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Sanei Sistani, Sharareh, Alireza Dashipour, Laleh Jafari, and Bahareh Heshmat Ghahderijani. "Determination the effect of nasal septum deviation with pneumatization of mastoid cells and its Its feasible relationship with chronic otitis media using computed tomography (CT) scan." Open Access Macedonian Journal of Medical Sciences 7, no. 15 (August 8, 2019): 2452–56. http://dx.doi.org/10.3889/oamjms.2019.670.
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BACKGROUND: The nasal septum deviation is the most common deformity of the nasal, and that can be congenital or acquired. Despite many studies exist about the impact of nasal septum deviation on chronic sinusitis and also association between chronic otitis and mastoid pneumatization; few studies exist about the impact of nasal septum deviation on chronic otitis and mastoid pneumatization.
AIM: The aim of this study was to evaluate the associations of nasal septum deviation and mastoid pneumatization and chronic otitis.
METHODS: In this study review, all CT scans of PNS and Mastoid View in the imaging section from Imam Ali hospital in 2016-2017 years and cases of nasal septum deviation were enrolled. The nasal septum deviation was recorded, and the degree of nasal septum deviation in the coronal plane that showed the maximum deviation of the nasal septum was recorded. The volume of the mastoid cells automatically and directly was calculated using three diameter measurements (2 coronal diameters and 1 axial diameter) by the program. The software of SPSS 22 was used for statistical analysis.
RESULTS: There was no relationship between nasal septum deviation severity and incidence of mastoid pneumatization in patients with nasal septum deviation (P > 0.05). There was relationship between nasal septum deviation severity and chronic otitis in patients with nasal septum deviation (P < 0.05). In patients with moderate and severe intensity of nasal septum deviation, the volume of mastoid air cells in deviation side was lower than the front side (P < 0.05).
CONCLUSION: Based on the results of the CT scan, in patients with moderate and severe nasal septum deviation intensity, the volume of mastoid air cells in deviation side was lower than the front side. Also, there was a relationship between nasal septum deviation severity and chronic otitis.
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Umar, Irma Yani. "KORELASI DERAJAT DAN ARAH DEVIASI SEPTUM NASI TERHADAP MORFOLOGI NASAL BONE MENGGUNAKAN MODALITAS CT SCAN." E-Jurnal Medika Udayana 12, no. 12 (December 27, 2023): 67. http://dx.doi.org/10.24843/mu.2023.v12.i12.p08.
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Pendahuluan : Deviasi septum nasi merupakan variasi anatomis paling sering, yang ditemukan pada hampir 80% orang dewasa. Septum nasi dapat berpengaruh terhadap pertumbuhan os nasal dan morfologi fasial. Saat ini Computed Tomography (CT) scan disarankan sebagai metode pilihan untuk memberikan gambaran detail tentang morfologi septum dan os nasal. CT scan merupakan teknik non invasif yang dapat digunakan untuk mengukur derajat dan sudut deviasi septum nasi dan luas penampang di bagian rongga hidung. Penelitian ini bertujuan untuk mengetahui korelasi derajat dan arah deviasi septum nasi terhadap morfologi nasal bone menggunakan modalitas CT scan
Metode: Desain penelitian cross-sectional dilakukan pada 85 pasien yang memenuhi syarat dan menjalani CT scan kepala. Arah deviasi septum dikategorikan kiri atau kanan, sedangkan derajat dikategorikan ringan (<9o), sedang (9-15°) dan berat (>15°). Morfologi os nasal yang dinilai mencakup ketebalan lateral nasal bone, intermediate nasal bone, sudut internasal, panjang nasal bone, jarak nasal bone ke crista maxillaris, lebar apertura piriformis. Penilaian morfologi os nasal dicatat dalam bentuk nilai median. Korelasi antara derajat dan arah deviasi septum nasi terhadap morfologi nasal bone dilakukan dengan pengujian korelasi Spearman.
Hasil : Paling banyak pasien menunjukan deviasi septum ke kiri, sebanyak 47 sampel (55,3%) sedangkan pasien dengan deviasi septum ke kanan sebanyak 38 sampel (44,7%). Paling banyak pasien menunjukkan derajat deviasi sedang, sebanyak 44 sampel. Terdapat korelasi yang signifikan antara ketebalan os nasal lateral kanan dan kiri, dan ketebalan os nasal intermediat kanan dan kiri dengan arah deviasi septum nasi (P<0,001). Terdapat pula korelasi yang signifikan antara jarak os nasal dengan crista maxilaris dan lebar apertura piriformis dengan derajat deviasi septum nasi (p = 0,037; p = 0,005)
Kesimpulan : Penelitian ini menunjukkan bahwa arah dan derajat deviasi septum nasi dapat mempengaruhi morfologi os nasal. Os nasal lebih tebal pada sisi yang deviasi dibandingkan sisi kontralateralnya. Temuan ini dapat menjadi pertimbangan untuk klinisi terutama sebelum melakukan tindakan operatif untuk pasien dengan deviasi septum nasi.
Kata Kunci : Computerized tomography, Deviasi septum nasi, Morfologi nasal bone
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Kuboki, A., K. Yanagi, T. Nakayama, and S. Haruna. "Simple suturing of the nasal septum using the Maniceps septum stitch device." Journal of Laryngology & Otology 129, no. 6 (April 28, 2015): 591–94. http://dx.doi.org/10.1017/s0022215115001024.
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AbstractObjective:To present the utility of the recently introduced Maniceps septum stitch device for suturing of the nasal septum.Methods:This paper describes nasal septum suturing techniques using the Maniceps septum stitch device following septoplasty to prevent post-operative complications such as haematoma and nasal septum perforation.Conclusion:Nasal septum suturing using the Maniceps septum stitch device appears to be a safe and easy surgical procedure to help prevent post-operative complications and may reduce the incidence of nasal septum perforation following septoplasty.
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Al-Taee, S. Kh M. J. "Embryonic development of nasal septum in indigenous sheep." Al-Qadisiyah Journal of Veterinary Medicine Sciences 10, no. 1 (June 30, 2011): 77. http://dx.doi.org/10.29079/vol10iss1art147.
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The study included detection the onset time of the chondrification and ossification of the nasal septum in indigenous sheep fetuses. Fetuses have been prepared by using stained with modified double staining method in young ages and maceration with potassium hydroxide in older ages. The first sign of nasal septum demonstrated as a small spot of condensed mesenchyme of medial nasal prominence of Meckel's cartilage (Hyaline cartilage). Chondrification process of nasal septum initiated at 54 days old. The primary ossification center of the caudal part of nasal septum appeared at 61 days old in the distal caudal end of mesenchyme of Meckel's cartilage. The examination of nasal septum growth from sheep embryos in the (42-63 days) period shows that this is a rapid period of growth is at the end of the first trimester and the first or second trimester of gestation. The increase in the length of the nasal septum is about three folds (from 0.5 cm at 7 weeks to 1.6 cm at the 10 weeks of indigenous fetal age. The results of analysis of variance done on the relative increase in the nasal septum length and nasal septum height showed that the greatest relative increase in nasal septum length was at the 7 weeks, while the greatest relative increase in the nasal septum height was in the 11 weeks.
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Han, Peter S., Nihal Punjabi, Mickey Goese, and Jared C. Inman. "The Creation of an Average 3D Model of the Human Cartilaginous Nasal Septum and Its Biomimetic Applications." Biomimetics 8, no. 7 (November 6, 2023): 530. http://dx.doi.org/10.3390/biomimetics8070530.
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The cartilaginous nasal septum is integral to the overall structure of the nose. Developing our an-atomic understanding of the septum will improve the planning and techniques of septal surgeries. While the basic dimensions of the septum have previously been described, the average shape in the sagittal plane has yet to be established. Furthermore, determining the average shape allows for the creation of a mean three-dimensional (3D) septum model. To better understand the average septal shape, we dissected septums from 40 fresh human cadavers. Thickness was measured across pre-defined points on each specimen. Image processing in Photoshop was used to superimpose lateral photographs of the septums to determine the average shape. The average shape was then combined with thickness data to develop a 3D model. This model may be utilized in finite elemental analyses, creating theoretical results about septal properties that are more translatable to real-world clinical practice. Our 3D septum also has numerous applications for 3D printing. Realistic models can be created for educational or surgical planning purposes. In the future, our model could also serve as the basis for 3D-printed scaffolds to aid in tissue regeneration to reconstruct septal defects. The model can be viewed at the NIH 3D model repository (3DPX ID: 020598, Title: 3D Nasal Septum).
