Nasal septum deviation
nasal septum is a fairly common phenomenon that can often be observed in adults and children. Often curve nasal septum is the cause of wheezing, sinusitis, rhinitis, and other complications.
Treatment of nasal septum deviation can only be surgical. Operation on the nasal septum deviation is called septoplasty.
Causes of nasal septum deviation
The most common cause of nasal septum deviation is a discrepancy between the growth rate of bone and cartilage of the nasal septum, ie, anatomical defect. Other common causes include injury to the nose, and the presence of diseases of the nose, polyps, thickening of the nasal turbinates, and others.
Nasal septum - this anatomical education, which is on the nose and divides it into two equal parts. In turn, the septum also consists of two parts: anterior cartilage, bone and rear, located at the back of the nasal cavity. The cartilaginous part of the septum is easily detectable, if you hold your finger on the bridge of the nose. To the touch, it pliable and elastic, so it is more susceptible to damage in case of injuries.
Types of curvature of the nasal septum
Depending on the reasons, there are three main types of curvature of the nasal septum:
- Physiological, which is caused by a mismatch growth of cartilage and bone of the partition. It starts like curvature in childhood.
- Compensatory that develops in the course of constant irritation of the cartilage of the nasal septum polyp too thickened nasal septum or a foreign object;
- Traumatic bending resulting from trauma. That traumatic nasal septum deviation is the most common cause of wheezing and nasal bleeding.
Symptoms of nasal septum deviation
In varying degrees, deviated septum, there everyone. Preferably, however, it does not cause discomfort, however treating nasal septum deviation in this case is not required. However, significantly deviated septum requires surgical intervention. The operation is necessary when the following symptoms appear:
- snoring during sleep;
- the apparent change in the shape of the nose, nasal septum caused by the curve;
- obstruction of nasal breathing, sometimes so severe that the patient is forced to breathe through the mouth;
- frequent nosebleeds;
- frequent respiratory infections, rhinitis, sinusitis, rhinitis, chronic pharyngitis, etc .;
- allergic vasomotor rhinitis, which manifests itself in a constant runny nose, sneezing, nasal congestion, itching, clear nasal discharge.
The most common symptoms in the nasal septum deviation in children is snoring in his sleep, constantly open mouth, nosebleeds, rhinitis.
Treatment of nasal septum deviation
By all accounts,
surgery on the nasal septum deviation (septoplasty) is the most effective treatment.
Currently used conventional and laser septoplasty. You should know that laser septoplasty has a number of contraindications and applies only in the case of small curvature.
Traditional septoplasty is performed under local anesthesia. All manipulations surgeon performs directly in the nasal cavity, so no scars and postoperative trace remains. Duration of surgery on nasal septum deviation, in the opinion may be different. In most cases it is from half an hour to two hours, depending on the degree of curvature.
The effectiveness of the treatment can only be judged at the end of the recovery period, which is about two weeks.
The operation is carried out on children reaching the age of 14. However, if the symptoms are very pronounced curvature, a child has difficulty with nasal breathing, constantly arise rhinitis and other complications, the operation is allowed to six years.
Possible complications after septoplasty
Complications after surgery can be divided into early and late. Early complications are bleeding and bruising. To eliminate them, you must insert a tampon into the nasal passages. Pretty rare complication is the perforation resulting from injury to the nasal septum during the operation with a sharp object. To avoid this complication, the surgeon must all manipulations carried out with extreme caution and care.
It may be an abscess due to the presence of purulent sinusitis, and a blood clot in the run-up nose. To avoid an abscess, surgical site must be thoroughly disinfected. The patient is recommended prior to surgery and for some time afterwards drink a course of antibiotics.
Late complications is nose reshaping, due to the high quadrangular resection of cartilage. It should be noted that this complication is extremely rare.
Prevention of nasal septum deviation
To prevent curvature of the nasal septum to avoid any injury or damage the nose. It is not necessary, without a doctor's recommendation to take any vasoconstrictor drugs, since they provoke long-term use mucosal edema, which exacerbates nasal breathing in nasal septum deviation.