Children nasal sept deviation: contemporary methods of diagnosis and treatment

Abstract

Introduction: Deviation of the nasal septum is the most common malformation, such that over 75% of world population presents septum deviation from the midline. Our target is however the pathological deviation, when it causes obstruction of nasal passages with the side effect of poor ventilation of the nose, sinuses and pharynx, causing sinusitis repeated otitis etc. The present study makes an attempt to review its incidence and its Associated pathology, having as a purpose determining the risk factors and the initialization ofbetter treatment timing, a contemporary and optimally effective one, as well as addressing the postoperative conduit.Materials and methods: A retrospective study was conducted in the periodbetween2013-2015, when275 children were investigated for nasal septum deviation, the IMSP treated at the Institute Mother and Child Clinic "Emilian Cotaga". Targeted by thiswere the children aged 1-18 years. Results: In thisstudy I have divided all patients into four age categories, the highest incidence was found for cases of ages between 16-18 years, in the number of 127 patients and 46%. I have taken into consideration the presence of one or more symptoms of the four that were studied (headache, nasal obstruction, wheezing, fever) susceptible to give a rhinosinusiti's pathology. What about the sex distribution, we can mention a prevalence of male gender in all the years of research in number of 193 patients and 70%. Elective is the surgical treatment in the deviation of the nasal septum, because of drug treatment is often administered improperly and secondary inducing to a drag hypertrophic rhinitis. Conclusion: The most common presentation in overall patients were nasal obstruction 80% and headache 50%. Nasal septal deviation was more prevalent in males. Nasal obstruction was the most common presenting complaint in all over types of nasal septal deviation. So, early diagnosis and intervention can avoid the related complications and thus help normal life and learning.