Does Deviated Septum Increase Risk of Nasopharyngeal Cancer? - Otolaryngology

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Deviated septum - 2


Hello Dr.
Chen: I apologize for bothering you again.
A few days ago, a colleague mentioned that a deviated septum, if not surgically corrected, could lead to nasopharyngeal cancer.
Is this true? Thank you for your guidance once again.

Mr. Li, 30~39 year old female. Ask Date: 2001/10/15

Dr. Chen Junliang reply Otolaryngology


Hello Mr.
Li: Long-term severe nasal septum deviation can lead to chronic rhinitis, nasal congestion, and other symptoms.
Currently, scientific statistics show no direct correlation with the occurrence of nasopharyngeal carcinoma.

Reply Date: 2001/10/15

More Info


The concern regarding a deviated septum and its potential link to nasopharyngeal cancer is a common topic of discussion, particularly among patients who may be experiencing nasal obstruction or other related symptoms. To address your question directly: there is currently no substantial scientific evidence to support the claim that a deviated septum directly increases the risk of developing nasopharyngeal cancer.

A deviated septum is a condition where the nasal septum, which is the cartilage and bone that divides the nasal cavity into two nostrils, is displaced to one side. This can lead to various symptoms, including nasal obstruction, difficulty breathing through the nose, and increased susceptibility to sinus infections. While these symptoms can be bothersome and may warrant surgical intervention, such as septoplasty, the condition itself is not considered a risk factor for cancer.

Nasopharyngeal cancer, on the other hand, is a type of cancer that occurs in the nasopharynx, the area behind the nose and above the back of the throat. The primary risk factors for nasopharyngeal cancer include:
1. Epstein-Barr Virus (EBV) Infection: This virus is strongly associated with nasopharyngeal carcinoma. Most people are infected with EBV at some point in their lives, but only a small percentage will develop cancer.

2. Genetic Factors: Family history and genetic predisposition can play a role in the risk of developing nasopharyngeal cancer.

3. Environmental Factors: Exposure to certain environmental factors, such as smoke from burning materials, certain dietary factors (like preserved foods), and occupational exposures, can increase risk.

4. Geographic Location: There is a higher incidence of nasopharyngeal cancer in certain regions, particularly in Southeast Asia.

While a deviated septum may lead to chronic nasal issues, it does not contribute to the carcinogenic processes that lead to nasopharyngeal cancer. It is essential to differentiate between conditions that cause discomfort or complications and those that are associated with cancer risk.

If you are experiencing symptoms related to a deviated septum, such as chronic nasal congestion or recurrent sinus infections, it may be beneficial to consult with an otolaryngologist (ear, nose, and throat specialist). They can provide a thorough evaluation and discuss potential treatment options, including whether surgical correction is appropriate for your situation.

In summary, while a deviated septum can lead to various nasal and sinus issues, it is not a recognized risk factor for nasopharyngeal cancer. If you have concerns about your health or specific symptoms, it is always best to discuss them with a healthcare professional who can provide personalized advice based on your medical history and current condition.

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