When it comes to nasal diseases, people are more familiar with rhinitis and sinusitis, while deviated nasal septum is a relatively unknown word. In fact, deviated septum is also a more common phenomenon, the septum of general people will be more or less deviated, a slight deviation we can hardly feel. However, the dangers of a deviated septum should not be ignored.
Deviation of nasal septum refers to a kind of intranasal malformation in which the nasal septum deviates from the midline and causes clinical symptoms.
According to the site of deviation, nasal septal deviation can be divided into cartilage deviation, bone deviation and mixed deviation. In the former case, the septal cartilage and the vertical plate of the sieve bone are deviated to one side, while in the latter case, the vertical plate of the sieve bone is deviated to one side and the septal cartilage to the other side. The local cone-like protrusion is called bone spine; from the front to the back, it is called crest-like protrusion, often located at the posterior end of the septal cartilage or its intersection with the vertical plate of the sieve bone and the plough bone.
Second, according to the direction of nasal septal deviation, there are longitudinal deviation and transverse deviation We talk about nasal septal deviation is a more common phenomenon, the general septum will be more or less deviated, we can hardly feel it, but serious nasal septal deviation will affect our health.
Third, the symptoms of nasal septal deviation 1, nasal congestion: nasal congestion is often the main symptom of nasal septal deviation, to one side of the deviation, often unilateral nasal congestion; to bilateral deviation such as S-type deviation, the nasal congestion is more bilateral. However, if one side of the deviation has compensatory hypertrophy of the inferior turbinate on the opposite side, bilateral nasal congestion may also occur.
2.Nasal bleeding: a common symptom of deviated septum. It occurs on the convex side of the deviation, the top part of the bone spine or the bone crest, where the mucous membrane is thin and is often stimulated by the airflow and dust and prone to erosion and bleeding.
3.Headache: The protruding part of the deviation presses on the ipsilateral turbinate and causes ipsilateral reflex headache.
4, adjacent organ symptoms: nasal obstruction prevents sinus drainage, secondary to sinus inflammation; long-term open-mouth breathing and accumulation of inflammatory secretions in the nose, leading to colds and upper respiratory tract infections.
Complications caused by deviated nasal septum 1, nasal septum perforation: mostly occurs when the soft tissue is peeled off during surgery, due to rough action, so that its bilateral rupture in symmetrical parts; nasal mucosa with infectious inflammation, even unilateral tear can lead to perforation.
2.Nasal septal hematoma: caused by bleeding between the cartilage membranes of the nasal septum.
3.Nasal septal abscess: caused by bacterial infection of nasal septal hematoma, improper timing of surgery, during the period of intranasal infection or when there are more purulent secretions, all of which can cause infection from the incision.
4.Nasal bridge collapse: Mostly caused by removing too much nasal bridge when removing septal cartilage during surgery. If the postoperative septal abscess is not properly treated in time, resulting in softening and necrosis of the cartilage, such deformity may also occur.
5, intracranial complications: relatively rare, nasal septal abscess or sieve plate breakage can increase the chance of intracranial infection.