This document discusses deviated nasal septum, including its causes, types, symptoms, diagnosis, and treatment. A deviated nasal septum is caused by factors such as heredity, trauma, or tumors and can block the nose. Diagnosis involves anterior and posterior rhinoscopy. Treatment is typically septoplasty or submucous resection of the nasal septum to correct the deviation. Post-operative care involves antibiotics, analgesics, removing nasal packs after 48 hours, using decongestants, and avoiding nose injuries for 3 weeks.

1. DEVIATED NASAL SEPTUM
BY:-
Dr. Paridhi Ahuja
Ⅱ Year ENT Resident

2. Nasal Septum
It is divided into 3 parts
1. Bony
2. Cartilaginous
3.Membranous

3. DNS
It is very common.
It requires treatment only if it
produces symptoms.

4. ETIOLOGY
Heredity
High arched palate
Congenital
Trauma
Tumour, mass or polyp in the nose

5. TYPES OF NASAL SEPTUM
Normal Nasal septum
C-shaped Nasal septum
S-shaped Nasal septum
Displaced lower edge of septal
cartilage

7. CLINICAL MANIFESTATIONS
•Initially asymptomatic
•Blocking of the nose
•Headache (Vacuum headache, neurologic
headache)
•Recurrent colds
•Anosmia
•Epistaxis

8. DIAGNOSTIC TEST
oAnterior rhinoscopy
oPosterior rhinoscopy

9. TREATMENT
Submucous resection of the nasal
septum (SMR) or Septoplasty

12. COMPLICATIONS
Recurrent sinusitis
Middle ear infection
Mouth breathing
Asthma
Atrophic rhinitis

13. POST OP NURSING
MANAGEMENT
Antibiotic and analgesic administration for 5-8 days.
Remove nasal packs after 48 hours.
After removing nasal packs use decongestants.
Apply ointment, Vaseline or liquid paraffin in the nose
to loosen the crusts and clots.
Advice to prevent injuries to the nose for 3 weeks.And
the patient must take one week rest. Forcible nasal
blowing must be avoided.