IJOHNS  Vol.1 No.3 , November 2012
A Prospective Study of Nasal Septal Deformities in Kashmiri Population Attending a Tertiary Care Hospital
ABSTRACT
The aim of this study is to determine the percentage of septal deformities in symptomatic patients in Kashmiri population, identified at otolaryngology clinic of a referral & a teaching tertiary care hospital SKIMS Medical College, Bemina, Srinagar, where 429 patients with nasal septal deviation were identified. All of the patients underwent nasal examination by anterior rhinoscope and nasal endoscopy. Pathological septal deformities were identified & grouped into five types by using SL classification. The frequency of nasal septal deformation has been found to be 151 (35.19%) in males and 278 (64.80%) in females .The age incidence showed that most of the patients between second and fifth decades. The distribution of the five types of septal deformity was 19%, 3.5%, 10.48%, 6.75%, 0.93% & Combinations 60.10% (9.3%, 20.97%, 8.39% and 21.44%) respectively. The most common presentation in overall patients were nasal obstruction 80% and headache 50%. Nasal septal deviation was more prevalent in females. 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.

Cite this paper
nullA. Rehman, S. Hamid, M. Ahmad and A. Rashid, "A Prospective Study of Nasal Septal Deformities in Kashmiri Population Attending a Tertiary Care Hospital," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 1 No. 3, 2012, pp. 77-84. doi: 10.4236/ijohns.2012.13016.
References
[1]   K. L. Moore, “Clinicaly Oriented Anatomy,” Williams & Wilkins, Baltimore, 1994, p. 754.

[2]   D. H. Enlow, “Handbook of Facial Growth,” 2nd Edition, W.B. Saunders Company, Philedelphia, 1992.

[3]   P. J. Donald, “Anatomy and Histology, the Sinuses,” Raven Press, New York, 1994.

[4]   M. H. Cottle, “The Maxilla-Premaxilla Aproach to Extensive Nasal Septal Surgery,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 68, No. 3, 1958, pp. 301-313. doi:10.1001/archotol.1958.00730020311003

[5]   B. Guyuron, C. D. Uzzo and H. Scull, “A Practical Classification of Septonasal Deviation and an Effective Guide to Septal Surgery,” Plastics & Reconstructive Surgery, Vol. 104, No. 7, 1999, pp. 2202-2209. doi:10.1097/00006534-199912000-00039

[6]   H. Gary, “Gray’s Anatomy,” 40th Edition, Longman, 1973, p.1088, 1095.

[7]   P. Van Der Veken, P. Clement, T. Buisseret, B. Desprechins, L. Kaufman and M. P. Derde, “CAT Scan Study of the Prevalence of Sinus Disorders and Anatomical Variations in 196 Children,” Rhinology, Vol. 28, 1990, pp. 177-184.

[8]   K. H. Calhoun, G. A. Waggenspack, C. B. Simpson, J. A. Hokanson and B. J. Bailey, “CT Evaluation of the Paranasal Sinuses in Symptomatic and Asymptomatic Populations,” Otolaryngology—Head and Neck Surgery, Vol. 104, No. 4, 1991, pp. 480-483.

[9]   N. S. Jones, A. Strobl and I. Holland, “A Study of the CT Finding in 100 Patients with Rhinosinusitis and 100 Controls,” Clinical Otoloaryngology & Allied Sciences, Vol. 22, No. 1, 1997, pp. 47-51. doi:10.1046/j.1365-2273.1997.00862.x

[10]   C. S. Cotter, S. Stringer, K. R. Rust and A. Mancuso, “The Role of Computed Tomography Scans in Evaluating Sinus Disease in Pediatric Patients,” International Journal of Pediatric Otorhinolaryngology, Vol. 50, No. 1, 1999, pp. 63-68. doi:10.1016/S0165-5876(99)00204-9

[11]   J. Jensen and H. Dommerby, “Routine Radiological Examination of the Sinus before Septoplasty,” Journal of Laryngology & Otology, Vol. 100, No. 8, 1986, pp. 893896. doi:10.1017/S0022215100100283

[12]   R. Matschke and A. Fliebach, “Septum Deviation and Concomitant Sinusitis,” HNO, Vol. 33, No. 12, 1985, pp. 541-544.

[13]   M. M. Elahi, S. Frenkiel and N. Fageeh, “Paraseptal Structural Changes and Chronic Sinus Disease in Relation to the Deviated Septum,” Journal of Otolaryngology, Vol. 26, 1997, pp. 236-240.

