Curvature of nasal septum
Thus, the propensity toAllergic and inflammatory diseases of the respiratory system, headaches, this leads to the development of neurotic conditions, as well as disruption of the genitourinary and cardiovascular system. Deformation of the nasal septum may occur due to uneven growth of the facial skin at a young age or trauma to the nose.
Why there is a curvature of the nasal septum?
At an early age, this ailment is very rare. Often problems with the nasal septum develop in adolescence from 13 to 18 years.
Many experts say that the reasonThe curvature of the out-of-right correlation between the growth of the bones of the cranial and facial skeleton, so the nasal septum curves because the frame is very narrow for it. Other doctors confirm that this is due to a wrong or uneven growth of the septum itself.
A great role in the curvature of the nasal septum is played by the injury. Men suffer from this more often than women in 3 times. This suggests that the female sex is much more rarely injured than the male.
Symptoms of nasal septum
- Problems with breathing. There can be both a partial difficulty in breathing and a complete absence of it. If the nasal septum is curved from the side, then the difficulty of breathing will be seen from the left or right half-nose. In such cases, the patient may be surprised when the doctor diagnoses screaming because the nose is breathing well. In fact, the person adapts and does not notice that it has problems with the nasal septum. There are cases when, with a large nose, breathing is not disturbed because of the large cavity. In other words, if you are breathing well through your nose, this does not mean that you do not have disorders with a nasal septum.
- Snore. One of the reasons for snoring is a breathing disorder.
- Dryness in the oral cavity.
- Chronic diseases of the sinuses of the nose - sinusitis, sinusitis, frontalitis, etmoiditis.
- Allergic diseases.
- Deformity of the nose. With injuries, the shape of the nose changes, it is more directed to the left or to the right.
To cure the curvature of the nasal septumRequired surgical intervention - surgery endoscopic septoplasty. During the operation, no incisions are made on the face, therefore the shape of the nasal remains unchanged. Basically, the duration of the operation is 30-60 minutes. It is carried out under both local and general anesthesia. The operation ends with the insertion of special silicone plates into the nose - splints and gauze swabs, which are removed one day after the operation. In this case, the patient is in the clinic only for a day, and after the operation, one week will have to go to dressings, so that spikes can be healed more quickly.
Now almost the only way to treat all vidoaskrivleniya nasal septum is submucosal resection. Isolated resection of thorns and ridges are used only in rare cases.
If the septum is simply curved, and you areRandomly detected, then the operation is not required. But if you suddenly have a frustration and a curvature is clearly visible, then it is necessary to take into account the fact that this can cause functional disorders. In the elderly, the operation is more difficult. The operation, which is aimed at adapting the organism to correct nasal breathing and reorganization of the respiratory apparatus, may not give the desired effect. That is why it is best to eliminate the curvature in the young age. In addition, it is necessary to perform an operation if a person in his youth has a nearly complete or complete obturation of one side of the nose due to deformation of the nasal septum, even if he freely breathes the other half of the nose and does not complain.
There are many cases when deformationThe nasal septum is also hyperplasia of the middle or lower shell or even the sneezers on the side that is opposite to the deformation. Often on this side, difficulty in breathing is noticed. This can be understood if you attach a cold spatula to the nasal cavity and look at the spot size of the vapor when exhaling. In this case, if only a resection is done, then the improvement in permeability will not be not only on the side where there is hypertrophy of the shells, but also on the opposite side. The fact is that hypertrophied shells will press on the septum, which after the operation will be mobile and will not allow it to grow into a sagittal position. Therefore, doctors recommend that together with resection go konkhotomiyu. It is best, and it is easier to do it right after resection of the nasal septum, you can postpone it only for certain reasons (danger of sinex attacks, unusual bleeding).
Often with deformation of the anterior nasalSeptum there is hypertrophy of the shell, which is located on the narrowed side (this is determined when rinsing before surgery-resection). And if such a hypertrophy is expressed very strongly, then it must be immediately eliminated.
If, at the time of curvature, the narrow side canPass air, and the other side is imparted by hypertrophied shells, in this case, we must first make only the conchotomy. If this was not enough, then in 2-3 months you need to do a resection.
If a person has hypertrophy of soft tissues,Then they need to be cut off with scissors or removed by galvanic cautery, preferably submucosal. It is often problematic to eliminate hypertrophy of the soft tissues of the posterior areas of the dentist. Often they can be reached only after resection. To destroy their galvanocautery, one must be especially careful not to pinch the shells at the same time, or else there will be synechia.
Often, when the nasal septum is deformed, the asymmetry of the lacrimal bone occurs. Where the septum bends, the latticed labyrinth becomes larger than the other side.
In such situations it is necessary, together with the operation onNasal septum also remove parts of the latticed labyrinth, but if possible, by removing the middle shell, you only need to place it in a lateral position.
In addition to those indications listed above toResection of the nasal septum, this intervention should be carried out as preparation for the production of other operations or in order to ensure the best results of these operations.
Operations of this kind include autopsy of the main sinus, latticular cells and frontal sinus, operations on a lacrimal sac, and others.
Very rarely, the resection of the nasal septum is performed in order to make it possible to hold an ear catheter to blow the Eustachian tube.