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Tiwari, Nripendra, Deepesh Budhathoki, Iju Shrestha, and Gopal KC. "Prevalence of Deviated Nasal Septum among Nepalese Preclinical Students at Kathmandu Medical College Teaching Hospital, Nepal." Journal of Universal College of Medical Sciences 6, no. 2 (December 3, 2018): 60–63. http://dx.doi.org/10.3126/jucms.v6i2.22498.
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Introduction: The fragile nature of the nasal septum and other bony structures makes them prone to fragmentation and destruction. Deviated nasal septum persists in adult stage of life giving rise to anatomical, psychological and cosmetic consequences. There are many consequences of deviated nasal septum like nasal obstruction, mouth breathing, headache and asymmetry of face. The amount of airflow and resistance to it in the nasal cavity with deviated nasal septum are quite different from person to person. Our study is focused on the prevalence of deviated nasal septum.
Materials and methods: This was a cross-sectional observational study conducted among 300 individuals from Nepalese preclinical students studying at Kathmandu Medical College Teaching Hospital (KMCTH). Prevalence of deviated nasal septum in males and females were determined affecting symmetry of the face.
Results: The prevalence of deviated nasal septum was found to be 53% (159) of total study population. The left sided nasal septal deviation was found to be more in male 33.33% (50) than that of female 29.33% (44).The asymmetry of the face was observed in 55% (165) of total study population. However, asymmetry of face was observed more in male 58.66% (88) than in female 51.33% (77).
Conclusion The deviated nasal septum and asymmetry of the face were remarkably prevalent among Nepalese preclinical students studying at Kathmandu Medical College Teaching Hospital. The prevalence of deviated nasal septum and asymmetry of face was found significantly greater in male than in female (p< 0.05).
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Van de Lisdonk, Eloy H., and Floris Van de Laar. "Nasal Septum Deviation." European Journal of General Practice 4, no. 2 (January 1998): 74–78. http://dx.doi.org/10.3109/13814789809160798.
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Ho, Yiu M., and William B. Coman. "Nasal septum malignancy." ANZ Journal of Surgery 81, no. 7-8 (February 15, 2011): 533–36. http://dx.doi.org/10.1111/j.1445-2197.2011.05669.x.
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Beeson, William H. "The Nasal Septum." Otolaryngologic Clinics of North America 20, no. 4 (November 1987): 743–67. http://dx.doi.org/10.1016/s0030-6665(20)31592-9.
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Doğan, Sedat, İlknur Haberal Can, Meral Sayn, Elif Özer, Ünal Bayz, Gözde Yazc, and Ethem Erdal Samim. "The Nasal Septum." Journal of Craniofacial Surgery 20, no. 4 (July 2009): 1204–6. http://dx.doi.org/10.1097/scs.0b013e3181acdd2e.
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Hubballi, Ravi Kishore, and Shruthi Manohar Koujalagi. "Association of external nose deformity in individuals with nasal septal deviation." International Journal of Otorhinolaryngology and Head and Neck Surgery 5, no. 5 (August 27, 2019): 1372. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20193886.
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<p class="abstract"><strong>Background:</strong> Deviated nasal septum presents a challenge as often functional problems as well as aesthetic deformities must be addressed. Deviated nasal septum can be a result of varying pathologies and etiologies. Classifying the nasal deviation enables the surgeon to choose the appropriate operative intervention. This study is intended to know the association of external nose deformity in patients with deviated nasal septum.</p><p class="abstract"><strong>Methods:</strong> 100 patients were attending to the Department of ENT, Vijayanagara Institute of Medical Sciences, Ballari with deviated nasal septum, septal dislocation, septal spur and external nose deformity. Deviated nasal septum was classified as per the classification proposed by Mladina. External nose deformity was classified into 5 types proposed by Yong Jo Jang’s classification depending on the orientation of 2 horizontal units (bony pyramid and cartilaginous subunits) with respect to facial midline. </p><p class="abstract"><strong>Results:</strong> Out of 100 patients with deviated nasal septum, external nose deformity was present in 61% of the patients. Significant association was present between the deviated nasal septum and external nose deformity (p=0.01).</p><p><strong>Conclusions:</strong> Type II (33%) deviated nasal septum was most common followed by Type VII (31%). Among the external nose deformity, Type I was most common followed by Type V. Type II deviated nasal septum was associated most commonly with Type V external nose deformity, Type VII deviated nasal septum with Type I external nose deformity and Type IV deviated nasal septum with Type I/II external nose deformity in equal frequency.</p>
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Aksoy, F., Y. S. Yildirim, H. Demirhan, O. Özturan, and S. Solakoglu. "Structural characteristics of septal cartilage and mucoperichondrium." Journal of Laryngology & Otology 126, no. 1 (September 5, 2011): 38–42. http://dx.doi.org/10.1017/s0022215111002404.
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AbstractAim:During nasal septum surgery, elevation of mucoperichondrium from the anterior nasal septum may be more difficult than from the medial and posterior septum. This study aimed to evaluate any histological structural differences between the anterior and posterior nasal septum cartilage, mucoperichondrium and intervening tissue.Material and method:Unilateral mucoperichondrial flap elevation without infiltration was performed, after nasal tip and dorsum decortication, in four patients undergoing open septorhinoplasty. Full-thickness samples, including cartilage and mucoperichondrium, were removed from the anterior and posterior nasal septum and examined under light and electron microscopy.Results:Light microscopy showed no difference between anterior and posterior septum specimens regarding perichondrial thickness and subperichondrial cell density. Demarcation between cartilage and perichondrium and between perichondrium and lamina propria was more regular in the posterior versus the anterior septum. Electron microscopy showed no difference in chondroblast activity at the two sites.Conclusion:The observed tissue demarcation irregularities may explain the greater reported difficulty in elevating anterior versus posterior nasal septum mucoperichondrium. Immunohistochemical examination would further elucidate these interstructural connections.
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Bansal, Ajay, Ashok Kumar Utreja, Satinder Pal Singh, Naresh Kumar Panda, and Ashok Kumar Jena. "The Association between Nasal Septum Deviation and Sagittal Maxillary Growth Discrepancy." Journal of Postgraduate Medicine, Education and Research 46, no. 2 (2012): 98–101. http://dx.doi.org/10.5005/jp-journals-10028-1021.
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ABSTRACT Objective To test the hypothesis that there is no association between the nasal septum deviation and the sagittal growth discrepancy of maxilla. Materials and methods Total 80 subjects in the age range of 7 to 51 years were divided into four groups of 20 each. Group I included subjects with normally positioned maxilla, group II included subjects with protruded maxilla, and group III included subjects with retruded maxilla in relation to the anterior cranial base. Subjects who already had a deviated nasal septum were included in group IV. All the subjects were clinically examined for the evaluation of nasal septum deviation. The deviation of nasal septum was categorized into anterior and posterior deviation. The sagittal maxillary growth discrepancy in all subjects was evaluated from lateral cephalograms. The association between the deviation of nasal septum and the discrepancy of maxillary growth in the sagittal plane was tested by Chi-square test. Results Deviated nasal septum was more common among subjects with normal and retruded maxilla than subjects with protruded maxilla. Subjects in whom nasal septum was already deviated, various sagittal maxillary growth discrepancies were equally distributed. There was no association between the nasal septum deviation and sagittal growth discrepancy of the maxilla (χ2 = 2.143 and p = 0.342). Conclusion There was no association between nasal septum deviation and the sagittal growth discrepancy of the maxilla. How to cite this article Bansal A, Utreja AK, Singh SP, Panda NK, Jena AK. The Association between Nasal Septum Deviation and Sagittal Maxillary Growth Discrepancy. J Postgrad Med Edu Res 2012;46(2):98-101.
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Andono, Rio, Nikmatia Latief, and Nurlaily Idris. "Korelasi antara Derajat Deviasi Septum Nasi dengan Aerasi Telinga Tengah dan Rongga Mastoid menggunakan Modalitas CT Scan." JURNAL BIOMEDIK (JBM) 13, no. 1 (March 11, 2021): 24. http://dx.doi.org/10.35790/jbm.13.1.2021.32183.
