Monday, October 12, 2009

Info about Deviated Septums?

I want to get surgery done to fix my Deviated Septum. The thing is i snore like crazy because of it and it's quite embaressing .But the issue is i heard I can't do certain things after the surgery like scuba dive and thats my favorite activity. Is this true? What can't I do after it?
Answers:
Deviated septumA deviated septum is a common physical disorder of the nose, most frequently caused by impact trauma, such as by a blow to the face. It can also be a congenital disorder, though it is not hereditary.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 apnoea.It is common for nasal septums 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 for years without being detected and thus be without any real need for correction.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. Fact Sheet: Deviated Septum

The shape of your nasal cavity could be the cause of chronic sinusitis. The nasal septum is the wall dividing the nasal cavity into halves; it is composed of a central supporting skeleton covered on each side by mucous membrane. The front portion of this natural partition is a firm but bendable structure made mostly of cartilage and is covered by skin that has a substantial supply of blood vessels. The ideal nasal septum is exactly midline, separating the left and right sides of the nose into passageways of equal size.
Estimates are that 80 percent of all nasal septums are off-center, a condition that is generally not noticed. A "deviated septum" occurs when the septum is severely shifted away from the midline. The most common symptom from a badly deviated or crooked septum is difficulty breathing through the nose. The symptoms are usually worse on one side, and sometimes actually occur on the side opposite the bend. In some cases the crooked septum can interfere with the drainage of the sinuses, resulting in repeated sinus infections. Septoplasty is the preferred surgical treatment to correct a deviated septum. This procedure is not generally performed on minors, because the cartilaginous septum grows until around age 18. Septal deviations commonly occur due to nasal trauma. A deviated septum may cause one or more of the following: Blockage of one or both nostrils
Nasal congestion, sometimes one-sided
Frequent nosebleeds
Frequent sinus infections
At times, facial pain, headaches, postnasal drip
Noisy breathing during sleep (in infants and young children)
In some cases, a person with a mildly deviated septum has symptoms only when he or she also has a "cold" (an upper respiratory tract infection). In these individuals, the respiratory infection triggers nasal inflammation that temporarily amplifies any mild airflow problems related to the deviated septum. Once the "cold" resolves, and the nasal inflammation subsides, symptoms of a deviated septum often resolve, too.
Diagnosis Of A Deviated Septum: Patients with chronic sinusitis often have nasal congestion, and many have nasal septal deviations. However, for those with this debilitating condition, there may be additional reasons for the nasal airway obstruction. The problem may result from a septal deviation, reactive edema (swelling) from the infected areas, allergic problems, mucosal hypertrophy (increase in size), other anatomic abnormalities, or combinations thereof. A trained specialist in diagnosing and treating ear, nose, and throat disorders can determine the cause of your chronic sinusitis and nasal obstruction.Your First Visit: After discussing your symptoms, the primary care physician or specialist will inquire if you have ever incurred severe trauma to your nose and if you have had previous nasal surgery. Next, an examination of the general appearance of your nose will occur, including the position of your nasal septum. This will entail the use of a bright light and a nasal speculum (an instrument that gently spreads open your nostril) to inspect the inside surface of each nostril. Surgery may be the recommended treatment if the deviated septum is causing troublesome nosebleeds or recurrent sinus infections. Additional testing may be required in some circumstances.
Septoplasty: Septoplasty is a surgical procedure performed entirely through the nostrils, accordingly, no bruising or external signs occur. The surgery might be combined with a rhinoplasty, in which case the external appearance of the nose is altered and swelling/bruising of the face is evident. Septoplasty may also be combined with sinus surgery. The time required for the operation averages about one to one and a half hours, depending on the deviation. It can be done with a local or a general anesthetic, and is usually done on an outpatient basis. After the surgery, nasal packing is inserted to prevent excessive postoperative bleeding. During the surgery, badly deviated portions of the septum may be removed entirely, or they may be readjusted and reinserted into the nose. If a deviated nasal septum is the sole cause for your chronic sinusitis, relief from this severe disorder will be achieved.
First things first, here. If your problem is snoring, it is not nearly as likely to be due to a deviated septum as it is to be due to a problem with your soft palate.I would strongly suggest, before considering a surgical procedure that may make one of your favorite hobbies off limits, getting an overnight polysomnography to rule out more fixable causes of snoring--ones possibly fixable without surgery.Also, you might consider at least a screening evaluation for allergic problems, if you've not had it done. That's another, much more likely, cause of snoring than a deviated septum.I've got a deviated septum, but my snoring was due to obstructive sleep apnea, which is far commoner than most folk realize, especially if your body mass index is over 35.
A sleep study and weight loss (if overweight) should be consider first before you do an invasive surgery, especially one with such a low "cure" rate as septum (Septoplasty) surgery.

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