DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20173670

Prevalence and clinical features of nasal septum deviation: a study in an urban centre

Vinnakota Sriprakash

Abstract


Background: 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.

Methods: 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.  

Results: 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%).

Conclusions: 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.


Keywords


Nasal septum deviation, C shaped deviation, S shaped deviation, Nasal obstruction

Full Text:

PDF

References


Gray LP. Deviated Nasal Septum. Incidence and Etiology. Annals Otol Rhinol Laryngol. 1978;87:3-20.

Hsia JC, Camacho M, Capasso R. Snoring exclusively during nasal breathing: a newly described respiratory pattern during sleep. Sleep and Breathing. 2014;18(1):159–64.

Moorthy PNS, Kolloju S, Madhira S, Jowkar AB. Clinical Study on Deviated Nasal Septum and Its Associated Pathology. Int J Otolaryngol Head Neck Surg. 2014;3:75-81.

Hungria H. Malformações do septo nasal. In: Hungria H. Otorrinolaringologia. 7 ed. Rio de Janeiro: Guanabara Koogan; 1995: 86-89.

Reitzen SD, Chung W, Shah AR. Nasal septal deviation in the pediatric and adult populations. Ear Nose Throat J. 2011;90(3):112-5.

Arya A, Bisht RS, Venkatashivareddy B, Mina R. A study of causes of nasal obstruction in Garhwal region of Uttarakhand. Indian J Anatomy Surg Head, Neck & Brain. 2016;2(2):40-44.

Oliveira AKP, Júnior EE, Santos LV, Bettega G, Mocellin M. Prevalence of Deviated Nasal Septum in Curitiba, Brazil. Int Arch Otorhinolaryngol. 2005;9(4):288-92.

Song SY, Kim IT, Chang KH, Lee SK, Kim HJ, Lim JH. The prevalence of nasal septal deformities among children in kindergarten and first grade in Anyang and Kunpo cities. J Rhinol. 1999;6:58–60.

Subaric M, Mladina R. Nasal septum deformities in children and adolescent: a cross sectional study of children from Zagrep, Croatia. Int J Pediatr Otorhinolaryngol. 2002;63(1):41-8.

Strambis G. Incidence of nasal deformities in young populations, in: Proceeding of the XV Congress of the European Rhinology Society, Amsterdam, 1988: 60.

Min YG, Jung HW, Kim CS. Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. Rhinology. 1995;33(2):61-5.

Shoib SM, Viswanatha B. Association between Symptomatic Deviated Nasal Septum and Sinusitis: A Prospective Study. Res Otolaryngol. 2016;5(1):1-8.

Singh I, Sherstha A, Gautam D, Ojasvini. Chronic Rinosinusitis and Nasal Polyposis in Nepal. Clin Rhinol: Int J. 2010;3(2):87-91.