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Abstract: Nasal septum deviation can affect the middle ear aeration-mastoid pneumatization system. The aim of this study was to analyze the correlation between the degree of nasal septum deviation with middle ear aeration and mastoid cavity using CT scan. Conducted retrospectively on nasal septum deviation patients who underwent a CT scan of paranasal sinuses at the central radiology department of UNHAS, Makassar for the period of January 2018 to September 2020. Samples were as many as 48 patients aged >18 years who had diagnosed nasal septum deviation. The degree of nasal septum deviation is divided into mild (<9°), moderate (9-15°) and severe (>15°). The statistical method used was the Spearman correlation test. There was significant correlation between the degree of nasal septum deviation with ipsilateral tympanic membrane retraction with a p value 0,001 and ipsilateral mastoid pneumatization with a p value of 0.03 (<0,05). The results of this study indicate that there is significant correlation between the degree of nasal septum deviation with ipsilateral tympanic membrane retraction and ipsilateral mastoid pneumatization. There is a correlation between moderate and severe nasal septum deviation with ipsilateral middle ear effusion, where the deviation degree of the nasal septum is getting increased, then there is a tendency for an increase in ipsilateral middle ear effusion compared to contralateral side.Keywords: Degree of nasal septum deviation, middle ear effusion, tympanic membrane retraction, mastoid pneumatization, CT Scan Abstrak: Deviasi septum nasi dapat mempengaruhi tekanan telinga tengah-sistem pneumatisasi mastoid. Tujuan penelitian ini adalah untuk menganalisis korelasi antara derajat deviasi septum nasi dengan aerasi telinga tengah dan rongga mastoid menggunakan modalitas CT-scan. Dilakukan secara retrospektif pada penderita deviasi septum nasi yang menjalani pemeriksaan CT-scan sinus paranasalis di instalasi radiologi sentral RS UNHAS, Makassar periode Januari 2018 sampai September 2020. Sampel sebanyak 48 orang dengan usia >18 tahun yang didiagnosis deviasi septum nasi. Derajat deviasi septum nasi dibagi menjadi ringan (<9°), sedang (9°-15°), dan berat (>15°) Metode statistik yang digunakan uji korelasi Spearman. Terdapat korelasi yang bermakna antara derajat deviasi septum nasi dengan retraksi membran timpani ipsilateral 0,001 dan pneumatisasi mastoid ipsilateral 0,03 (<0,05). Hasil penelitian ini menunjukkan terdapat korelasi yang bermakna antara derajat deviasi septum nasi dengan retraksi membran timpani ipsilateral dan pneumatisasi mastoid ipsilateral. Terdapat korelasi antara deviasi septum nasi derajat sedang dan berat dengan efusi telinga tengah ipsilateral, dimana semakin bertambah derajat deviasi septum nasi maka ada kecenderungan peningkatan efusi telinga tengah ipsilateral dibandingkan kontralateral.Kata kunci: Derajat deviasi septum nasi, efusi telinga tengah, retraksi membran timpani, pneumatisasi mastoid, CT Scan
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Yılmaz, Hüseyin Baki. "Nasal septal schwannoma." Journal of Medical Updates 4, no. 2 (August 1, 2014): 77–80. http://dx.doi.org/10.2399/jmu.2014002009.
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Loh, Zheng H., and Tuck K. Chow. "Swelling of the Nasal Septum: A Case of Nasal Septum Carcinoma." An International Journal of Otorhinolaryngology Clinics 13, no. 2 (November 20, 2021): 67–69. http://dx.doi.org/10.5005/jp-journals-10003-1378.
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Bobrov, V. M. "Single point anesthesia for nasal septum surgery." Kazan medical journal 72, no. 2 (February 15, 1991): 136–38. http://dx.doi.org/10.17816/kazmj106592.
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The technique of conducting anesthesia is described and its anatomical rationale is given from one point during a septum operation performed for a hematoma of the nasal septum. This anesthesia is performed taking into account the anatomical features of the structure, blood supply, innervation of the nasal septum, and therefore it allows submucosal resection of the nasal septum painlessly, economically in time, by introducing an anesthetic subperchondrium.
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Sharma, Indu, and Shamsa Fiaz. "AYURVEDIC MANAGEMENT OF DEVIATED NASAL SEPTUM – A CASE STUDY." Feb - Mar 2021 p5, no. 03 (March 25, 2021): 2864–67. http://dx.doi.org/10.46607/iamj16p5032021.
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Nasa Pratinaha is one among the 31 Nasa Roga in which nasal obstruction is the main symptom. It is a commonly encountered disease in clinical practice. This disease occurs due to aggravation of Udan Vata, enveloped with Kapha, thereby causing obstruction in nose. In contemporary science this disease can be co-related with many disorders like turbinate hypertrophy, deviated nasal septum, nasal polyp, tumours, allergic rhinitis and others; among which deviated nasal septum is a common cause. Deviated Nasal Septum can be treated with surgical and medical methods. The medical and surgical managements have their own limitations, merits, and demerits like synechiae formation, rhinitis sicca, severe bleeding, septal perforation, septal heamatoma, septal abscess etc. In Ayurvedic classics the treatment for Nasa Pratinaha is Snehapana, Nasya, Dhoompana etc. The best prescribed in Nasya Pratinaha for Nasya is Bala Taila, the same oil is also recommended for Nasa Pichu. Thus, this study was carried out with the objective of to evaluate the effectiveness of Bala Taila Nasya and Nasa Pichu in the management of Deviated Nasal Septum Nasal Septum. A case report of 43-year-old female who presented with complaints of frequent nasal obstruction, nasal discharge, discomfort in nose, and headache; was diagnosed with Deviated Nasal Septum. The patient was treated with Bala Taila nasya and Nasa Pichu with the same oil. Hence Bala Taila administered as Nasya and Nasa Pichu was significant in controlling the symptoms of Nasa Pratinaha (Deviated Nasal septum) without recurrence in the follow up period.
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Paccoi, Paolo, and Valerio Di Peco. "Septal Cartilage Graft for Nasal Valve Incompetence Associated with Deviated Septum." American Journal of Rhinology 21, no. 5 (September 2007): 622–25. http://dx.doi.org/10.2500/ajr.2007.21.3074.
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Background The nasal valve is one of the major factors contributing to nasal airflow obstruction. Physiologically, the nasal valve offers the greatest resistance to nasal airflow and generally functions as an inflow device controlling nasal airflow and resistance. Many patients who have complaints of breathing impairment are affected by alterations of the nasal septum, the turbinates, the columellar base, the vestibule floor, or the lateral wall of the nose but may have associated incompetence of the nasal valve, which is too often undervalued by nasal surgeons. The aim of this study was to propose a relatively easy surgical technique to correct most nasal valve impairments associated with nasal septum deviation whether or not there also is inferior turbinate hypertrophy. Methods Between May 2004 and September 2006, 68 patients (26 women and 42 men; mean age, 37 years; range, 16–71 years) underwent primary or secondary functional nasal surgery, because of a nasal respiratory obstruction caused by nasal septal deviation eventually associated with inferior turbinates hypertrophy, and also demonstrated nasal valvular incompetence. A septal cartilage graft was used to correct the valvular incompetence. Results On postoperative visits almost all of the patients (with one exception) showed a remarkable improvement in the stiffening of the valvular region and had only minimal depression of the nostril during deep inspiration. Conclusion This study indicated that septal grafts were useful in the surgical management of nasal respiratory impairment because of nasal valve incompetence, where there had been flaccid mobile collapse of the ala of the nose associated with septal alterations.
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Shirokaya, A. V., M. Y. Pogorelov, and A. V. Melsitov. "USE OF A RELOCATED ETHMOID ARTERY FLAP IN THE SURGICAL TREATMENT OF NASAL SEPTUM PERFORATIONS." Bulletin of the Medical Institute of Continuing Education 3, no. 4 (December 15, 2023): 27–31. http://dx.doi.org/10.36107/2782-1714_2023-3-4-27-31.
