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To Study the Role of Nasal Septal Deviation and Its Relation to Sinonasal Pathology

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Rhinosinusitis is an extremely prevalent disorder that has a significant impact on the quality of life of affected individuals. Nasal septal deviation may either cause osteomeatal obstruction or may interfere with proper airflow and potentially predispose to sinusitis. This study was aimed to find

  • The incidence of various types of DNS and

  • To find co relation between NSD and sinus pathology

This work was done on 100 cases with clinical features of deviated nasal septum and co existing features of rhinosinusitis. Detailed nasal endocopic examination was done. DNS was classified according to Mladina system of classification. CT PNS was done in all cases and rhinosinusitis documented according to Lund–Mackay scoring system. Finally an attempt was made to correlate DNS and Rhinosinusitis.Type II and Type I deviations were the most common types of septal deviations found. 84% of the patients with DNS had rhinosinusitis. There was a statistically significant correlation between nasal septal deviation and rhinosinusitis with p value ≤ 0.05. Our study also significantly correlates the predisposition of rhinosinusitis on the same side as DNS. We hereby conclude that in a case of DNS, co-existent rhinosinusitis should be ruled out, first by detailed history taking and then if warranted by CT-PNS. Such chronic patients treated by septoplasty alone may never be relieved of their symptoms. Thus combined septopasty and FESS is advisable.

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Acknowledgements

I would like to extend my thanks to my mentor Dr. Ginni Datta for her support and guidance throughout this tedious task. I would also like to give thanks to Dr. Gurchand Singh for his guidance during this endeavor.

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Authors and Affiliations

  1. Department of ENT, Maharishi Markandeshwar (Deemed to be) University, Mullana, Ambala, Haryana, India

    Naiya Rao, Ginni Datta & Gurchand Singh

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  1. Naiya Rao
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  2. Ginni Datta
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  3. Gurchand Singh
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Correspondence to Ginni Datta.

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The study was approved by the Institutional Ethics Committee.

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Rao, N., Datta, G. & Singh, G. To Study the Role of Nasal Septal Deviation and Its Relation to Sinonasal Pathology. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 755–759 (2022). https://doi.org/10.1007/s12070-020-01800-5

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  • DOI: https://doi.org/10.1007/s12070-020-01800-5

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