Skip Navigation
the johns hopkins sinus center
johns hopkins medicine

HOME   |   OTOLARYNGOLOGY HOME   |   CONTACT US  |   MAPS & DIRECTIONS   |   REQUEST AN APPOINTMENT   |   FAQs   |    SEARCH

space
space
our teampatient informationsinus conditionssurgical proceduresallergypediatric sinusitusResearchresources
shadowshadow
left nav
Sinus Conditions
pipe

» How the Sinuses Work

pipe
» Septal Deviations/Turbinate Hypertrophy
pipe
» Rhinosinusitis
pipe
» Neoplasms
pipe
» Graves' Orbitopathy
pipe
» CSF Leaks
pipe
» Nasolacrimal Duct Obstruction
left nav
white
Sinus Center > Sinus Conditions > Septal Deviations/Turbinate Hypertrophy
Print This Page
Septal Deviations/Turbinate Hypertrophy
white

Nasal septal deviations are common, and it is rare for doctors to see a perfectly straight nasal septum--the dividing line of cartilage between your two nostrils. 

Tubinate hypertrophy is due to an enlargement of the turbinates- the small structures within your nose that cleanse and humidify air as it passes through your nostrils into your lungs.  See how the sinuses work.

Symptoms of septal deviations/turbinate hypertrophy

• Congested or blocked nasal breathing
• Breathing trouble at night and snoring
• Chronic nosebleeds
• Chronic sinus infections

Causes of septal deviations/turbinate hypertrophy
When septal deviations do cause problems, they are largely due to airway obstruction. It simply feels as though you cannot breathe well through one or both sides of your nose. This tends to bother people more at night. Nasal septal deviations can also cause sinus problems and may contribute to chronic infections.

Patients may also suffer from enlargement of the inferior nasal turbinates. See how the sinuses work. The enlargement of these turbinates can also contribute to nasal obstruction

Diagnosis of septal deviations/turbinate hypertrophy
Diagnosing septal deviations/turbinate hypertrophy will include the following:

  • Your doctor will ask for a complete medical history and will perform a thorough physical examination.
  • Imaging scans may be ordered including computed tomography (CT) scans.
  • Your doctor will use an endoscope, a small telescope rod with a lighted end, to examine the insides of your nose.  This will allow your doctor to determine the extent of the deviation or turbinate hypertrophy.

Treatment
Nasal steroids sprays can be used for problems associated with nasal septal deviations and turbinate hypertrophy. These medications help to reduce mucosal inflammation and therefore decongest the nose improving nasal breathing. 

However when the septum or turbinate bony structures are causing nasal obstruction or medications fail to improve symptoms, surgery is often required. This surgery may involve straightening the septum (septoplasty) or turbinate reduction (turbinoplasty).

space
space
space
space

Baltimore Sinus Surgery and Sinus Treatments include
Endoscopic Sinus Surgery, Turbinate Reduction, Surgical Septoplasty, Revision Sinus Surgery, Orbital Decompression, CSF Leaks Closure, Tear Duct Surgery and Sinuplasty
.
Contact us regarding sinus treatment and sinus surgery options.

© 2008 Johns Hopkins Medicine, All Rights Reserved.