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Purpose. To evaluate the eMectiveness of the technique of closing perforations of the nasal septum with a unilateral Nap of the nasal mucosa on the ethmoid arteries. Materials and methods. 56 patients with perforations of the nasal septum of various etiologies were operated on: postoperative — 24, traumatic — 6, idiopathic — 26. In the postoperative period, a cytological examination of smears from the surface of the nasal septum, a questionnaire with the NOSE questionnaire, and an assessment of mucociliary transport of the nasal mucosa were performed. The presence of recurrent perforation of the nasal septum was assessed within 1 year. Results. After surgery, pronounced leukocyte infiltration, bacterial contamination and low regenerative activity in the wound were revealed in the first 10 days. The indicators of mucociliary transport recovered by the 30th day (20.05±2.05 minutes), complete restoration of nasal breathing according to NOSE data by the 60th day (21.11 points). Uere were 12 relapses of perforations of the nasal septum: 4 cases — before 30 days, 5 cases — from 30 to 60 days, 3 cases — after 1 year, 7 of which were idiopathic, 4 were postoperative, and 1 relapse was in traumatic perforation of the nasal septum, in 75% relapses occurred in the early postoperative period. The effectiveness of the technique for closing the PPN with a Nap on the ethmoidal arteries was 78.5%. Conclusions. When forming a unilateral mucosal Nap for plastic surgery of perforation of the nasal septum, de-epithelialised areas heal by secondary tension through inflammation, which affects the final results of the operation and reduces the effectiveness of the technique.
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Savovic, Slobodan, Vladimir Kljajic, Maja Buljcik-Cupic, and Ljiljana Jovancevic. "The influence of nasal septum deformity degree on subjective nasal breathing assessment." Medical review 67, suppl. 1 (2014): 61–64. http://dx.doi.org/10.2298/mpns14s1061s.
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Introduction. The aim of this paper is to determine the influence of nasal septum deformity degree on the subjective nasal breathing assessment as well as the existence of correlation between one side of the nose with nasal septum deformity and the subjective feeling of difficulty in breathing on that side in the subjects with different degrees of nasal septum deviation. Material and Methods. The research included 90 randomly chosen patients, who claimed to have nasal breathing difficulties. Every patient assessed subjectively which side of the nose made breathing difficult and scored the breathing on that side from 0 to 10 cm on the visual analogue scale. Results. The patients from the third group described their breathing as the most difficult, while the subjects from the first group claimed that their nasal breathing problems were the least difficult. The subjective feeling of heavy nasal breathing on the deformed nasal septum side was significantly different in all groups (H= 38.466, p= 0.000). In the second and the third group of patients there was a significant correlation between the deformed side of the nose and the subjective heavy breathing on that side (p< 0.05), whereas this correlation was not found in the first group (p> 0.05). Conclusion. The subjective feeling of difficulty in breathing on the deformed side of the nose is intensified with the degree of the nasal septum deformity, thus this feeling was reported only by the subjects with a higher degree of the nasal septum deformity.
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Ominde, Beryl Shitandi, Joyce Ikubor, Patrick Sunday Igbigbi, and Nekwu Okolugbo. "Variations of the Nasal Septum in Adult Nigerians: Computed Tomography Study." International Archives of Otorhinolaryngology 27, no. 02 (April 2023): e240-e247. http://dx.doi.org/10.1055/s-0042-1751283.
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Abstract Introduction The morphological variants of the nasal septum have been implicated in sinus pathology and pose a challenge during endoscopic surgeries. Objective The present study aimed at evaluating the prevalence of nasal septum variants in adult Nigerians. Methods The present study was performed at the Radiology Department of Delta State University Teaching Hospital, Nigeria, following ethical approval. Brain computed tomography (CT) scan images of 336 adults were evaluated for nasal septum variants. The angle of the deviated nasal septum was measured, and the severity was classified. Data were analyzed using IBM SPSS Statistics for Windows, version 23.0 (IBM Corp., Armonk, NY, USA). The angle of deviation was presented in means and standard deviation. Frequencies of the variants were presented in percentages. The Student t-test was used to compare the angle of deviation, while the chi-squared test was used to compare the frequencies in the different groups. A p-value < 0.05 was considered statistically significant. Results The prevalence of straight and deviated nasal septum was 59.5% and 40.5%, respectively. Deviation was predominant in females (46%) and, more frequently, of moderate severity (75%). The angle of deviation was significantly larger in males (12.55 ± 2.99°) than in females (11.13 ± 2.41°; p = 0.003). Nasal spur had a prevalence of 11.9%, and its coexistence with deviated nasal septum was observed in 5.06%. Septal pneumatization was seen in 10 patients (3%). Conclusion Deviation of the nasal septum occurred more in females and toward the left; however, the angle of deviation was significantly higher in males. Nasal septal spur and pneumatization were the least prevalent variants.
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ISMAGILOV, SH M., M. N. GILYALOV, L. I. SALIMOV, and R. M. NURSAITOVA. "Plastic of the nasal septum defect." Practical medicine 19, no. 4 (2021): 163–64. http://dx.doi.org/10.32000/2072-1757-2021-4-163-164.
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Perforation of the nasal septum (PNS) is a voluminous defect consisting of the total absence of all layers of its tissues. The nasal septum is a plate of cartilaginous, bone and connective tissue with varied physical characteristics; they differ in elasticity, resistance, and restoration after traumas. The article presents the results of the transnasal endoscopic method of plastic repair of nasal septum perforations.
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Young, E., M. Dabrowski, and K. Brelsford. "Osteoblastoma of the nasal septum." Journal of Laryngology & Otology 125, no. 10 (August 2, 2011): 1062–66. http://dx.doi.org/10.1017/s0022215111001708.
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AbstractObjectives:To present a case of, and to review the literature concerning, osteoblastoma of the nasal cavity, and to demonstrate the importance of considering this rare entity when assessing patients presenting with a nasal septum lesion.Case report:Benign osteoblastoma is a rare tumour, constituting 1 per cent of all bone tumours. Most cases occur in the long bones. Osteoblastoma involving the nasal cavity is rare, with only 10 reported cases in the English-language literature. Most nasal cavity cases originate from the ethmoid sinus and spread to involve the nasal cavity. There are only four reported cases of osteoblastoma originating from the bones of the nasal cavity. We report a case of osteoblastoma originating from the bony nasal septum in a 45-year-old man with a history of recurrent, right-sided epistaxis and nasal obstruction.Conclusion:This is the second report in the English-language literature of osteoblastoma originating from the bony nasal septum.
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Nayak, Dipak Ranjan, R. Balakrishnan, and K. Deepak Murthy. "An endoscopic approach to the deviated nasal septum – a preliminary study." Journal of Laryngology & Otology 112, no. 10 (October 1998): 934–39. http://dx.doi.org/10.1017/s0022215100142124.
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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.
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Bhandari, Shama, Dhundi Raj Paudel, and Subhash Mahaseth. "Validity of Sinonasal Outcome Test 22 in Assessing Symptomatological Outcome Following Septoplasty in Deviated Nasal Septum." Journal of Nepalgunj Medical College 20, no. 1 (July 31, 2022): 39–42. http://dx.doi.org/10.3126/jngmc.v20i1.48247.
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Introduction: Nasal obstruction is the most common symptom of deviated nasal septum. Septoplasty is a surgical procedure that corrects deformity of the nasal septum. Sinonasal outcome test 22 is a subjective questionnaire tool that include various nasal symptoms which is useful to measure patient`s symptoms outcome after septoplasty.
Aims: To determine the symptomatologic outcome in patients with deviated nasal septum following septoplasty using Sinonasal outcome test 22.
Methods: This prospective longitudinal study was done atNepalgunj Medical College and Teaching Hospital, Kohalpur including 60 patients of symptomatic deviated nasal septum who underwent septoplasty. Details of patient symptoms as per Sinonasal outcome test - 22 were graded from zero to five preoperatively and were compared one month following surgery.
Results: Patients who underwent septoplasty were commonly in the age group 20-45 years and least in the age group 46-60 years with a mean age of 25.48. In the present study, the male to female ratio was 1.4:1. Deviated nasal septum was more common on the left side (53.3%). The mean preoperative sinonasal outcome test -22 score was 24.42 (range 14-40), and the mean postoperative sinonasal outcome test-22 score was 12.93 (range 8-23) and the difference was 11.49.
Conclusion: Sinonasal outcome test 22 is a subjective questionnaire tool used in patients with deviated nasal septum. In our study with the use of this questionnaire tool there was improvement in nasal symptoms on comparing preoperative and postoperative symptoms following septoplasty.
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Sonkhya, Nishi, Nishi Sharma, H. S. Bhuie, and D. L. Chhangani. "Chondrosarcoma of nasal septum." Indian Journal of Otolaryngology 43, no. 3 (September 1991): 150–51. http://dx.doi.org/10.1007/bf02994112.
