The Simplified Nasal Septal Deviation Evaluation System and Nasal Obstruction Symptom Evaluation Scale Correlation

Abstract

Nasal septal deviation (NSD) is a common condition in otorhinolaryngology practice. The aim of this study was to investigate the possible relationship between localization and severity of NSD, and related complaints as well as to suggest a simplified assessment method for NSD. Seventy-five patients who complaint nasal obstruction were enrolled this study. The affected nasal cavity was divided into 4 separate sections as follows: antero-superior (AS), antero-inferior (AI), postero-superior (PS), and postero-inferior (PI). Each section was determined according to its relationship to the both superior edge and head of the inferior turbinate. The NSD score was calculated separately for each section according to its relationship with lateral nasal wall. The NSD-related complaints were assessed via the Nasal Obstruction Symptom Evaluation (NOSE) scale. There were 42 male and 33 female patients, with an age range of 18 to 44 years. The mean NSD score was 2.18 ± 0.63 for AS section, 1.92 ± 0.67 for AI section, 1.54 ± 0.70 for PS section, and 1.18 ± 0.60 for PI section. The mean total NSD score was 6.84 ± 1.97 while the mean NOSE score was 12.5 ± 5.11. There was a strong positive correlation between total NSD and NOSE scores when the NSD score was 6 or more (r = 0.9556). This correlation was also present when each section was evaluated separately. The strongest correlation was detected for AS section deviations. Our septal classification system provides a simple and effective evaluation of NSDs. The NSDs which affect internal valve are more related with nasal obstruction and patients’ discomfort.

Prognosis of concurrent endoscopic dacryocystorhinostomy and nasal septoplasty for chronic dacryocystitis with moderate nasal septum deviation

“…[ 31 ] In contrast, our study comprehensively investigated the ostia in patients with moderate NSD for the following considerations. Severe NSD, defined as a deviated septum touching the lateral nasal wall,[ 12 ] significantly affects the nasal passage, leading to obvious nasal obstruction symptoms. Concurrent septoplasty is necessary to satisfy patient needs and ensure the success of En-DCR.…”

“…Anterior rhinoscopy and 0° rigid nasal endoscopic examination (STORZ, Tuttlingen, Germany) were performed to locate and assess NSD. The Nasal NSD Evaluation System,[ 12 ] which uses a simplified 0–3 scale, was used to determine the severity of NSD. A score of 2, indicative of moderate NSD, was characterized by a septum affecting more than 50% of the nasal passage without contacting the lateral nasal wall [ Fig.…”

The RhinoCEROS Guidelines: A Practical Tool for Reporting Nasal Anatomy on Computed Tomography Pertaining to Rhinoplasty

“…5,6 To help simplify reporting on the septum from a radiologist perspective, we recommend the The Simplified Nasal Septal Deviation Evaluation System of Sahin et al, which involves division of the septum into 4 quadrants separated in a vertical plane by the head of the inferior turbinate and horizontally by the height of the inferior turbinate. 7 (figure 1). The anterior inferior quadrant is essentially the caudal septum, while the anterior superior quadrant contains the dorsal strut, and the posterior superior quadrant contains the PPE.…”