Deviated septum

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Deviated septum Classification and external resources
ICD-10	J34.2
ICD-9	470

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Overview

A deviated septum is a common physical disorder of the nose, involving a displacement of the nasal septum.

Causes

It is most frequently caused by impact trauma, such as by a blow to the face. It can also be a congenital disorder.

Presentation

The nasal septum is the membranous ridge of cartilage in the nose that separates the nasal cavity into the two nostrils. Normally, the septum lies centrally, and thus the nasal passages are symmetrical. A deviated septum is an abnormal condition in which the top of the cartilaginous ridge leans to the left or the right, causing obstruction of the affected nasal passage. The condition can result in poor drainage of the sinuses, leading to frequent infections or the growth of nasal polyps. Patients can also complain of difficulty breathing easily, or of sleeping disorders such as snoring or sleep apnea.

It is common for nasal septa to depart from the exact centerline; the septum is only considered deviated if the shift is substantial or is adversely affecting the patient. Many people with a deviation are unaware they have it until some discomfort is produced. But by itself a deviated septum can go undetected for years and thus be without any real need for correction.

Treatment

In most cases a deviated septum can be corrected with a minor surgical procedure known as a septoplasty, which enters through the nostrils and cuts away the obtruding matter. The surgery is performed quickly but the patient may take several days to recover.

See also

• Perforated septum

References

• American Academy of Otolaryngology factsheet

• (Detailed description with pictures)

v • d • e Pathology of respiratory system (J, 460-519), respiratory diseases
Upper RT (including URTIs, Common cold)	Head sinuses: Sinusitis nose: Rhinitis (Vasomotor rhinitis, Atrophic rhinitis, Hay fever) - Nasal polyp - Deviated septum tonsil: Tonsillitis - Adenoid hypertrophy - Peritonsillar abscess Neck pharynx: Pharyngitis (Strep throat) larynx: Laryngitis - Croup - Laryngospasm - vocal folds: Vocal fold nodule - epiglottis: Epiglottitis trachea: Tracheitis - Tracheal stenosis
Lower RT/lung disease (including LRTIs)	Pneumonia Viral - Bacterial/Atypical pneumonia (Mycoplasma) - Fungal pneumonia (Pneumocystis pneumonia) - Parasitic pneumonia - Bronchopneumonia - Chemical pneumonia (Mendelson's syndrome) Bronchial/ obstructive Acute: Bronchitis (Acute, Chronic) - Bronchiolitis Chronic: Emphysema - COPD - Asthma (Status asthmaticus) - Diffuse panbronchiolitis - Bronchiectasis Interstitial/ restrictive External agents/ occupational lung disease Pneumoconiosis (Asbestosis, Baritosis, Bauxite fibrosis, Berylliosis, Caplan's syndrome, Chalicosis, Coalworker's pneumoconiosis, Siderosis, Silicosis, Byssinosis) Hypersensitivity pneumonitis (Bagassosis, Bird fancier's lung, Farmer's lung) Other ARDS - Pulmonary edema - Löffler's syndrome/Eosinophilic pneumonia - Respiratory hypersensitivity (Allergic bronchopulmonary aspergillosis) Hamman-Rich syndrome - Idiopathic pulmonary fibrosis Obstructive or restrictive Atelectasis - Bronchiolitis obliterans
Pleural cavity/mediastinum	Suppuration Empyema - Lung abscess Pleural disease/pleural effusion Hemothorax - Pneumothorax (Tension pneumothorax) - Hemopneumothorax - Hydrothorax - Chylothorax - Pleurisy Mediastinal disease Mediastinal emphysema - Mediastinitis
Other/general	Respiratory failure - Influenza - SARS - Idiopathic pulmonary haemosiderosis
see also congenital, neoplasia

v • d • e WikiDoc Research Resources for Deviated septum
Articles on Deviated septum	Most recent articles on Deviated septum • Most cited articles on Deviated septum • Review articles on Deviated septum • Articles on Deviated septum in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Deviated septum	Powerpoint slides on Deviated septum • Images of Deviated septum • Photos of Deviated septum • Podcasts & MP3s on Deviated septum • Videos on Deviated septum
Evidence Based Medicine Regarding Deviated septum	Cochrane Collaboration on Deviated septum • Bandolier on Deviated septum • TRIP on Deviated septum
Cost Effectiveness of Deviated septum	Cost Effectiveness of Deviated septum
Clinical Trials Involving Deviated septum	Ongoing Trials on Deviated septum at Clinical Trials.gov • Trial results on Deviated septum • Clinical Trials on Deviated septum at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Deviated septum	US National Guidelines Clearinghouse on Deviated septum • NICE Guidance on Deviated septum • NHS PRODIGY Guidance • FDA on Deviated septum • CDC on Deviated septum
Textbook Information on Deviated septum	Books and Textbook Information on Deviated septum
Pharmacology Resources on Deviated septum	Dosing of Deviated septum • Drug interactions with Deviated septum • Side effects of Deviated septum • Allergic reactions to Deviated septum • Overdose information on Deviated septum • Carcinogenicity information on Deviated septum • Deviated septum in pregnancy • Pharmacokinetics of Deviated septum •
Genetics, Pharmacogenomics, and Proteinomics of Deviated septum	Genetics of Deviated septum • Pharmacogenomics of Deviated septum • Proteomics of Deviated septum
Newstories on Deviated septum	Deviated septum in the news • Be alerted to news on Deviated septum • News trends on Deviated septum
Commentary on Deviated septum	Blogs on Deviated septum
Patient Resources on Deviated septum	Patient resources on Deviated septum • Discussion groups on Deviated septum • Patient Handouts on Deviated septum • Directions to Hospitals Treating Deviated septum • Risk calculators and risk factors for Deviated septum
Healthcare Provider Resources on Deviated septum	Symptoms of Deviated septum • Causes & Risk Factors for Deviated septum • Diagnostic studies for Deviated septum • Treatment of Deviated septum
Continuing Medical Education (CME) Programs on Deviated septum	CME Programs on Deviated septum
International Resources on Deviated septum	Deviated septum en Espanol • Deviated septum en Francais
Business Resources on Deviated septum	Deviated septum in the Marketplace • Patents on Deviated septum
Informatics Resources on Deviated septum	List of terms related to Deviated septum

de:Septumdeviation

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .