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Deviated septum

July 6, 2011

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 Deviated septum  Nasal septum   - Is covered with mucosa, cartilaginous plate that separates the nasal cavity into two halves called nostrils, right and left. This plate is uneven, has twists, bends, comb-shaped growths. All this natural curvature of the nasal septum, they rarely interfere and require correction. Through the nasal cavity to communicate with the body's air.

The air duct is surrounded by the facial bones of the skull and brain, front communicating with the outside through the nostrils and the back to the nasopharynx. Through the nasal cavity, the following functions: olfactory, respiratory, speech and protection.

The olfactory region consists of olfactory, basal and supporting cells. It is located just above the middle turbinate. The olfactory region are tubular-alveolar glands that produce serous secret. This secret wets olfactory hairs and provides a perception of olfactory stimuli.

The respiratory area is covered with a mucous membrane, provided with cavernous tissue and mucous glands, located in the lower turbinate. The mucosa is lined with ciliated epithelium, where are the secretory cells. When breathing air is directed arcuate nose up, and during exhalation air flows in the opposite direction, entering the olfactory region. Nasal breathing - this is a normal physiological act, a violation of nasal breathing causes various pathological conditions of the body. In particular, there is a decrease in pulmonary gas exchange, hence, reduction of the alkali reserve of blood. Violation of oxygen exchange leads to a decrease in the amount of hemoglobin and red blood cells, as well as adversely affect the work of the heart and blood pressure.


Nasal cavity and sinuses are excellent natural resonators. The nose involved in the formation of sound, its tone and color.

The protective function of the nasal cavity is expressed in sneezing Which is the result of irritation of the nerve endings of the trigeminal, alien suspended particles that fall air, and lacrimation. Tearing also occurs by inhalation of harmful impurities, and, lacrimal fluid draining through the nasolacrimal duct into the nasal cavity, it washes away the harmful substance.

The reasons are several curvature of the nasal septum, mainly: transferred in early childhood rickets Physiological deformation of the bones of the cranium or more increased growth compared to the front of the skull. Hereditary predisposition also plays a role, as well as injuries and nasal bone fracture In which there is abnormal fusion of damaged tissues.

Symptoms of curvature of the nasal septum

Nasal septum deviation is accompanied by typical symptoms. The first symptoms of nasal breathing difficulty, it can be partial or complete. Moreover, in case of partial distortion of the human body quickly adapts to the changes and the person may not notice the deformation.

Snoring is a symptom that is often the result of impaired nasal breathing. Dryness in the nasal cavity. The emergence of chronic inflammatory diseases of the paranasal sinuses: genyantritis , Sinusitis and other sinusitis.

Allergic diseases are also associated with the curvature of the nasal septum.

Nose reshaping, its offset to the right or to the left, there is most often a result of trauma. If you do not carry out adequate treatment, the cartilage septum can grow together properly. Symptoms of curvature of the nasal septum is often accompanied by repeated nasal bleeding That can occur when blowing the nose or attempts to clean the nasal cavity. Violation of proper circulation of air through the nasal passages, can sometimes contribute to hearing loss.

Complications of curvature of the nasal septum

The consequences of the curvature of the nasal septum is very diverse. Possible changes in the indices of blood disorders in the vascular system and the genital area. The patient is exposed to adverse environmental factors, colds, because It weakened his immune system.

Very often in violation of nasal breathing patients develop pathology of the pharynx (chronic pharyngitis . tonsillitis ) And / or the larynx (chronic laryngitis ). Perhaps the exacerbation of asthma, increased blood pressure, the development of myocardial diseases and other pathological conditions. When breathing mouth accelerates water loss, which contributes to dehydration. During nasal breathing, the air passing through the nasal passages to the lungs, is warmed and filtered, what happens when breathing through the mouth.

In order not to risk their health should be suspected when a deviated septum and shortness of breath, seek medical attention promptly otolaryngologist

Diagnosis of curvature of the nasal septum

Diagnosis is a physician - otorhinolaryngologist based on complaints of the patient and the subsequent examination of the nasal cavity using a nasal endoscope or mirror. Next, the degree of curvature of the need for surgical treatment of the nasal septum. The main indications are: frequent nosebleeds, chronic and acute sinusitis, nasal breathing difficulty, vasomotor rhinitis Snoring that occurs as a consequence of a violation of nasal breathing.

Treatment of curvature of the nasal septum

 Deviated septum  Before the surgery, underwent clinical examination, which includes: general practitioner, general blood analysis ECG, FLG, an X-ray of the paranasal sinuses, the conclusion of a dentist. For 30 minutes. premedication before surgery is performed - the introduction of drugs that enhance the action of local anesthetics   and reduces the sensitivity of the patient.

The mechanism of operation is traditional and used for more than 100 years to the last detail - made submucosal resection of the nasal septum, t. E. Removal of bone and cartilage curved sections septum that impede airflow. At the same time, the mucous membrane covering the septum of the nose is fully preserved, and after surgery on the nasal septum is not opening. Partition itself becomes thinner and is no longer a member of the cartilage, and fibrous tissue.

Operation can rarely have adverse effects, in particular, may reduce the rigidity of the nose, occur in the risk of perforation of the nasal septum or the risk of subatrophy nasal mucosa with consequent formation of crusts in the nose.

Treatment of curvature of the nasal septum endoscopic septoplasty   in most cases, it does not remove and correct curved portions of the nasal septum, straighten them. Because of this significantly reduces the risk of adverse effects.

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