Deviated Septum A deviated septum occurs when the septum, the cartilage and bone that separates the nasal cavity, is off-center. Some people are born with a deviated septum. For others, a nose injury causes it. A badly deviated septum may cause breathing problems, congestion and headaches. Surgery can repair a deviated septum. OVERVIEW What is a deviated septum? The nasal septum is the cartilage and bone in your nose. The septum divides the nasal cavity (inside your nose) into a right and left side. When the septum is off-center or leans to one side of the nasal cavity, it has “deviated.” Healthcare providers call this a deviated nasal septum. What happens if I have a deviated septum? If you have a minor deviated septum, you may have mild symptoms or no symptoms at all. If your deviated septum is more severe, it may affect your breathing, cause headaches or lead to infections. How common are deviated septums? Deviated septums are very common. Healthcare professionals estimate tha...