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Belic, Branislav, Slobodanka Mitrovic, Snezana Arsenijevic, Ljiljana Erdevicki, Jasmina Stojanovic, Stevan Stojanovic, and Radojica Stolic. "Nasal septum extramedullary plasmacytoma." Vojnosanitetski pregled 70, no. 2 (2013): 221–24. http://dx.doi.org/10.2298/vsp1302221b.
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Introduction. Plasmacytomas are malignant tumors characterized by abnormal monoclonal proliferation of plasma cells. They originate in either bone - solitary osseous plasmacytoma, or in soft tissue - extramedullary plasmacytoma (EMP). EMP represents less than 1% of all head and neck malignancies. Case report. We presented a case of EMP of the nasal septum in a 44-year-old male who had progressive difficulty in breathing through the nose and frequent heavy epistaxis on the right side. Nasal endoscopy showed dark red, soft, polypoid tumor in the last third of the right nasal cavity arising from the nasal septum. The biopsy showed that it was plasmacytoma. Bence Jones protein in the urine, serum electrophoresis, bone marrow biopsy, skeletal survey and other screening tests failed to detect multiple myeloma. This confirmed the diagnosis of EMP. The mass was completely removed via an endoscopic approach, and then, 4 week later, radiotherapy was conducted with a radiation dose of 50 Gray. No recurrence was noted in a 3-year follow- up period. Conclusion. EMP of the nasal cavity, being rare and having long natural history, represents a diagnostic and therapeutic challenge for any ear, nose and throat surgeon. Depending on the resectability of the lesion, a combined therapy is the accepted treatment.
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Ginat, Daniel Thomas, and Charles J. Schatz. "Nasal Septum Granuloma Gravidarum." Ear, Nose & Throat Journal 96, no. 10-11 (October 2017): 412–14. http://dx.doi.org/10.1177/0145561317096010-1118.
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Echeverria-Zumarraga, M., C. Kaiser, and C. Gavilan. "Nasal septal carcinoma: initial symptom of nasal septal perforation." Journal of Laryngology & Otology 102, no. 9 (September 1988): 834–35. http://dx.doi.org/10.1017/s0022215100106607.
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AbstractA case of a primary squamous cell carcinoma of the nasal septum in a young female with initial symptom of septal perforation is reported. Carcinoma of the nasal septum is an uncommon entity and there are a few cases reported in the literature. The functional impact of their treatment and the high mortality makes it important to diagnose it at early stage. We discuss the differential diagnosis of septal perforation and recommend early wide surgical excision.
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Yang, Shih-Wei, Cheng-Ming Luo, and Tzu-Chien Cheng. "Fungal Abscess of Anterior Nasal Septum Complicating Maxillary Sinus Fungal Ball Rhinosinusitis Caused by Aspergillus flavus: Case Report and Review of Literature." Journal of Fungi 10, no. 7 (July 18, 2024): 497. http://dx.doi.org/10.3390/jof10070497.
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Anterior nasal septum abscess is not a rare clinical disease entity. In terms of the etiologies of the disease, bacteria are obviously more common than fungi. Fungal culture and pathological examination are essential for diagnosis of a fungal abscess of the anterior nasal septum and the basis of prescription of antifungal agents. We report a 57-year-old male patient who came to our outpatient clinic due to refractory nasal congestion for 3 weeks despite receiving treatments by a local medical doctor. Radical surgery with postoperative adjuvant radiotherapy for the right buccal cancer was carried out 14 years ago. The patient has diabetes mellitus and the blood sugar level has been well controlled by oral hypoglycemic agents over the past several years. Computed tomography revealed an abscess in the anterior septum along with rhinosinusitis. Incision and drainage of the nasal septum abscess and functional endoscopic sinus surgery were carried out. Fungal culture and pathological examination confirmed a fungal abscess in the anterior nasal septum and fungal ball rhinosinusitis. Antibiotics and an antifungal agent were given, and the postoperative course was uneventful. A dialectical argument was made regarding the causal relationship between the fungal abscess of the anterior nasal septum and maxillary fungal ball sinusitis. A literature review of the previous case reports was carried out to elucidate the immune status of patients of this disease. In order to reach a rapid establishment of a fungal abscess of the anterior nasal septum, clinicians should keep this disease in mind and remain vigilant. An immuno-compromised status is more commonly found in patients with fungal abscess of the anterior nasal septum and is another important characteristic of this disease. Prompt diagnosis and effective treatment are equally important in patients with lower immune status of this kind, and the latter is based on the former.
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Gosman, A. "Deformation of Nasal Septum During Nasal Trauma." Yearbook of Plastic and Aesthetic Surgery 2012 (January 2012): 43–44. http://dx.doi.org/10.1016/j.yprs.2011.07.037.
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Lee, Shu Jin, Kyrin Liong, and Heow Pueh Lee. "Deformation of nasal septum during nasal trauma." Laryngoscope 120, no. 10 (September 7, 2010): 1931–39. http://dx.doi.org/10.1002/lary.21072.
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Sriprakash, Vinnakota. "Prevalence and clinical features of nasal septum deviation: a study in an urban centre." International Journal of Otorhinolaryngology and Head and Neck Surgery 3, no. 4 (September 22, 2017): 842. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20173670.
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<p class="abstract"><strong>Background:</strong> Considerably large nasal septum plays a critical role in the obstruction of the nasal cavity, leading to snoring, and other symptoms, aesthetic appearance of the nose, and increased nasal resistance. This study was performed with an aim to investigate the prevalence of nasal septum deviation in our geographical area.</p><p class="abstract"><strong>Methods:</strong> 446 patients who attended the ENT department in the study period were evaluated for the nasal septum deviation. General demographic details were obtained from all of them. Detailed physical exam was performed on all the patients. Disposable nasal speculum and otoscope was used to observe the interior of the nasal cavity. </p><p class="abstract"><strong>Results:</strong> Out of 446 patients visiting the ENT department of our hospital, 138 (30.9%) of them had DNS. The C shaped NSD was the most common type to be encountered in our study, with 57 patients showing this disorder. Nasal obstruction was the predominant symptom observed in 119 (86.2%) of the patients, followed by rhinitis and nasal discharge (34.8%).</p><p><strong>Conclusions:</strong> Deviated nasal septum is a very prevalent condition in our area, with severe symptoms such as nasal obstruction and rhinitis. Most of the patients had C shaped deviated septum.</p>
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Shelikhovskaia, Mariia A., Fedor A. Syroezhkin, Vasily P. Tipikin, Ksenia V. Vinichenko, Alexandra V. Kulish, and Sofya V. Kovtun. "Allografts for surgery in the closure of nasal septal intraoperative defects." Aspirantskiy Vestnik Povolzhiya 20, no. 1-2 (December 10, 2020): 37–43. http://dx.doi.org/10.17816/2072-2354.2020.20.1.44-48.
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Surgical correction of the deviation of nasal septum is the most frequently performed surgical interventions in Otorhinolaryngology departments. Sometimes such operations can be complicated by an intraoperative defect in the nasal septum, which is not always possible to close with autogenous tissue. Thats why it has become important to use new allogenic transplant materials in the treatment of these defects. The purpose of the study was to evaluate the effectiveness of allografts (allogeneic fascia and allogenic cartilage treated by Alloplant technology) in closure of intraoperative defects of the nasal septum. The treatment was performed to 40 patients aged 2455 who developed defect of the mucous membrane of the nasal septum during the operation for nasal spetum deviation. Patients were randomly divided into two groups of 20 people. The 1st group included patients whose allogenic transplantat materials were used in addition to their own tissues during the closure of the defect. The 2nd group consisted of patients whose autogenous tissues were used during the operation. The data of functional state of the nasal mucosa and the anatomical integrity of the nasal septum of all patients before treatment, one month and one year after the treatment were checked and compared. It was revealed that allografts (allogenic fascia and allogenic cartilage treated by Alloplant technology) demonstrated an anti-inflammatory effect, and their use in closing of intraoperative defects of the nasal septum is more effective. This procedure also accelerates improvement of the functional activity of the nasal mucosa in comparison with the use of autogenous tissues solely.
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Savovic, Slobodan, Miroslav Smajic, Slavko Molnar, Ljiljana Jovancevic, Maja Buljcik-Cupic, Vladimir Kljajic, and Vladimir Pilija. "Correlation between subjective and objective nasal breathing assessments in examinees with nasal septum deformities." Vojnosanitetski pregled 70, no. 4 (2013): 380–85. http://dx.doi.org/10.2298/vsp1304380s.
