose Swelling

A good examination internally can diagnose this, as well as, an endoscopic assisted rhinoscopy. This should pinpoint the problem

Elliot M. Heller, MD
New York Facial Plastic Surgeon
4.6 out of 5 stars 93 reviews

Diagnosis of Swollen Septum

The presence or potential occurence of a swollen septum is diagnosed by physical examination  of the nose. If the swelling is secondary to septel deviation or duplication, surgery will correct this problem. If it is due to malfunction of the septal mucosa or a post-op reaction it can be improved with oral medication or nasal sprays.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

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.