Correlation between the deviated nasal septum and paranasal sinuses: A Prospective study
Abstract
Introduction: Deviated nasal septal is defined as a deviation of bone or cartilage of the septum (or both) from the midline of the face. Nasal deviations play a significant role in nasal congestion, nasal cosmetic problems, increased nasal airway resistance, and sometimes snoring. Paranasal sinuses (PNS) are the air-containing cavities in the skull that surround the nasal cavity. The paranasal sinuses include maxillary, ethmoid, frontal, and sphenoid sinuses. Material and
Method: This study is a prospective, observational study carried out on 60 patients attending the Department of ENT, Adesh Medical College, and Hospital over six months. All these patients with clinical evidence of chronic rhinosinusitis were evaluated with nasal endoscopy and C.T. scan PNS (coronal sections).
Result: Nasal septal deviation to the left side (56.6%) was more prevalent than right (43.4%). Based on the angle of septal deviation, the patients were categorized into three groups: group I (0-7 degrees), group II (7.1- 11 degrees), group III (>11 degrees). Most of the patients were from group II constituting 38.3%, followed by the group I (35%) and group III (26.6%), respectively.
Conclusion: C.T. scan PNS is recommended in patients with nasal obstruction to assess the severity of the nasal septal deviation, its impact on the lateral nasal wall and paranasal sinuses, which may help the surgeons in better management of the patients.
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