This document discusses nasal septum abnormalities including deformities like anterior dislocation, C-shaped, and S-shaped deformities as well as spurs and thickening. Clinical features include nasal obstruction, headaches, sinusitis, and epistaxis. Treatments include submucous resection and septoplasty. Septoplasty involves elevating mucosal flaps on both sides of the septum to remove deviated parts and reposition the septum, while submucous resection removes only the most deviated parts and corrects the septum through plastic means, elevating flaps on just one side. Septoplasty has almost replaced submucous resection.

1. TYPES
CLINICAL
FEATURES
TREATMENT
PRESENTED BY :-
DR.AYESHA SARWAR

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

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

5. •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.

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

7. 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.

9. CONSERVATIVE APPROACH.
MUCH OF THE SEPTAL FRAMEWORK
RETAINED...Only the most deviated parts
removed.....
REST OF THE SEPTAL FRAMEWORK IS
CORRECTED AND REPOSITIONED BY
PLASTIC MEANS.
MUCOPERICHONDRIAL/PERIOSTEAL
FLAP RAISED ONLY ON ONE SIDE OF
THE SEPTUM, REATAINING THE
ATTACHMENT & BLOOD SUPPLY ON THE
OTHER SIDE.
SEPTOPLASTY ALMOST REPLACED SMR.