The document discusses deviated nasal septums, including the causes, types, clinical features, and treatment options. It describes how a deviated septum occurs when the nasal septum is shifted from the midline position, which can cause nasal obstruction and other issues. Surgical procedures like submucous resection and septoplasty are commonly used to correct deviated septums by removing the deflected parts of the bony and cartilaginous septum and repositioning nasal tissues.

1. TYPES
CLINICAL
FEATURES
TREATMENT
PREPARED BY:
Laxmi Shah
Lecturer

2.  The nasal septum is the part of the nose that
separates the two airways and the nostrils. A
deviated septum is when there is a shift from
the midline or center position.
 Nasal septum deviation is a common physical
disorder of the nose , involving a
displacement of the nasal septum to the one
side.
 It is an important cause of nasal obstruction.

3.  DNS can involve any age and sex
 Males are affected more than females
 80% of all nasal septum are off center or
generally not noticed.

4. 1.Trauma: blow on nose
2. Developmental:
 Birth moulding
 Unequal growth : skull base & palate
3. Mass in opposite nasal cavity
4. Racial factors: common in Europeans
5. Hereditary: in posterior D.N.S.

5. 1. ANTERIOR DISLOATION
2. C-SHAPED DEFORMITY
3.S-SHAPED DEFORMITY
4.SPURS.
5.THICKENING.

6. Septal cartilage may be
dislocated into one of the
nasal chamber .

7. Septum is deviated in
a simple curve to one
side. Nasal chamber in
the concave side of the
nasal septum will be
wider and may show
compensatory
hypertrophy of
turbinates.

8. septum may show a
s-shaped curve
either in vertical or
anteroposterior
plane. And causes
bilateral nasal
obstruction.

9. A spur is a shelf-like projection often found at the
junction of bone and cartilage and causes
headache and epistaxis.

10. It may be due to organized hematoma or over
riding of dislocated septal fragments.

11. NASAL
OBSTRUCTION
HEADACHE
SINUSITIS
EPISTAXIS
EXTERNAL
DEFORMITY
MIDDLE EAR
INFECTIONS

12. •USED IN NASAL
OBSTRUCTION DUE TO
ABNORMALITY OF NASAL
VALVE.
•CHEEK IS DRAWN LATERALLY
WHILE THE PATIENT
BREATHES QUIETLY.
•IF THE NASAL AIRWAY
IMPROVES ON THE TEST
SIDE...THE TEST IS
POSITIVE...Indicates
abnormality of the vestibular
component of nasal valve.

13. 1) SUBMUCOUS
RESECTION (SMR).
2)SEPTOPLASTY.
MINOR DEVIATION, WITH NO SYMPTOMS,
REQUIRE NO TREATMENT..
WHEN DEVIATED SEPTUM PRODUCES NASAL
OBSTRUCTION, AN OPERATION IS
INDICATED.

14. GENERALLY DONE IN ADULTS UNDER LOCAL
ANESTHESIA.
CONSISTS OF ELEVATING THE MUCOPERICHONDRIAL
AND MUCOPERIOSTEAL FLAPS ON EITHER SIDE OF
SEPTAL FRAMEWORK BY A SINGLE INCISION MADE ON
ONE SIDE OF THE SEPTUM, REMOVING THE DEFLECTED
PARTS OF THE BONY AND CARTILAGINOUS SEPTUM,
AND THEN REPOSITIONING THE FLAPS.

15. Septal
Cartilage
removed
Bone removed as
necessary
Bone removed as
necessary
SMR

16. It is a conservative approach to septal
surgery as much of the septal framework is
retained only the most deviated parts are
removed and rest are corrected and
repositioned .
 Indications:
 Deviated nasal septum causing nasal
obstruction and recurrent headaches
Deviated nasal septum causing
obstruction to ventilation of paranasal
sinuses and middle ear resulting in
recurrent infections
 Recurrent epistaxis from septal spur
 As a part of septorhinoplasty
 As an approach to surgeries of
sphenoidal sinus, and pituitary gland

18.  Recurrent sinusitis
 Middle ear infection
 Mouth breathing
 Asthma
 Trauma
 Aspiration

19.  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.

20. Intranasal packing ,maintenance of the
position , can be done to control bleeding
& to prevent hematoma formation. If client
has undergoing rhinoplasty should be
applied with small dressing. Post operative
care is directed at airway management
,control of edema & hemorrhage ,pain
reduction ,client education & emotional
support.

21.  Ineffective breathing pattern related to nasal
packing and swelling
 Risk for aspiration related to bleeding ,
inability to blow nose
 Risk for infection related to alternations in
nasal membrane and drainage patterns.
 Deficit knowledge related to performance of
nasal hygiene.