Correlation between deviated nasal septum and external nasal deformity- A hospital based study

2019 ◽  
Vol 10 (3) ◽  
pp. 33-35
Author(s):  
Aditiya Saraf ◽  
◽  
Deep Jyoti ◽  
Priya Manhas ◽  
◽  
...  
Keyword(s):  
Nasal Septum ◽  
Nasal Deformity ◽  
Deviated Nasal Septum ◽  
External Nasal Deformity

scholarly journals Complications of Submucous Resection versus Septoplasty in Deviated Nasal Septum

2020 ◽  
pp. 68-73
Author(s):  
Habib Ullah Khan ◽  
Sadia Chaudhry ◽  
Nighat Arif ◽  
Muhammad Afzal Khaliq ◽  
Maaz Aslam ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Nasal Bone ◽  
Corrective Surgery ◽  
Nasal Deformity ◽  
Deviated Nasal Septum ◽  
Study Results ◽  
Quasi Experimental ◽  
One Year ◽  
External Nasal Deformity ◽  
Submucous Resection

Introduction: A deviated or deflected septum is a condition in which the nasal septum consisting of bone and cartilage and that divide the nasal cavity into two halves is significantly off-center, or twisted, making breathing difficult. Two conventional methods that are septoplasty and sub-mucous resection were used for the correction of the deviated nasal septum with varying degrees of complications. Objective: The objective of this study was to compare the complications of sub-mucous resection and septoplasty in patients with the deviated nasal septum. Material and Methods: A Quasi-experimental study was conducted at the Department of Otolaryngology at Bolan Medical Complex, Quetta for a period of one year i.e. from 15-03-2015 to 20-09-2015. 100 patients were selected and divided into two groups. A total of 50 patients were selected for septoplasty and 50 for sub-mucous resection. Patients with nasal bone fracture and external nasal deformity were excluded from the study. Results: Postoperative complications like adhesions were found in 4 cases of each group. Septal perforation found in 3 patients of sub-mucous resection and one patient of septoplasty. Septal hematoma formed in 2 patients of sub-mucous resection only, supra-tip nasal deformity in 2 patients in both groups. Persistence of symptoms in 8 patients of septoplasty and one patient of sub-mucous resection while columellar restriction occurred in only one patent who underwent submucous resection. Conclusion: Sub-mucous resection procedure is technically relatively easy to perform with fewer complications than septoplasty so it deserves it prime role as a surgical procedure for nasal septum corrective surgery. Keywords: Deviated nasal septum, nasal septum corrective surgery, sub-mucous resection, septoplasty

scholarly journals Pre-treatment clinical study of rhinosinusitis impact on the quality of life among patients having both external nasal deformity and deviated nasal septum

2020 ◽  
Vol 6 (12) ◽  
pp. 2213
Author(s):  
Sudhakar Rao M. S. ◽  
Vijaya T. N. ◽  
Bipinkumar .
Keyword(s):  
Quality Of Life ◽  
Chronic Rhinosinusitis ◽  
Nasal Septum ◽  
Nasal Polyps ◽  
Simple Type ◽  
Type I ◽  
Nasal Deformity ◽  
Deviated Nasal Septum ◽  
External Nasal Deformity

<p><strong>Background: </strong>Sino-nasal disease often gives an experience of impacting quality of life significantly, more so among chronic cases. Hence a self-perceived disease specific impact viz rhinosinusitis disability index (RSDI) which is a validated reliable measure of quality of life is being studied.</p><p><strong>Methods: </strong>A prospective study conducted on patients, attending department of ENT on out and or in-patient basis who are diagnosed to have rhinosinusitis with external nasal deformity and deviated nasal septum (DNS) were selected on simple random basis for this study between July 2018 to November 2019. This study group subjected for answering standard questionnaire of RSDI proforma before treatment. Data statistically analyzed using IBM SPSS version 22.</p><p><strong>Results: </strong>Among the statistically calculated ‘n' (40) patients of this study, 23 were male (57.5%) and 17 were female (42.5%) patients of the age between 15-45 years. In our study, majority of patients (n=23) had simple type DNS (57.5%), followed by obstructive type 37.5% (n=15) and impacted type 5% (n=2) and majority of patients showed type I (50%) external nasal deformity followed by type V (25%). In our study, 11 patients were diagnosed with acute rhinosinusitis, 15 patients with chronic rhinosinusitis without nasal polyps (CRSsNP) and 14 patients with chronic rhinosinusitis with nasal polyps (CRSwNP). The physical, functional and emotional domains showed no statistical significance with respect to external nasal deformity and DNS. However, disease factor had statistically significant impact (p&lt;0.05) on the quality of life among rhinosinusitis patients with mean scores of 13.7, 19.42, and 10.80.</p><p><strong>Conclusions: </strong>In rhinosinusitis patients, the disease affects the quality of life in terms of physical, functional and emotional domains, but not by the external nasal deformity and or DNS associated.</p>

Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Apar Pokharel ◽  
Naganawalachullu Jaya Prakash Mayya ◽  
Nabin Gautam
Keyword(s):  
Comparative Study ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Septal Surgery ◽  
Significant Difference ◽  
Common Causes ◽  
Prospective Comparative Study ◽  
Evolutionary Step ◽  
One Year

Introduction: Deviated nasal septum is one of the most common causes for the nasal obstruction. The objective of this study is to compare the surgical outcomes in patients undergoing conventional septoplasty and endoscopic septoplasty in the management of deviated nasal septum. Methods:  Prospective comparative study was conducted on 60 patients who presented to the Department of ENT, College of Medical sciences, during a period of one year. The severity of the symptoms was subjectively assessed using NOSE score and objectively assessed using modified Gertner plate. Results: There was significant improvement in functional outcome like NOSE Score and area over the Gertner plate among patients who underwent endoscopic septoplasty. Significant difference in incidence of post-operative nasal synechae and haemorrhage was seen in conventional group compared to endoscopic group. Conclusions: Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative, alternative to conventional septal surgery.

scholarly journals Morphological and histopathological study of hypertrophied inferior nasal turbinate in Egyptian patients: in clinical perspective

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ashraf Ali El-Demerdash ◽  
Essam Abdel Wanees Beheiry ◽  
Sherif Maher El-Aini ◽  
Asmaa Shams El-Dein Mohamed ◽  
Ahmed Mohamed Ibrahim Khattab
Keyword(s):  
Layer Thickness ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Military Hospital ◽  
Deviated Nasal Septum ◽  
Nasal Turbinate ◽  
Egyptian Patients ◽  
Mucosal Layer ◽  
Group A ◽  
Group B

Abstract Background The inferior nasal turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. Hypertrophied inferior nasal turbinates are the second most common cause of chronic nasal obstruction. Our aim of this study is to evaluate the morphological and histopathological features of hypertrophied inferior nasal turbinate in Egyptian patients. Methods Our descriptive comparative study was carried on 30 patients presented with hypertrophied inferior nasal turbinate by clinical and radiological assessment. Patients are divided into two groups according to CT scan and endoscopic examination as group A for patients with deviated nasal septum with compensatory hypertrophied inferior nasal turbinate and group B for patients with hypertrophied inferior nasal turbinate due to allergic rhinosinusitis. Both groups underwent the same operation which partial controlled posterior inferior turbinectomy. During the period from June 2018 till May 2019, patients were selected from out-patient’s clinic of Otorhinolaryngology Department at Menoufia University Hospital and Shebin El-Kom Teaching Hospital, and Military Hospital. Results By histopathological examination of the specimens, we found out that the bony layer thickness was more prominent in group A and the mucosal layer thickness was more prominent in group B. The prominent inflammatory cells were lymphocytes in group A and eosinophils plus mast cells in group B. Conclusion The bony layer thickness should be excised during the surgical treatment of cases presented with deviated nasal septum with hypertrophied inferior turbinate where in cases of allergic rhinitis with hypertrophied inferior turbinate, the mucosal layer is enough to be excised.

scholarly journals Efficiency of modified Goldman’s technique in open pediatric septoplasty

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Omar Sabry ◽  
Hazem Dewidar ◽  
Mosaad abdel Aziz ◽  
Amr Elemam ◽  
Ahmed Nassar
Keyword(s):  
Nasal Septum ◽  
Pediatric Population ◽  
Septal Deviation ◽  
Nasal Resistance ◽  
Deviated Nasal Septum ◽  
Assessment Protocol ◽  
Nose Scale ◽  
Detailed Assessment