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Background/Aim. Nasal obstruction is one of the most frequent disorders because of which patients see their Ear, Nose and Throath (ENT) doctors. Impaired nose breathing is a subjective symptom and it often does not coincide with clinical nose findings and functional tests of breathing function. Therefore, the aim of this study was to establish if there is an accordance between a subjective nose breathing assessment and objective methods (rhinomanometry and acoustic rhinometry) in assessing nose breathing function in patients with diverse nasal septum deformity degrees, as well as to establish an accordance between these two objective methods. Methods. This study involved the total of 90 examinees divided into three groups. The group I consisted of examinees with nasal septum deformities less than 10?. The group II consisted of examinees with nasal septum deformities ranged from 10? to 15?. The group III involved examinees with nasal septum deformities over 15?. Each examinee had subjectively graded his/her nasal breathing on the side of the nose septum deformity from 0 to 10, and afterwards the whole noses. Rhinomanometry and acoustic rhinometry were done on the side of the nasal septum deformities and after that on the other side of the nose using the Interacoustics SRE 2000 device. Results. In the groups II and III there was a positive correlation between a subjective nose breathing assessment and rhinomanometric values both on the side of the nasal septum deformities and the nose as a whole, (p < 0.05), and no correlation between these traits in the group I (p > 0.05). In none of the examined groups correlation was found between a subjective nose breathing assessment and rhinometric values, both minimum cross-sectional area (MCA) and volume (VOL), both on the side of the nasal septum deformities and the nose as a whole (p > 0.05). There was no correlation found between rhinomanometric and rhinometric MCA and VOL values in either on the sides of nasal septum deformities or the nose as a whole in any of the examined groups (p > 0.05). Conclusion. Rhinomanometry significantly correlates with the subjective nose breathing assessment and it can be used as a reliable and objective indicator of nose breathing in everyday clinical practice. Acoustic rhinometry, on the other hand, which does not correlate with a subjective nose breathing assessment could have a greater significance in a scientific sense than in clinical applying.
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Alekseenko, S., V. V. Dvoryanchikov, S. A. Artyushkin, S. V. Barashkova, A. A. Krivopalov, V. V. Turieva, and B. O. Mel’nik. "Effect of concomitant nasal septum deviation on mucociliary clearance parameters after pediatric sinus surgery." Russian Otorhinolaryngology 21, no. 6 (2022): 8–16. http://dx.doi.org/10.18692/1810-4800-2022-6-8-16.
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Objective. To analyze the effect of concomitant deviated nasal septum in children with chronic rhinosinusitis (CRS) on the effectiveness of functional endoscopic sinus surgery (FESS), the state of the ciliary apparatus, and the morphology of the nasal mucosa in the postoperative period. Patients and methods. A comprehensive examination was performed in 124 patients with CRS without nasal septum deviation as well as 66 patients with CRS and concomitant nasal septum deviation who underwent FESS. Results. A statistically significant improvement in the condition of the subjects after surgery was found in both groups. At the same time, patients with CRS and nasal septum deviation had a higher number of complications and the need for revision surgery. The subjective evaluation of the results of FESS was significantly higher in the group of children with CRS without nasal septum deviation. According to the results of video cytomorphometry in children with CRS without deviated nasal septum, by 6 and 12 months of the postoperative period, there was a close to significant and significant increase in the survival of epithelial cells, the number of cells with mobile cilia, the length of cilia, and the frequency of cilia beating. A year after the operation, this group of subjects also showed a statistically significant decrease in epithelial dystrophy, the number of neutrophils and lymphocytes, and a tendency to arrange cells in layers. In contrast, in patients with CRS and nasal septum deviation, a significant increase in the length of cilia was noted only by 12 months after surgery, while other parameters only tended to normalize. Synchronicity of cilia beat increased significantly by 12 months in both groups. Thus, the obtained results indicate a delayed recovery of the ciliary apparatus and the morphology of the ciliated epithelium mucosa after FESS in children with CRS and concomitant nasal septum deviation, which may be associated with persistent inflammation, causing a less favorable course of the postoperative period.
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Didkovskiy, Viaheslav, Yuriy Shevchuk, and Serhii Konovalov. "Types of the nasal septum deviations and their influence on the state of mucociliary clearance of the nasal cavity in patients with postnasal obstruction syndrome." ScienceRise: Medical Science, no. 6 (57) (November 30, 2023): 4–9. http://dx.doi.org/10.15587/2519-4798.2023.295217.
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The flow of nasal secretions into the pharynx and larynx manifests itself differently throughout the day. At night, this mucus flows into the larynx, irritates reflexogenic zones and causes coughing, and during the day these complaints are less noticeable, due to involuntary swallowing of secretions. We hypothesized that different types of nasal septum deviations may affect mucociliary clearance and, as a result, lead to postnasal drip syndrome. However, we did not find any studies in the literature that examined the effect of types of nasal septum deviation (NSD) on mucociliary clearance (MCC). Therefore, in our study, we evaluated the effect of the types of nasal septum deviations on MCC. The aim of the study. To investigate the activity of mucociliary clearance of the mucous membrane of the nasal cavity in patients with different types of NSD. Materials and methods. 100 patients were investigated. All patients underwent an endoscopic examination of the nasal cavity, a ST scan of the nasal cavity, and a saccharin test. The results. The analysis made it possible to reveal that in most patients with type 2 deviation of the nasal septum with the presence of a unilateral caudal ridge, which cuts into the middle turbinate, there is PNDS. At the same time, while the average ST time of the concave side of the nasal mucosa in patients with type 1 was almost unchanged, it was significantly longer in patients with type 2 (P=0,02). Therefore, in this study, the ST indicator in min. was longer on the concave side of the nasal cavity than on the convex side. Conclusions. Our research has shown that nasal septum deviation reduces nasal mucociliary activity, and this effect can be easily assessed using the saccharin test. According to our observations and research results, it was the 2nd and 3rd types of deviation that significantly disturbed the architecture of the nasal cavity, due to the presence of contralateral vertical deviation of the nasal septum, contralateral hyperplasia of the nasal turbinates, and contralateral conchobulosis. And, as a result, led to a decrease in mucociliary clearance
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P., Shrinath D. Kamath, Kishore Shetty, Anusha Shetty, Michelle Mathias, and Natashya Rent. "A RARE CASE OF CHONDROMA OF CARTILAGINOUS NASAL SEPTUM." Journal of Health and Allied Sciences NU 04, no. 01 (March 2014): 120–22. http://dx.doi.org/10.1055/s-0040-1703747.
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Abstract:Chondroma is a benign tumor of cartilaginous origin. Nasal septal chondromas are rare and almost always arise from the bony septum. Considering the very rare occurrence of chondroma from anterior part of the septum, we report a case of Chondroma of the nasal septal cartilage in an adult female, who presented with progressive unilateral nasal obstruction. CT scan showed the minimally enhancing lesion from the anterior septum confined to the left nasal cavity. Excision of the mass was done endoscopically. Histopathological examination of the specimen was suggestive of chondroma.
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Sharma, Rohit, and Vinit Kumar Sharma. "Rhinomanometric Assessment of Nasal Airflow in Deviated Nasal Septum." An International Journal Clinical Rhinology 5, no. 1 (2012): 17–18. http://dx.doi.org/10.5005/jp-journals-10013-1109.
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ABSTRACT Objective The present study was carried out to study rhinomanometrically the nasal airflow in cases of deviated nasal septum and to compare rhinomanometric improvement following surgery with relief in subjective sensation of nasal airflow. Materials and methods This study was carried out in our institute from October 2009 to January 2011 including the cases of deviated nasal septum. A total number of 45 patients of deviated nasal symptoms were included in this study. Preoperative and postoperative assessment of nasal airflow were also assessed by rhinomanometry. Twenty cases were kept in control group to compare the nasal airflow. Results Good correlation was found between rhinomanometric results and improvement in subjective airflow sensation in patients who underwent septoplasty. Conclusion Usual methods of nasal examination, rhinomanometry seems to be of much more importance in understanding nasal airflow and selecting patients for operative intervention than previously thought. How to cite this article Sharma VK, Sharma R. Rhinomanometric Assessment of Nasal Airflow in Deviated Nasal Septum. Clin Rhinol Int J 2012;5(1):17-18.
