deviated nasal septum

DEVIATED NASAL SEPTUM

DNS

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

ETIOLOGY

HeredityHigh arched palateCongenitalTraumaTumour, mass or polyp in the nose

TYPES OF NASAL SEPTUM

Normal Nasal septumC-shaped Nasal septumS-shaped Nasal septumDisplaced lower edge of septal cartilage

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

DIAGNOSTIC TEST

oAnterior rhinoscopyoPosterior rhinoscopy

COMPLICATIONS

Recurrent sinusitisMiddle ear infectionMouth breathingAsthmaAtrophic rhinitis

TREATMENT

Submucous resection of the nasal septum (SMR) or Septoplasty

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.

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