Abstract Background Performing nasal surgery on children has been the subject of controversy among surgeons. Specifically, the indications for and timing of septoplasty in children have been debated for the last several decades. In this study, we access the efficacy of the modified Goldman’s technique in dealing with caudal septal deviation in pediatric population suffering from severe nasal obstruction and its effect on nasal functions postoperatively. In this study, 30 pediatric patients suffering from deviated nasal septum who are candidate for septoplasty were included and underwent open septoplasty using modified Goldman’s technique. They were subjected to detailed assessment protocol preoperatively including NOSE scale, anterior rhinomanometry, and CT scans. Follow-up assessment was done at second week postoperative including anterior rhinoscopy and nasal endoscopy and 3 months postoperative including NOSE scale and anterior rhinomanometry. Results There was a statistically significant decrease of the NOSE scale severity to none in 90% of cases. Three months postoperative, all of the patients performed postoperative anterior active rhinomanometry with statistically significant decrease in the postoperative total nasal resistance values with inspiratory values ranging from 0.1 to 0.5 Pa/cm3/s with mean of 0.26 Pa/cm3/s and expiratory nasal resistance values ranging from 0.1 to 0.6 Pa/cm3/s with mean of 0.31 Pa/cm3/s. Conclusions Open septoplasty in children using the modified Goldman’s technique has enabled accurate and conservative approach for correction of nasal septal deviation especially those located in the caudal septal region. The technique also offers a significant reduction of the nasal symptoms postoperatively with marked improvement of the nasal resistance and quality of life in severe cases of deviated nasal septum.

An endoscopic approach to the deviated nasal septum – a preliminary study

1998 ◽  
Vol 112 (10) ◽  
pp. 934-939 ◽  
Author(s):  
Dipak Ranjan Nayak ◽  
R. Balakrishnan ◽  
K. Deepak Murthy
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Endoscopic Approach ◽  
Lateral Nasal Wall ◽  
Combined Approach ◽  
Deviated Nasal Septum ◽  
Nasal Endoscope ◽  
Preliminary Study

AbstractThe authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.

scholarly journals A STUDY OF MORPHOLOGY OF AIR CELLS IN THE MIDDLE TURBINATE AND IT’S RELATIONSHIP WITH SINUSITIS AND DEVIATED NASAL SEPTUM

2015 ◽  
Vol 2 (8) ◽  
pp. 976-982
Author(s):  
Kamala E ◽  
Vinay Kumar N ◽  
Kavin Raj ◽  
Gugapriya T S ◽  
Senthil Rajkumar
Keyword(s):  
Nasal Septum ◽  
Middle Turbinate ◽  
Deviated Nasal Septum ◽  
Air Cells

scholarly journals Prevalence of septal deviation in newborns: an institutional based cross sectional study

2020 ◽  
Vol 6 (3) ◽  
pp. 481
Author(s):  
Deep Jyoti ◽  
Pallvi Sharma ◽  
Ashu Jamwal ◽  
Arti .
Keyword(s):  
Nasal Septum ◽  
Later Life ◽  
Cross Sectional Study ◽  
Common Finding ◽  
Common Condition ◽  
Sectional Study ◽  
Routine Examination ◽  
Deviated Nasal Septum ◽  
Cross Sectional ◽  
Factors Affecting

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Deviated nasal septum (DNS) is a common condition with various factors affecting its occurrence. The study was aimed to find the prevalence of DNS in newborns.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>The present study was a cross sectional study conducted in the SMGS hospital, GMC Jammu. A sample size of 200 newborns, less than 7 days of age were included in the study. 200 newborns in the postnatal wards were examined in the present cross-section observational study including the age ranging from 1 day to 5 days.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Prevalence of DNS in the present study was 29%. 103 babies were born to the primipara mothers out of which 39 (37.86%) had DNS while only 19 (19.58%) out of 97 babies born to the multipara mothers had the DNS. The newborns with higher birth weight had higher incidence of having DNS. 41.17% of the newborns with weight of &gt;3 kg had DNS as compared to those in 2 to 2.5 kg group (17.28%) and &lt;2 kg group (11.76%).</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>DNS is a common finding since birth which may persist in later life. Routine examination of the newborns specifically regarding the nose should be done to detect the septal deviations at earliest so that active intervention can be done when required.</p>

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