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Zulkepli, Siti Zulaili, Salina Husain, and Balwant Singh Gendeh. "Respiratory Epithelial Adenomatoid Hamartoma of the Nasal Septum." Philippine Journal of Otolaryngology-Head and Neck Surgery 27, no. 1 (June 29, 2012): 28–30. http://dx.doi.org/10.32412/pjohns.v27i1.551.
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Objective: Hamartomas are relatively uncommon, non-neoplastic malformations indigenous to the involved anatomic site. Respiratory epithelial adenomatoid hamartoma (REAH) is a subsetof hamartoma characterized by prominent glandular proliferation lined by ciliated epithelium originating from the surface epithelium. Their location in the nasal cavity is rare and when present, mostly associated with the posterior nasal septum. We present such a case arising from the anterior nasal septum.Methods: Design: Case report Setting: Tertiary University Referral Center Patient: OneResults: A 32-year-old lady who presented with a long-standing nasal block was found to have a broad-based nasal mass arising from the left anterior nasal septum. The lesion was histologicallydiagnosed as respiratory epithelial adenomatoid hamartoma following surgical excision.Conclusion: Respiratory epithelial adenomatoid hamartoma although rare must be taken intoconsideration in the differential diagnosis of nasal lesions.Keywords: respiratory epithelial adenomatoid hamartoma; anterior nasal septum; nasal block
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Popov, Ivan O., Darima K. Garmaeva, and Denis V. Shivkin. "AGE CORRELATION OF LINEAR PARAMETERS OF THE NASAL SEPTUM IN YAKUT CHILDREN IN EARLY CHILDHOOD ACCORDING TO THE RESULTS OF COMPUTED TOMOGRAPHY." Morphological newsletter 30, no. 4 (October 4, 2022): 16–21. http://dx.doi.org/10.20340/mv-mn.2022.30(4).744.
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The dynamics of the frequency of otorhinolaryngological pathology, one of the main causes of which is the deformation of the nasal septum, among the child population has a positive growth trend and, according to some authors, is from 56 to 95% of all cases of treatment. Congenital deformities or developmental anomalies leading to deviation of the nasal septum in children, with untimely diagnosis, can lead to chronic inflammatory processes in the mucous membrane of the cavity and paranasal sinuses, which in turn cause a violation of the airway function of the upper respiratory tract and an increase in the development of infectious diseases. Diagnosis of such conditions in children under the age of six will prevent their consequences, as well as reduce the need for their surgical treatment - septoplasty. The purpose of the study is to establish morphometric patterns of development of nasal septum structures, to identify patterns of its development and the minimum necessary anatomical criteria for predicting and determining deviation in young children. We used the results of head studies using multispiral computed tomography in the multiplanar mode in children aged 0 to 4 years, 16 girls and 32 boys, a total of 48 patients. The linear dimensions of the nasal septum were measured, including the length, maximum length and height, as well as the angle of deviation. According to the results of the analysis, statistically significant correlations were revealed between the age of children and the linear parameters of the nasal septum, a positive dynamic of the increase in the size of the nasal septum by the age of 3-4 years was observed. Simultaneously with the growth of linear dimensions, a decrease in the angle of deviation of the nasal septum is observed; no statistically significant sex differences were found. The discovered phenomena are due to the rapid growth of the cartilaginous part of the nasal septum by the third year of life. The data obtained demonstrate the possibilities of computed tomography for assessing deviations in the development of the nasal septum in young children for early prevention and elimination of rhinopathy.
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Karpishchenko, S. A., O. E. Vereshchagina, and E. O. Teplova. "Clinical experience with endoscopic septoplasty." Russian Medical Inquiry 4, no. 4 (2020): 254–58. http://dx.doi.org/10.32364/2587-6821-2020-4-4-254-258.
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This article reviews current surgical techniques for a deviated septum and, in particular, focuses on the comparison of conventional and endoscopic approaches to septoplasty. Relevant issues of the anatomy and physiology of the nasal septum affecting the course of the comorbidities of the nasal cavity and the surrounding structures are discussed. The conventional and endoscopic approaches to septoplasty, indications, the benefits and drawbacks of each technique are addressed. The authors highlight the spectrum of the potential surgical procedures to the surrounding structures with the correction of the deviated septum as the first step. This surgical strategy in patients with the combined disorders of the internal structures of the nasal cavity is accounted for by the favorable course of the chronic conditions of the nasal cavity in the postoperative period and the possibility for providing adequate care for the nasal cavity. This article describes authors’ experience with the surgical correction of the deviated septum using endoscopic approach at all steps of the surgery. Clear advantages of this techniques in terms of both intraoperative accuracy and postoperative care for the nasal cavity are uncovered. KEYWORDS: endoscopic septoplasty, nasal septum, rhinological patients, conus beam computed tomography of the paranasal sinuses, nasal tumor. FOR CITATION: Karpishchenko S.A., Vereshchagina O.E., Teplova E.O. Clinical experience with endoscopic septoplasty. Russian Medical Inquiry. 2020;4(4):254–258. DOI: 10.32364/2587-6821-2020-4-4-254-258.
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Hazra, Sayan, Ankit Choudhary, Swapan Kumar Ghosh, Subhradev Biswas, and Kaustuv Das Biswas. "Role of CT Nose Paranasal Sinuses and Nasal Endoscopy for Decision Making in a Case of Deviated Nasal Septum." Bengal Journal of Otolaryngology and Head Neck Surgery 27, no. 3 (December 29, 2019): 235–39. http://dx.doi.org/10.47210/bjohns.2019.v27i3.14.
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Introduction
Deviated nasal septum (DNS) can be asymptomatic in an individual or may cause nasal obstruction. The condition is generally diagnosed clinically and based on clinical diagnosis it is managed Surgically by large without much heed to diagnostic procedure. Thus, often underlying other causes of Obstruction is missed. Thus, it becomes essential to evaluate every patient presenting with history of Nasal obstruction and clinically Deviated septum, with aid of Nasal Endoscopy and CT scan Nose Paranasal Sinuses (PNS) to rule out/diagnose other coexisting conditions.
Methods and Methodology
100 patients who presented with nasal obstruction and clinically diagnosed to have Deviated Nasal Septum were then subjected to Nasal Endoscopy and CT scan Nose and PNS and findings were noted for analysis.
Results and Analysis
Of these 100 patients, 48 patients were found to have coexisting pathological conditions/anatomical variants. Various anatomical and pathological Conditions were found to coexist together. Inferior turbinate hypertrophy in 34% is the most common pathological condition found to be associated with DNS followed by of sinusitis in 25% patients apart from polyp, concha bullosa and paradoxical middle turbinate.
Discussion
Studies done so far shows there is a definite link of deviated nasal septum to various anatomical and pathological conditions of the nose. CT Scan Nose PNS and Nasal Endoscopy plays a vital role in diagnosing such anomalies.
Conclusion
Most of the patients, presenting with nasal obstruction and having Deviated Nasal Septum, undergo management without proper analysis and returns with recurrence of symptoms which could be analyzed properly if Nasal endoscopy and CT scan is employed during diagnosis of the condition, reducing risk of treatment failure.
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Sim, David W. "Co-existent inverted papilloma and squamous carcinoma of the nasal septum." Journal of Laryngology & Otology 103, no. 8 (August 1989): 774–75. http://dx.doi.org/10.1017/s0022215100110047.
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AbstractInverted papilloma is an uncommon benign nasal tumour which usually occurs on the lateral nasal wall and is prone to recurrence and malignant change. Inverted papilloma of the nasal septum is rare. A case of inverted papilloma and coexistent squamous carcinoma of the nasal septum in an adult male is described. The biology and treatment of these lesions are discussed.
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Lutsai, Elena D., Maksim I. Anikin, Nuriya I. Murtazina, Svetlana I. Naidenova, Anton V. Anisimov, Lidiya S. Kirksova, and Anastasiya V. Neprokina. "Macroscopic anatomy of the fetal nasal cavity." Science and Innovations in Medicine 6, no. 1 (March 29, 2021): 9–13. http://dx.doi.org/10.35693/2500-1388-2021-6-1-9-13.
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Objectives to describe the macromicroscopic anatomy of the nasal cavity in the intermediate fetal period of human ontogenesis.
