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Yes, you can develop a deviated septum naturally over the course of your life. While many people are born with the condition, natural developmental growth, aging, and chronic inflammation can cause or worsen a deviated septum over time.
https://my.clevelandclinic.org/health/diseases/16924-deviated-septum
While a deviated septum is often congenital or the result of direct trauma, chronic inflammation in the nasal passages can lead to structural changes. Repetitive swelling or conditions associated with it, such as chronic rhinosinusitis or intranasal irritants, can alter the nasal mucosa and sometimes cause or worsen septal displacement over time.
https://www.mayoclinic.org/diseases-conditions/deviated-septum/symptoms-causes/syc-203
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