Nasal septum deviation

Source: Wikipedia, the free encyclopedia.

Deviated septum
Other namesDeviated nasal septum (DNS)
MRI image showing a congenitally deviated nasal septum, bowed to the left between the eye sockets
SpecialtyOtorhinolaryngology

Nasal septum deviation is a physical disorder of the nose, involving a displacement of the nasal septum. Some displacement is common, affecting 80% of people, mostly without their knowledge.[1]

Signs and symptoms

The

maxillary crest, vomer, and the perpendicular plate of the ethmoid. Normally, the septum lies centrally, and thus the nasal passages are symmetrical.[2]
A deviated septum is an abnormal condition in which the top of the cartilaginous ridge leans to the left or the right, causing obstruction of the affected nasal passage.

It is common for nasal septa to depart from the exact centerline; the septum is only considered deviated if the shift is substantial or causes problems.[3] By itself, a deviated septum can go undetected for years and thus be without any need for correction.[3]

Symptoms of a deviated septum include infections of the

smell,[1][4] and possibly headaches.[5] Only more severe cases of a deviated septum will cause symptoms of difficulty breathing and require treatment.[1]

Causes

It is most frequently caused by

congenital disorder, caused by compression of the nose during childbirth.[3] Deviated septum is associated with genetic connective tissue disorders such as Marfan syndrome, homocystinuria and Ehlers–Danlos syndrome.[6]

Diagnosis

Nasal septum deviation is the most common cause of nasal obstruction.

otorhinolaryngologist (ears, nose, and throat doctor), typically makes the diagnosis after taking a thorough history from the affected person and performing a physical examination.[7] Imaging of the nose is sometimes used to aid in making the diagnosis as well.[7]

Treatment

Medical therapy with nasal sprays including

antihistamines, or nasal corticosteroid sprays is typically tried first before considering a surgical approach to correct nasal septum deviation.[7] Medication temporarily relieves symptoms, but does not correct the underlying condition. Non-medical relief can also be obtained using nasal strips
.

A minor surgical procedure known as

mucosal metaplasia of the nose.[citation needed
] There are times also when the surgery also may be unsuccessful, leading to a continuation of the symptoms.

A randomised controlled trial found that people who had septoplasty had a greater improvement in their symptoms and quality of life after 6 months than people who managed their nasal airway obstruction with nasal sprays.[10][11]

Complications of septoplasty

  • Adhesions and synechiae between septal mucosa and lateral nasal wall
  • Dropped nasal tip due to resection of the caudal margin
  • External nasal deformity[7]
  • Incomplete correction with persistent nasal symptoms[7]
  • Nasal septum perforation[7] due to bilateral trauma of the mucoperichondrial flaps opposite each other.
  • septal cartilage
  • Scarring inside the nose and nose bleeding[7]
  • Septal hematoma[7] and septal abscess.

Notable examples

See also

References

  1. ^ a b c Robinson, Jennifer (11 December 2016). "What Is a Deviated Septum?". WebMD.
  2. ^ "Fact Sheet: Deviated Septum". Archived from the original on 6 April 2014. Retrieved 4 February 2009.
  3. ^
    ISBN 978-0-07-144469-9
    .
  4. ^ "Disorders of Smell & Taste". American Rhinologic Society. 17 February 2015. Archived from the original on 26 December 2017. Retrieved 19 May 2012.
  5. PMC 9736816
    .
  6. PMID 29270372
    .
  7. ^
    PMID 19328889
    .
  8. PMID 30136717
    .
  9. ^ "Septoplasty: Recovery and Outlook". my.clevelandclinic.org. Cleveland Clinic.
  10. PMID 37852641
    .
  11. doi:10.3310/nihrevidence_62708
    .
  12. ^ "Breathe easy: Aniston loving her nose work". TODAY.com. 1 February 2007. Retrieved 25 November 2024.
  13. ^ Schild, Darcy. "Ashley Tisdale said she faced 'traumatic' backlash after her nose job that's taken years to process". Business Insider. Retrieved 25 November 2024.
  14. ^ "Josh Hutcherson's 'broken nose' was actually a deviated septum". Yahoo News. 15 May 2012. Retrieved 25 November 2024.
  15. ^ "Photos from Celebrities Who Got a Nose Job to Fix Their "Deviated Septum"". E! Online. Retrieved 25 November 2024.
  16. ^ "Miliband nose operation 'fails to help most'". BBC News. 28 July 2011. Retrieved 10 January 2025.
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