Prevalence and clinical features of nasal septum deviation: a study in an urban centre

Sriprakash, Vinnakota

doi:10.18203/issn.2454-5929.ijohns20173670

Cited by 11 publications

(10 citation statements)

References 4 publications

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“…DNS is a very prevalent condition in several parts of the world, with severe symptoms such as nasal obstruction and rhinitis. Although some studies have showed similar results to our findings that DNS is more prevalent in men [ 10 , 11 ], some epidemiology studies reported that women have nearly double the rate of chronic rhinosinusitis (CRS) when compared with men [ 12 , 13 ], whereas other studies found no difference [ 11 , 14 ]. Studies from Saudi Arabia have shown that DNS is more common among males than females [ 15 ].…”

Section: Discussionsupporting

confidence: 87%

The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

Alotaibi

Almutlaq

Alshammari

et al. 2018

International Journal of Otolaryngology

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Background Nasal septal deviation (NSD) plays a critical role in nasal obstruction symptoms, aesthetic look of the nose, increased nasal resistance, and occasionally snoring. Septoplasty is the most common method for correction of deviated nasal septum (DNS). Therefore, the aim of the present study was to assess the association between initial clinical presentations of patients selected for septoplasty and demographical characteristics in Northern Saudi Arabia. Methodology Archives related to all patients selected for septoplasty between 2012 and 2017 were retrieved from ENT Department at King Khalid Hospital in Hail, Northern Saudi Arabia. Only adults over 18 years of age were included in this study. Results With regard to the clinical presentations, almost all patients presented with variable degrees of nasal congestions, nasal blockages, breathing troubles, sleeping troubles, and exercise problems. Conclusion Nasal obstruction is prevalent in Northern Saudi Arabia with peaks being in the years 2016 and 2014 with the most etiological factor being DNS.

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Section: Discussionsupporting

confidence: 87%

The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

Alotaibi

Almutlaq

Alshammari

et al. 2018

International Journal of Otolaryngology

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“…Our study is in consistent with the study performed in Dehradun, India in which incidence of DNS was three mes more frequent in males 12 than females. Similar results with male predominance have been recorded from India, South Korea, and Saudi [13][14][15] Arabia. Age range of our pa ents was from 6 years to 16 years with the mean age of 12.78 ± 0.35years.…”

Section: Malesupporting

confidence: 88%

Septoplasty in Pediatric Population: A Ten Years' Experience

Koirala

2020

Birat J. Health Sci.

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Introduction: Septoplasty is a commonly performed surgical procedure worldwide in otorhinolaryngology. Septoplasty aims to correct the deviated nasal septum at the midline thereby opening the nasal airway in patients with long standing nasal obstruction secondary to septal deviation. Nasal breathing is important for proper facial growth and improvement of quality of life in children. Most surgeons are still reluctant to perform septoplasty in children. But septoplasty should be performed in children if there are severe breathing problems related to septal deviation. Objectives: The objectives of this study were to identify the incidence of children presenting with symptomatic nasal septal deviation and to analyze the early outcomes of septal surgery in children with regard to improvement in nasal symptoms, residual disease and need for revision surgery. Methodology: Children less than seventeen years of age who underwent septoplasty for symptomatic DNS from 1st January 2009 to 31st December 2018 were enrolled in the study. Patients having the follow up record of at least 6 months after surgery were included in the final analysis. Results: There were 37 male and 13 female children enrolled in the study. Male to female ratio was 2.84:1.Majority of children in the study were of 13 years (24%). Left sided DNS was seen in 28 children and right sided DNS in 22 children. Bleeding requiring re-packing, septal hematoma, recurrent DNS, synechia and septal perforation were the common complications, which were comparable to adult population. Conclusion: Early correction of the obstructed nose due to deviated nasal septum is essential to provide normal nasal breathing, relieve complications of mouth breathing and to promote normal craniofacial growth. Septoplasty can be performed in pediatric population with relatively good results without occurrence of nasal deformity and equal complications as that in adults.

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“…In our study, the ratio between males and females affected by DNS was 1.1:1, which is similar to the findings seen in the study by Sriprakash. 6 In the studies by Moorthy et al and by Sam et al, the ratio between males and females affected by DNS was 2:1. 7 8 Sam et al mentioned the increased occurrence of trauma among males as one of the reasons for the male preponderance in DNS with trauma being a common etiology for DNS.…”

Section: Discussionmentioning

confidence: 92%

Comparison of the Efficacy of Septoplasty with Nonsurgical Management in Improving Nasal Obstruction in Patients with Deviated Nasal Septum – A Randomized Clinical Trial

Srinivasan

Hegde

Ramasamy

et al. 2021

Int Arch Otorhinolaryngol

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Introduction In the current era, the major indication for septoplasty is nasal obstruction due to deviated nasal septum (DNS). Even though septoplasty is a commonly performed surgery, its effectiveness in relieving nasal obstruction in DNS has not been proven. Objective The present study involved the measurement of both objective (nasal patency) and subjective (quality of life measures) outcome measures for the evaluation of the efficacy of septoplasty as compared with medical management. Methods Patients with DNS presenting with nasal obstruction were included and randomized into a septoplasty group or into a nonsurgical management group, with 70 patients in each group. The improvement in nasal obstruction was assessed subjectively by the visual analogue scale (VAS), and the sino-nasal outcome test-22 (SNOT-22) and the nasal obstruction symptom evaluation (NOSE) questionnaires and was measured objectively by assessment of nasal patency by peak nasal inspiratory flow (PNIF) at 0, 1, 3, and 6 months of treatment in both groups. Results The average VAS, SNOT-22 and NOSE scores for the septoplasty versus the nonsurgical group before treatment were 6.28 versus 6.0, 19.5 versus 15, and 14 versus 12, respectively, and at 6 months post-treatment, the scores were 2.9 versus 5.26, 10 versus 12, and 8 versus 10 (p = 0.001), respectively. The average PNIF scores at 0 and 6 months were 60/50 l/min and 70/60 l/min, respectively, in the septoplasty group (p = 0.001); the scores at 0 and 6 months in the nonsurgical management group were 60/60 l/min and 70/70 l/min, respectively (p = 0.001). Conclusion Surgical correction of DNS by septoplasty improves nasal obstruction better than nonsurgical management at 6 months postsurgery.

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Prevalence and clinical features of nasal septum deviation: a study in an urban centre

Cited by 11 publications

References 4 publications

The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

Septoplasty in Pediatric Population: A Ten Years' Experience

Comparison of the Efficacy of Septoplasty with Nonsurgical Management in Improving Nasal Obstruction in Patients with Deviated Nasal Septum – A Randomized Clinical Trial

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