Material and methods. The object of the study was horizontal histotopograms of the nose of 15 fetuses of both genders at the age of 1922 weeks of the intermediate fetal period of ontogenesis. The study used the method of macromicroscopic preparation, the modified method of saw cuts according to N.I. Pirogov, and the histotopographic method.
Results. On the horizontal histotopographic sections the external nose was shaped like a triangle. The structures of the external nose were covered with skin soldered to the underlying tissues. In soft tissues, there was a large accumulation of arterial and venous vessels, nerves, and glands. In the intermediate fetal period, the nasal passages had the shape of a triangle, with the base turned to the nasal part of the pharynx.
It was found that the anterior-posterior size of the nasal septum in fetuses of the intermediate fetal period was 14.054.34 mm, with a range of fluctuations from 5.75 to 19.85 mm. The anterior-posterior size of the nasal septum in female fetuses was greater than the anterior-posterior size of the septum of male fetuses. The value of the width of the nasal septum was the maximum in the lower third, and reached up to 2.540.67 mm. The narrowest part of the nasal septum was its middle third, the value was 1.630.47 mm. The areas of the nasal passages had no bilateral differences.
Conclusion. In the intermediate fetal period there is the establishment of qualitative and quantitative macromicroscopic anatomy of the nasal cavity. All the main structures are determined: the nasal septum, nasal conchs, mucosa, and blood vessels. Sexual differences begin to form, and there are no bilateral differences. Quantitative characteristics of the structures of the nasal cavity in fetuses can serve as a justification for early surgical intervention in choanal atresia.
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Shikowitz, Mark J., Gerald D. Zahtz, and Mark N. Goldstein. "External Rhinoplasty Approach for Malignant Tumors of the Anterior Nasal Septum." American Journal of Rhinology 1, no. 2 (June 1987): 103–8. http://dx.doi.org/10.2500/105065887781693385.
Full textAbstract:
Malignant tumors arising from the nasal septum are rare. The predominant tumors include squamous cell carcinoma, adenocarcinoma, and malignant melanoma. The majority of these lesions are seen on the anterior portion of the septum. The recommended treatment for septal malignancies is wide excision usually approached via a lateral rhinotomy. However, this procedure may have increased morbidity and a less than desirable cosmetic result. We feel that the external rhinoplasty approach for tumors of the anterior nasal septum offers the surgeon excellent visualization, decreased morbidity, and superior cosmetic results. We present a case of squamous cell carcinoma of the anterior nasal septum involving the columella that was successfully managed using this approach.
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Gorbunova, N. V., A. V. Shirokaya, G. G. Sardarov, K. V. Bulanov, and M. Y. Pogorelov. "USING OF ROTATIONAL NASAL MUCOSA FLAPS IN POSTOPERATIVE NASAL SEPTAL PERFORATION REPAIR." Bulletin of the Medical Institute of Continuing Education 3, no. 3 (September 25, 2023): 36–41. http://dx.doi.org/10.36107/2782-1714_2023-3-3-36-41.
Full textAbstract:
Background. Postoperative nasal septum perforation (PNSP) is one of the complication of the nasal septum (NS) surgery, with an incidence of 1–8 %. Surgical repair of the nasal septum improves the patients' quality of life. The most effective techniques are the ones using two rotation flaps of the nasal mucosa, which are used for the plasty of traumatic and idiopathic perforations. The results of implementing this technique for the closure of PNSP require a comprehensive study Aim. To evaluate the effectiveness of rotary flaps of the nasal mucosa in postoperative nasal septum perforation repair. Materials and Methods. 18 patients with postoperative nasal septum perforation were operated on. The number of the patients depending on the area (S) of the PNSP was S <1cm2 — 4, S 1-2 cm2 — 10, S > 2cm2 — 4. The criterion for the technique efficiency was the fact of intraoperative complete closure of the PNSP, and the absence of recurrences of the PNSP within 1 year. We analysed the cause-and-effect relationships between the structural features of the PNSP (6 types were identified) with the technique of execution and long-term results. Results. Complete intraoperative closure of PNSP in 13 of 18 patients (72 %). In 5 patients, an additional sampling of temporal autofascia was performed with subsequent implantation between the flaps for intraoperative complete closure of the PNSP. In 4 out of 13 patients (30 %) with PNSP S 1-2 cm2 the PNSP relapse (type 3, 4) was noted. There was 1 relapse (type 5) with PNSP S > 2cm2 in 1 out of 5 patients (20 %), to whom autofascia was additionally used. Conclusions. The surgery of the PNSP according to the specified technique is effective with the PNSP S <1cm2; at S 1-2 cm2 it leads to distant relapses in 30 % of the cases, S > 2 cm2 is not effective. The use of a temporal fascia autograft allows to increase the efficiency of the postoperative nasal septum perforation regardless the area of it.
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Saiki, Tadahiko, Teruhiro Ogawa, Kazuaki Kuroda, Satoko Miyahara, Takuma Makino, Takahisa Koyama, and Tomoo Onoda. "A Clinical Study on 299 Cases of Nasal Bone Fractures." International Journal of Practical Otolaryngology 02, no. 01 (January 2019): e1-e6. http://dx.doi.org/10.1055/s-0039-1683394.
Full textAbstract:
AbstractWe clinically investigated 299 cases of fresh nasal bone fractures diagnosed using computed tomography (CT) scan in our hospital between January 2008 and December 2017. The ages of the patients ranged from 2 to 93 years with an average of 29.4 years. There were 207 males and 92 females. The causes of the nasal bone fractures included sports (93 cases), falls (80 cases), blow or injuries (53 cases), violence or fights (40 cases), and traffic accidents (33 cases). Males in their teenage years accounted for the majority of cases, particularly in the sports-related injuries. In these cases, the most common cause was baseball (32 cases), followed by soccer (19 cases), softball (15 cases), basketball (8 cases), and so on. In the cases of traffic accidents, nasal bone fractures were caused by bicycles (18 cases), cars (10 cases), motorcycles (2 cases), and so on. Elderly males and females accounted for high numbers of falls. The external appearance of the nasal bone fractures were divided into three types: the displacement type (171 cases), depressed type (96 cases), and mixed type (32 cases). CT scan revealed nasal septum fractures in 132 cases (44.2%). Complicated facial bone fractures, apart from nasal septum fractures, were found in 35 cases (11.7%, mainly blow-out and maxillary bone fractures). In total, 221 cases (73.9%) underwent closed reductions of the nasal bone fracture. Of these, 206 cases (93.2%) were treated under general anesthesia and in 131 cases (59.3%), open reduction of the nasal septum fractures was mainly performed. In the cases of nasal bone fractures combined with nasal septum fractures, open reduction of the nasal septum fractures was helpful for the recovery of the nasal obstruction and nasal deformity.
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Gupta, Nidhi, Awadhesh Kumar Pandey, Kislay Dimri, Surinder K. Singhal, Neeraj Rathee, Shalu Naryal, Pooja Sharma, and Amitabh Kumar Upadhyay. "Chondrosarcoma of the Nasal Septum—A Rare Subsite: Case Report with Review of Literature." Indian Journal of Medical and Paediatric Oncology 42, no. 05 (October 2021): 506–9. http://dx.doi.org/10.1055/s-0041-1736210.
Full textAbstract:
AbstractChondrosarcomas are the second most common primary malignant bone tumors. Head and neck chondrosarcomas constitute less than 10% of these tumors, rarely arising from the nasal septum. These are locally aggressive malignant tumors arising from the cartilaginous framework of the nasal septum. Rarity of the tumor coupled with nonspecific symptoms makes it a diagnostic dilemma. Diagnosis requires endoscopy, radiology, and final histopathology for confirmation. Treatment is mainly surgical, requiring complete surgical excision with clear margins. Radiation has a role in unresectable tumors or for tumors with positive margins after surgery. Survival depends on the grade of tumor that predicts the metastatic potential of the tumor. We present a rare case of chondrosarcoma arising from the nasal septum in a 29-year-old young female presenting with complaints of nasal obstruction. Computed tomography was suggestive of a calcified cartilaginous tumor arising from the nasal septum. Endoscopic excision was done and postoperative histopathology showed grade II chondrosarcoma with clear margins. No adjuvant treatment was given to our patient and 2 years post-excision patient is disease free.To conclude, chondrosarcoma of the nasal septum is a rare tumor, with nonspecific symptoms. Surgery with clear margins remains the treatment of choice. Prognosis depends on the extent of tumor at presentation, resection margins, and grade of tumor.