Deviated Nasal Septum What Is It And How It Can Be Fixed
April 24, 2018 Posted By: DR KRANTHI P 266 viewsRSS
If you have noticed your nose, you might have noticed a wall between your nostrils, this is called nasal septum. The septum is made up of bone & cartilage. Many a times, for a few people the cartilage or bone is off center (deviated to one side) or crooked, it is referred to as a deviated nasal septum.
Trauma and errors of development form the two important factors in the causation of deviated septum.
Types of Deviated Nasal Septum:
Deviations may involve only the cartilage, bone or both the cartilage and bone.
Anterior dislocation: Septal cartilage may be dislocated into one of the nasal chambers.
C-shaped deformity: Septum is deviated in a simple curve to one side.
S-shaped deformity: Septum may show a S-shaped curve either in vertical or anteroposterior plane.
Spurs: A spur is a shelf-like projection often found at the junction of bone and cartilage.
Thickening: It may be due to organized haematoma or over-riding of dislocated septal fragments.
Nasal obstruction: Depending on the type of septal deformity, obstruction may be unilateral or bilateral.
Headache: Deviated septum, especially a spur, may press on the lateral wall of nose giving rise to pressure headache.
Sinusitis: Deviated septum may obstruct sinus ostia resulting in poor ventilation of the sinuses. Therefore, it forms an important cause to predispose or perpetuate sinus infections.
Epistaxis: Mucosa over the deviated part of septum is exposed to the drying effects of air current s leading to formation of crusts which when removed, causes bleeding. Bleeding may also occur from vessels over a septal spur.
Anosmia: Failure of the inspired air to reach the olfactory region may result in total or partial loss of sense of smell.
External deformity: Septal deformities may be associated with deviation of the cartilaginous or both the bony and cartilaginous dorsum of nose, deformities of the nasal tip or columella.
Middle ear infection: DNS also predisposes to middle ear infection.
Minor degrees of septal deviation with no symptoms are commonly seen in patients and require no treatment. It is only when deviated septum produces mechanical nasal obstruction or the symptoms given above, than an operation is indicated.
Septoplasty: It is a conservative approach to septal surgery. In this operation, much of the septal framework is retained. Only the most deviated parts are removed. Rest of the septal framework is corrected and repositioned by plastic means. Mucoperichondrial/ periosteal flap is generally raised only on one side of the septum, retaining the attachment and blood supply on the other. Septal surgery is usually done after the age of 17 so as not to interfere with the growth of nasal skeleton.
A deviated nasal septum is an evident deformity in a person which can occur during birth or even happen due to an external factor such as accidents. However, many people learn to live with it but most of them usually opt to get their nasal septum fixed with the help of a septoplasty procedure. It is vital to know that consulting a reputed and skilled septoplasty surgeon so that they can understand your needs. So, book an appointment or visit us at Sankhya hospitals and we can help you get your septum fixed.
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