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Can septal deviation cause chronic fatigue syndrome?

Vancouver39Mar 20, 2017
Today I was diagnosed with a septal deviation. My symptoms are mouth breathing while sleeping, a blocked left nostril, and chronic fatigue for several years despite plenty of sleep. The ENT feels the fatigue isn't related and considers the surgery elective as it is not not severely deviated. How often do you come across patients with septal deviations complaining about fatigue? What is the causal mechanism? Given my symptoms, is the risk of a septoplasty worth the potential benefits?

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From board-certified doctors and trusted medical professionals
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Mar 23, 2017
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Aric K. Park, MD

The end of your septum may be jutting out slightly into the left nostril. If this is not causing you blockage in your breathing then it does not need to be addressed. Often this "spur" sticking into your nostril can be from trauma, underlying asymmetry to the bone, or from a long septum that...

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Talmage J. Raine, MD, FACS (retired)

I would conjecture that most of the pain is not from the spur, but from residual inflammation in the sinus area. Fixing the septum and spur will help to avoid future sinus issues. All the best, Talmage Raine MD

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Talmage J. Raine, MD, FACS (retired)

It is quite unusual to have this problem after rhinoplasty. The smell nerves are located in the bone at the top of the nose. On the other side of that bone is your brain. My thought is that there is some obstruction of air at the top of that area not allowing the molecules of different smells to...

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