[14]   D. M. Yousem, D. W. Kennedy and S. Rosenberg, “Ostiomeatal Complex Risk Factors for Sinusitis: CT Evaluation,” Journal of Otolaryngology, Vol. 20, 1991, pp. 419424.

[15]   M. M. Elahi and S. Frenkiel, “Septal Deviation and Chronic Sinus Disease,” American Journal of Rhinology, Vol. 14, No. 3, 2000, pp. 175-179. doi:10.2500/105065800782102735

[16]   M. Danese, B. Duvoisin, A. Agrifolio, J. Cherpillod and M. Krayenbulh, “Influence of Naso-Sinusal Anatomic Variants on Recurrent, Persistent or Chronic Sinusitis. X-Ray Computed Tomographic Evaluation in 112 Patients,” Journal of Radiologie, Vol. 78, No. 9, 1997, pp. 651-657.

[17]   D. Brain, “The Nasal Septum, Scott-Brown’s Otolaryngology, Vol. 4,” Rhinology, 6th Edition, 1997.

[18]   A. G. D. Maran, “The Fractured Nose,” In: A. G. Kerr and J. Groves, Eds., Scoot-Brown’s Otolaryngology, Vol. 4. Butterworths, London, 1987, pp. 212-221.

[19]   L. P. Gray, “Early Treatment of Septal Deformity and Associated Abnormalities,” Modern Trend in Diseases of the Ear, Nose and Throat, 1972, pp. 219-236.

[20]   L. P. Gray, “Deviated Nasal Sptum. Incidence and Eatiology,” Annals of Otology, Rhinoogy and. Laryngology, Vol. 87, Suppl. 50, 1978, pp. 3-20.

[21]   D. Brain, “The Etiology of Neonatal Septal Deviation,” Facial Plastic Surgery, Vol. 8, No. 4, 1992, pp. 191-193. doi:10.1055/s-2008-1064650

[22]   S. E. Kent, A. P. Reid, E. R. Nairnand and D. J. Brain, “Neonatal Septal Deviations,” Journal of the Royal Society of Medicine, Vol. 81, No. 3, 1988, pp. 123-135.

[23]   H. Kawalski and P. Spiewak, “How Septum Deformations in Newborn Occur,” International Journal of Pediatric Otorhinolaryngology, Vol. 44, No. 1, 1998, pp. 132135.

[24]   L. F. Grymer and B. Melsen, “The Morphology of Nasal Septum in Identical Twins,” Lary, Vol. 99, 1998, pp. 642646.

[25]   R. Mladina and M. Subaric, “Are Some Septal Deformities Inherited?” International Journal of Pediatric Otorhinolaryngology, Vol. 67, No. 12, 2003, pp. 12911294. doi:10.1016/j.ijporl.2003.07.007

[26]   L. F. Grymer and C. Bosch, “The Nasal Setum and Development of the Midface. A Longitudinal Study of a Pair of Monozygotic Twins,” Rhinology, Vol. 35, No. 1, 1997, pp. 6-10.

[27]   R. Mladin, “The Role of Maxillary Morphology in the Development of Pathological Septal Deformities,” Rhinology, Vol. 25, No. 3, 1987, pp. 199-205.

[28]   W. Pirsig, “Open Question in Nasal Surgery in Children,” Rhinology, Vol. 24, No. 1, 1986, pp. 37-40.

[29]   L. Podoshin, R. Gertner, M. Fradis and A. Berger, “Incidince and Treatment of Deviation of Septum Innewborns,” Ear Nose & Throat Journal, Vol. 70, No. 8, 1991, pp. 485-487.

[30]   Y. M. Kim, et al., “Correlation of Asymmetric Facial Growth with Deviated Nasal Septum,” Laryngoscope, Vol. 121, No. 6, 2011, pp. 1144-1148. doi:10.1002/lary.21785

[31]   A. Korantzis, E. Cardamakis, E. Chelidonis and T. Papamihalis, “Nasal Septum Deformity the Newborn Infant during Labour,” European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 44, No. 1, 1992, pp. 41-46. doi:10.1016/0028-2243(92)90311-L

[32]   M. Subaric and R. Mladina, “Nasl Septum Deformities in Children and Adolescent: A Cross Sectional Study of children from Zagrep, Croatia,” International Journal of Pediatric Otorhinlaryngology, Vol. 63, No. 1, 2003, pp. 41-48. doi:10.1016/S0165-5876(01)00646-2

[33]   A. G. D. Maran and V. J. Lund, “Infectious and NonNeoplastic Disease,” Clinical Rhinology, Theime, Nasal Septal Deviation in Saudi Patients: Hospital Based Study, 45 Stuttgart, 1990, pp. 59-109.

