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Home » Saif Orthopaedics » Deviated Nasal Septum: Causes, Symptoms, Diagnosis, Treatment

Deviated Nasal Septum: Causes, Symptoms, Diagnosis, Treatment

Table of Contents

  • Deviated Nasal Septum: Causes, Symptoms, Diagnosis, Treatment
    • Introduction of deviated nasal septum (DNS)
    • Causes of deviated nasal septum (DNS)
    • Types of deviated nasal septum (DNS)
    • Symptoms of deviated nasal septum (DNS)
    • Diagnosis of deviated nasal septum (DNS)
    • Treatment for deviated nasal septum (DNS)

Deviated Nasal Septum: Causes, Symptoms, Diagnosis, Treatment

 

Introduction of deviated nasal septum (DNS)

Deviated nasal septum (DNS) is a common nasal problem all over the world. The incidence of a deviated septum rises with age.

Causes of deviated nasal septum (DNS)

  1. Trauma (birth trauma, road accident, assault, sports injury)
  2.  Developmental problem
  3. Genetic
  4. Thumb sucking
  5. Nose picking
  6. Pressure effect
  7. Idiopathic

Types of deviated nasal septum (DNS)

  1. Anterior caudal
  2. C- shaped
  3. S- shaped
  4. Septal spur
  5. Thicken septum
types of septal deviation
Fig: types of septal deviation

Symptoms of deviated nasal septum (DNS)

  1. Nasal blockage
  2. Post nasal drip, discharge
  3. Snoring
  4. Headache/ facial pain
  5. Nasal bleeding
  6. Recurrent of persistent sore throat
  7. Recurrent ear ache
  8. Cosmetic problem
  9. Hoarseness

 

Diagnosis of deviated nasal septum (DNS)

  1. Clinical examinations
  2. Anterior rhinoscopy
  3. X ray PNS (para-nasal sinus)
  4. Coronal CT scan of PNS if functional endoscopic sinus surgery (FESS) is planned with septal surgery.

anterior rhinoscopy, septal deviation

Treatment for deviated nasal septum (DNS)

CT scan PNS & septoplasty
Fig: CT scan PNS & septoplasty

 

  1. No treatment, if no symptoms or mild deviation. (many patients have mild deviation without any symptoms)
  2. Surgical treatment for patients with symptoms and gross deviation. There are 2 surgical options for deviated nasal septum.
  • Septoplasty
  • Submucous resection (SMR)

Now septoplasy is mostly practiced as it has cosmetic value and can be done at any ages above 7 years, but SMR cannot be done in children below 14 years of age.

 

 

Courtesy:

Dr. Abdul Matin, FRCS (Edin,Eng,Glasgow), DLO(eng)

Associate professor, ENT

www.matinfrcs.com

Reader Interactions

Comments

  1. Molla Rezaul kabir says

    August 26, 2015 at 5:39 pm

    Sir,what is the prognosis of Septoplasty?

    Reply
    • Dr M A Matin says

      July 16, 2016 at 12:22 am

      Prognosis of septoplasty is very good if done correctly. But improper correction may lead to recurrence. Dr M A Matin DLO ( London ) FRCS ( England ) FRCS ( Glasgow ) FRCS ( Edinburgh ) Head of the Department of ENT & HNS Rajshahi medical college.

      Reply
      • Toufiq Hassan says

        July 17, 2016 at 11:44 am

        Sir, Thanks a lot for your valuable comments here.

        Reply
  2. Dr Agila says

    March 4, 2017 at 6:01 am

    Iam doing septoplasty
    it is good surgery for good results
    Regards

    Reply

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