Who Is the Right Candidate for Deviated Septum Surgery?

Introduction

Breathing comfortably is something most people take for granted—until it becomes difficult. One of the most common reasons for long-term nasal obstruction is a deviated septum. When the thin wall dividing the nostrils shifts to one side, airflow becomes uneven. Often leading to congestion, snoring, or sinus infections.

While many live with mild deviations, others experience daily discomfort. For these individuals, deviated septum surgery, known as septoplasty, offers a long-term solution. Understanding who qualifies for this procedure helps patients make informed decisions and improve their quality of life.

What Is a Deviated Septum?

The nasal septum is the structure that separates the two nostrils. Ideally, it sits in the centre of the nose, allowing equal airflow on both sides. However, in some people, the septum tilts or bends. This is known as a deviated septum.

The condition can be present from birth, develop after injury, or worsen with age. While minor deviations may not cause noticeable symptoms, more severe cases can restrict airflow. Making breathing through one or both nostrils difficult.

Over time, this imbalance may also contribute to sinus pressure. As well as headaches, and frequent infections, as proper air circulation and drainage become disrupted.

Common Symptoms of a Deviated Septum

Not everyone with a deviated septum experiences the same symptoms. Some may only notice occasional blockage, while others deal with persistent congestion. Common signs include:

• Difficulty breathing through one side of the nose
• Frequent sinus infections or nasal dryness
• Snoring or noisy breathing during sleep
• Nosebleeds due to irritation
• Facial pain or pressure near the nasal bridge

When Surgery Is Recommended for a Deviated Septum

Surgery for a deviated septum, known as septoplasty, is typically recommended when non-surgical treatments no longer provide relief. Medications such as nasal sprays may help temporarily, but they cannot correct structural problems.

A qualified ENT specialist will evaluate the degree of deviation using nasal endoscopy or imaging. If airflow blockage causes secondary issues like chronic sinusitis, septoplasty becomes the best option.

The decision to proceed with surgery depends on both physical examination and the patient’s symptoms. Candidates usually want long-term relief from breathing difficulties rather than short-term fixes.

Who Makes the Right Candidate for Deviated Septum Surgery?

The best candidates for deviated septum surgery are individuals who:

• Struggle with chronic nasal congestion or obstruction
• Experience disrupted sleep or loud snoring caused by breathing issues
• Suffer from recurring sinus infections or headaches due to blocked passages
• Have a visibly crooked nose or nasal asymmetry
• Seek a long-term improvement in breathing and overall comfort

Age also plays a role. Septoplasty is generally recommended for adults. Although teenagers with severe symptoms may be eligible once nasal growth stabilises. Good overall health and realistic expectations are equally important for successful outcomes.

The Septoplasty Procedure Explained

Septoplasty is a straightforward surgical procedure designed to straighten the deviated septum. It is usually performed under local or general anaesthesia and takes about one hour.

During the operation, the surgeon repositions or trims parts of the septum to improve airflow. Because the incisions are made inside the nostrils, there are no visible scars. Most patients return home the same day.

Recovery is generally smooth, with minimal discomfort. Many experience noticeable improvement in breathing within a few weeks as swelling subsides.

Conclusion

A deviated septum can cause daily discomfort, but modern surgical options offer lasting relief. The ideal candidate is someone whose symptoms persist despite medication and whose airflow is significantly restricted. With careful assessment and professional treatment, septoplasty restores comfort and improves breathing quality. Choosing surgery is a personal decision. Yet for many, it represents the beginning of a more comfortable and balanced life.

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