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The link between septal deviation and sleep 

The link between septal deviation and sleep 

By Dr. Abdul Amir Zain – Otorhinolaryngology Doctor and Cervico-Facial Surgery

The link between septal deviation and sleep 

Why do we snore at night? 

At night, while we sleep, blood flow to the brain increases. Along with it, the nasal mucosa swells more or less. A nasal obstruction will determine oral breathing, because the body needs oxygen, we have to breathe. This oral breathing is accompanied by all kinds of problems, the most important of which is “snoring”. 

In many cases, snoring is caused by a deviated nasal septum. This condition is often also responsible for the appearance of sleep apnea, which is a life-threatening disease – the patient can have a restless sleep and wake up tired. 

  Factors that contribute to snoring: 

  • Nasal obstruction 

  • Anatomy of the oral cavity 

  • Excess weight 

Nasal obstruction can occur due to a deviated septum, due to edema of the nasal mucosa (especially the inferior turbinates), or even both problems. Drug treatment of nasal obstruction may include medication to reduce mucosal edema and help open the airway, but it is only effective temporarily, and in many cases, it cannot be used “a la long”. To correct a deviated nasal septum, surgery is always required – rhinoplasty! 

Do you wake up tired even though you managed to get 8 hours of rest? 

Decreased oxygen concentration during sleep caused by chronic nasal obstruction is a problem that can create serious long-term medical and social consequences. Whether we’re talking about friends or family, spouses, partners or other people in the home who experience chronic fatigue, they may have: 

• Difficulty concentrating 

• Dry throat 

• Excessive daytime sleepiness 

• Headaches – felt especially in the morning 

• Sore throat 

• Problems in the couple 

• Increased blood pressure 

• Irregular heartbeat 

• Shortness of breath during sleep 

If, despite drug therapy, the symptoms persist, then it is necessary to schedule a specialist consultation and consider definitive surgical correction of the septal deviation. 

The link between septal deviation and sleep

What you need to know about rhinoplasty – surgery to correct deviated septum? 

  • Consists of making an intranasal incision (without a visible scar on the outside) and repositioning the nasal septum in the correct position. 
  • It is usually done at the same time as the surgery to reduce in 

sizes of the inferior nasal turbinates in chronic hypertrophic rhinitis. Radiofrequency reduction of the turbinates (radiofrequency turbinotomy) is a quick, minimally invasive method, having the effect of reducing the volume of the nasal mucosa at the level of the inferior turbinate, offering over time a significant reduction of nasal congestion, reduction of snoring, as well as improvement of breathing and patients’ quality of life. 

  • It can be done in any season, the temperature outside has no impact important. 
  • It can be performed in people over 18 years of age, as the bone and cartilage are growing up to this age. 
  • The recovery period and the resumption of normal activity is approximately 7-10 days after the operation. 

How do we know that the problem of chronic fatigue is a deviated septum? 

To begin with, it is necessary for the patient to do a series of extensive tests, which will rule out other conditions with similar symptoms. Once potential causes of chronic conditions are removed, we recommend that the patient come to a consultation with an oromaxillofacial doctor, for a correct diagnosis and appropriate treatment. 

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