DEVIATED NASAL SEPTUM
THE NASAL SEPTUM IS THAT PART OF
THE NOSE WHICH SEPARATES THE TWO
AIRWAYS&NOSTRILS. A DEVIATED NASAL
SEPTUM IS WHEN THERE THE SHIFT FROM
THE MIDDLE OR CENTRAL POSITION
AETIOLOGY:
1) TRAUMA: USUALLY IN CHILDHOOD , MAY EVEN BE DURING DELIVERY.
2) CONGENITAL DISORDERS 3) HEREDITARY DISORDERS
4) RACIAL PREDISPOSITION
TYPES OF DNS:
1) ANTERIOR DISLOCATION 2) C-SHAPED DEFORMITY 3) SPURS
4) SEPTALTHICKENING 5) S-SHAPED DEFORMITY
CLINICAL FEATURES:
1) NASAL OBSTRUCTION 2) COTTLE'S TEST 3) MUCOSAL CHANGES
4) NEUROLOGICAL CHANGES
SYMPTOMS:
THE SYMPTOMS CAUSED BY SEPTAL DEVIATIONS AREENTIRELY RESULTS OF THEIR
EFFECTS ON NASALFUNCTION. THE DOMINANT EFFECT BEING NASAL
OBSTRUCTION,BUT THIS IS RARELY SEVERE ENOUGH TO CAUSE ANOSMIA
. SIGNS:
1)HEADACHE 2) SINUSITIS 3) BLEEDING FROM THE NOSE 4) EXTERNAL DE FORMITY
5) MIDDLE EAR INFECTION 6) NOISY BREATHING DURING SLEEP
COTTLE'S CLASSIFICATION:
1) SIMPLE DEVIATION 2) OBSTRUCTION 3) IMPACTION
TREATMENT :
MEDICAL MANAGEMENT
1) ANTIBIOTICS 2) ANTIHISTAMINS 3)ANTI INFLAMMATORY DRUG
4) NASAL DECONGEST DROPS
SURGICAL MANAGEMENT :
1)SEPTOPLASTY 2) SUBMUCOUS RESECTION(SMR)
HOW TO AVOID DNS :
1) USE APPROPRIATE SAFETY EQUIPMENT DURING SPORTS .
2)USE A HELMET WHEN RIDING A BIKE OR ROLLER SKATING
3) FASTEN UR SEAT BELT WHEN DRIVING
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