Deviated Septum and Ear Congestion: Seeking Solutions After Surgery - Otolaryngology

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Deviated septum and ear congestion?


I have had hypertrophic rhinitis for many years, and I often experience ear fullness and strange sounds in my ears when I swallow or open my mouth, but the doctor said my ears are fine.
I underwent carbon dioxide laser surgery the day before yesterday, but the ear fullness and strange sounds have not improved.
What should I do? The doctor mentioned that I have a severe deviated septum but said there is still a chance for it to improve after adulthood.
Is that true? Am I a suitable candidate for septoplasty now?

will1014, 10~19 year old female. Ask Date: 2017/02/20

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing the nose or bending over.
Individuals with rapid weight changes or nasal allergies are also more prone to Eustachian tube dysfunction.
2) Sudden sensorineural hearing loss.
3) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (such as colds) or sinusitis, and in severe cases, the ear may discharge fluid or pus.
b) Chronic otitis media with acute exacerbation: This usually occurs when there is a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.
All of the above conditions can be appropriately treated with medication after consulting a healthcare provider.
Currently, it is recommended that septoplasty be performed preferably after the age of 20, while medications can still be used to manage nasal allergy symptoms.
If your symptoms persist, it is advisable to seek medical evaluation and treatment.
Wishing you safety and health.
Sincerely, Dr.
Chi Chao-yun, Head of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/20

More Info


Deviated septum and ear congestion can be quite challenging, especially when they persist even after surgical intervention. It sounds like you've been dealing with chronic nasal issues, including hypertrophic rhinitis, which can lead to a range of symptoms, including ear fullness, popping sounds, and discomfort.
Firstly, it’s important to understand the relationship between nasal and ear health. The Eustachian tube, which connects the middle ear to the back of the nose, plays a crucial role in equalizing pressure in the ear. When you have a deviated septum or chronic nasal congestion, it can affect the function of the Eustachian tube, leading to feelings of fullness or pressure in the ears. This is likely why you experience ear congestion and strange sounds when you swallow or open your mouth.

You mentioned undergoing a CO2 laser surgery recently, which is often used to treat nasal issues like hypertrophic rhinitis. However, if your symptoms have not improved, it may indicate that the underlying issue, such as the deviated septum, still needs to be addressed. A deviated septum can obstruct airflow through the nasal passages, leading to chronic congestion and potentially affecting the Eustachian tube's function.

Regarding your question about whether you are a suitable candidate for septoplasty (surgery to correct a deviated septum), it typically depends on several factors, including the severity of the deviation, your overall health, and how much the deviation contributes to your symptoms. If your doctor has indicated that there is still a chance for improvement after surgery, it might be worth discussing the possibility of septoplasty with them. Many adults undergo this procedure successfully and experience significant relief from nasal and ear symptoms.

If you are considering surgery, it’s essential to have a thorough discussion with your ENT specialist. They can evaluate your nasal passages and Eustachian tube function, possibly using imaging studies or endoscopy, to determine the best course of action. They may also recommend additional treatments, such as nasal corticosteroids or saline irrigation, to help manage inflammation and congestion.

In the meantime, there are some self-care strategies you can try to alleviate your symptoms. Staying well-hydrated, using a humidifier, and practicing nasal saline rinses can help keep your nasal passages moist and reduce congestion. Additionally, avoiding allergens and irritants, such as smoke or strong odors, can also be beneficial.

If your symptoms persist or worsen, it’s crucial to follow up with your healthcare provider. They may refer you to a specialist for further evaluation or consider additional treatments, including allergy testing or other interventions to improve your nasal airflow and Eustachian tube function.

In summary, while your recent surgery may not have resolved all your symptoms, it’s essential to continue working with your healthcare provider to explore further options. A deviated septum can significantly impact your quality of life, and addressing it may lead to improved nasal and ear health. Don’t hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your comfort and well-being are paramount, and there are solutions available to help you manage your symptoms effectively.

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