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Monday, 27.03.2023, 04:02
Main » ENT Diseases » The deformation of the nasal septum 
The deformation of the nasal septum

The deformation of the nasal septum

The reason for the deformation of the nasal septum can be caused by physiological, traumatic and compensatory factors.

Physiological distortion occurs when non-compliance in the growth of the nasal septum and bone framework in which it is inserted. Growth outstrips the growth of several partitions of the facial skeleton, so it appears curved.
Traumatic distortion of the nasal septum due to improper healing of the injury of its fragments.

Compensatory distortion occurs when pressure on the septum of the nose of one half of the different formations - polyps, enlarged middle and bottom shells, tumors, etc.

There are three types of deformation of the nasal septum:
  • curvature
  • crest
  • spine;

Often there are a combination of the deformation of the nose.

Adults often have a more or less distortion or deviation from the midline of the nasal septum, which normally does not affect nasal breathing and therefore does not require treatment.

The deformation of the nasal septum narrows the nasal passages and thus makes it difficult to breath through your nose. Sometimes a significant curvature does not obstruct nasal breathing because the air passes freely over or under bend and vice versa - a slight curvature of the walls, often in front of the nose can dramatically interfere with nasal breathing.

The main complaint of the patient at strain partitioning is a violation of nasal breathing, but in some cases, marked headache, nasal discharge, recurrent earaches, dry throat, etc. The appearance of headache during deformation of nasal septum due to the fact that the curved part of the nasal septum ( Spike, a comb) in contact with the opposite lateral wall of the nose, pressing on it, irritating the mucous membrane, which causes reflex symptoms and, in particular, headache, and occasional bouts of asthma and epilepsy, a disorder of the sexual sphere, etc.

The diagnosis of nasal septum deformation is established on the basis of the study rinoskopicheskoy picture.

Treatment deviated septum surgery - submucosa resection of the curved part of the septum. Indications for surgery: the difficulty of nasal breathing through one or both halves of the nose, caused by deformation of the nasal septum, secondary pathological changes caused by curvature of the septum, such as chronic inflammation of the nasal mucosa, otosalpingit, headache, sinusitis, etc.

In rare cases, when the deformation is accompanied by a cosmetic defect walls outside of the nose, at the start of the submucous resection of septum curved and then straightened back of the nose.

Among the adhesions in the nasal cavity are distinguished:
synechia - connective tissue bridges between the septum and lateral wall of nose
atresia - wide seam lateral and medial nasal wall covering in varying degrees of clearance of nasal passages.

Congenital atresia may be:
  • connective
  • cartilaginous
  • bone.

Adhesions and atresia can occur at different etiology of ulceration of the nasal mucosa, scleroma, lupus, diphtheria, smallpox, typhoid.

Treatment of adhesions in the nasal cavity - surgery.

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