Thanks for the question - Its difficult to determine the degree of clinical correlation between your presumed deviated septum and described symptoms. You would require a full history and examination for a more accurate determination. Having said that, many people do have deviated septum's and go through life unaffected - I would argue that most people with deviated septum's do not have surgical correction and do just fine. Conversely, requiring long-term medications to clear your airway is not ideal either and I, for one, would want to know the etiology of my airway issues. I would recommend you consult with another expert (ENT) for a second opinion, ask a lot of questions including the risks and benefits of undergoing surgery. Best of luck, gv