[34]   M. McKenzie, “Manual of Diseases of the Nose and the Throat,” Churchill, London, 1880, p. 432.

[35]   G. Strambis, “Incidence of Nasal Deformities in Young Populations,” Prooceeding of the xv Congress of the European Rhinology Society, Amsterdam, 1988, p. 60.

[36]   J. J. Haapaniemi, J. T. Suonnpaa, A. J. Sa lmivalii and J. Tuominen, “Prevalence of Septal Deviations in SchoolAged Children,” Rhinology, Vol. 33, 1995, pp. 1-3.

[37]   R. M. Neves-Pinto and M. S. Saraiva, “On the Incidence of Septal Deformities According to Mladina’s Classification and Some Correlated Aspects,” Folha Med, Vol. 106, No. 3, 1993, pp. 73-76.

[38]   Z. Jurkiewicz and B. O. Sosinska, “The Nasal Septum Deformities in Children & Adolescent from Warsaw, Poland,” International Journal of Pediatric Otorhinolaryngology, Vol. 70, No. 4, 2006, pp. 731-736.

[39]   Y. G. Min, H. W. Jung and C. S. Kim, “Prevalance Study of Nasal Septum Deformities in Korea: Results of Nation-Wide Survey,” Rhinology, Vol. 33, No. 2, 1995, pp. 61-65.

[40]   I. Yildirim and E. Okur, “The Prevalence of Nasal Septal Deviation in Children from Kahramanmaras, Turky,” International Journal of Pediatricotolaryngology, Vol. 67, No. 11, 2003, pp. 1203-1206.

[41]   J. J. Rao, E. C. V. Kumar, et al., “Classification of Nasal Septal Deviations-Relation to Sinonasal Pathology,” India Journal of Otolaryngology and Head and Neck Surgery, Vol. 57, No. 3, 2005, pp. 199-201.

[42]   R. B. Sessions and T. Toost, “The Nasal Septum,” In: C. W. Cummings, J. M. Fredrickson, L. A. Harker, et al., Eds., Otolaryngology—Head and Neck Surgery, Vol. I, Mosby Year Book, St. Louis, 1993, pp. 786-793.

[43]   G. W. Facer, “A Blow to the Nose; Common Injury Requiring Skillful Management,” Postgraduate Medicine, Vol. 70, No. 1, 1981, pp. 83-87,90,92.

[44]   D. Brain, “Anatomy, Physiology, and Ultrastructure of the Nose,” In: I. Macky, Ed., Rhinitis-Mechanism and Management, Royal Society of Medicine Services Ltd., London, 1989, pp. 11-31.

[45]   K. H. Hinderer, “Fundamentals of Anatomy and Surgery of the Nose,” Aesculapius Publishing Co., Birmingham, 1971.

[46]   M. Sorri, K. Laitakari, J. Vainio-Mattila and A. L. Hartikainen-Sorri, “Immediate Correction of Congential Nasal Deformities: Follow-Up of 8 Years,” International Journal of Pediatric Otorhinolarynology, Vol. 19, No. 3, 1990, pp. 277-283. doi:10.1016/0165-5876(90)90008-F

[47]   R. Takahashi, “The Condition of Nasal Septum and the Formation of Septal Deformity,” Rhinology, Vol. 5, No. 1, 1988, pp. 23-27.

[48]   S. D. Reitzen, W. Chung and A. R. Shah, “Nasal Septal Deviation in the Pediatric & Adult Populations,” Ear Nose and Throat Journal, Vol. 90, No. 3, 2011, pp. 112115.

[49]   A. Bhattacharjee, S. Uddin and P. purkaystha, “Deviated Nasal Septum in the newborn-A 1-Year Study,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 57, No. 4, 2005, pp. 304-308.

[50]   D. O. Frank, et al., “Deviated Nasal Septum Hinders Intranasal Sprays: A Computer Simulation Study,” Rhinology, Vol. 50, No. 3, 2012, pp. 311-318.

 
 
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