Clinical and Radiological Evaluation of Deviated Nasal Septum in Classifying and Surgical Management of the Deviated Septums

Abstract

Introduction:Nasal obstruction is one of the most common problems bringing patient to an ENT surgeon and deviated nasal septum is the most common cause of the problem. Yet there is no universally accepted classification of the septal deviation till now, for guiding the surgeon to do proper intervention in treating the problem. Various classifications were put forth by many surgeons, based on their clinical acumen and diagnostic imaging (like C.T. PNS), but none of them were accepted as a standard. In the present study, it has been attempted to classify the nasal septal deviation by clinical and Computerized Tomography findings of the patients. This study presents an analysis of the incidence of various types of the deviations and their management. Aims And Objectives: 1.Clinical and radiological evaluation of deviated nasal septum to help in classifying and management. 2.In this study our aim is to accurately classify the type of deviated nasal septum and its further management. Materials And Methods: During the period August 2013 to September 2014, 30 cases of nasal septal deviation diagnosed at our hospital (Govt. ENT Hospital, koti) were studied. Each patient's clinical details were taken down in a proforma (Data type).A total number of 100 cases have been examined endoscopically and CT scan findings were taken. 30 cases of various grades based on Mladina classification has been chosen for the present study. The endoscopic findings and CT scan findings have been compared and surgery planned accordingly. Conclusions: A standard classification of nasal septal deviation should be developed and followed so that it can be included in evaluating the symptomatology and severity of the deviated nasal septum. Thorough evaluation of deviated nasal septum by endoscopy and comparison with CT scan of paranasal sinuses is an excellent protocol to achieve significantly successful surgical outcome. An attempt was made to study various classifications of deviated nasal septums in the literature and among those Mladina classification seemed to be more acceptable in evaluating deviated nasal septums.