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Year : 2022  |  Volume : 11  |  Issue : 3  |  Page : 125-130

Deviated nasal septum in children: Our experience at a tertiary care teaching hospital of eastern India

Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, Bhubaneswar, Odisha, India

Correspondence Address:
Santosh Kumar Swain
Professor, Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, Bhubaneswar 751 003, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcsr.jcsr_7_22

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Background: Nasal obstruction is a common symptom among children with numerous causes. Congenital or acquired nasal septal deviation may cause nasal obstruction in children. Deviated nasal septum (DNS) may also result in sinusitis, headache, epistaxis and hyposmia which increase the morbidity of the child and hamper the quality of life. Objective: The purpose of this study is to investigate the clinical details of the DNS among children at a tertiary care teaching hospital. Methods: This is a retrospective study conducted at a tertiary care teaching hospital between November 2016 and December 2021. History of nasal obstruction, mouth breathing, nasal bleeding and sinusitis among children with DNS was noted. Physical examination such as anterior rhinoscopy, fiberoptic endoscopic examinations of both nostrils and imaging such as computed tomography scan were done in all participating children with DNS. Results: Out of 652 children who attended the outpatient department of otorhinolaryngology, 128 (19.63%) were diagnosed with DNS. Out of 128 children with DNS, 72 (56.25%) were male and 56 (43.75%) were female with a male-to-female ratio of 1.28: 1. Out of 128 children, 54 (42.18%) children showed C-shaped DNS, 27 (21.09%) showed anterior dislocation, 21 (16.40%) showed S-shaped DNS, 15 (11.78%) showed spur and 11 (8.59%) showed nasal septal thickening. Conclusions: DNS and its impact on nasal breathing impairment in children are often underestimated by clinicians. Clinicians often have little knowledge on the impact of DNS and its clinical manifestations in children and its appropriate management. Early intervention for DNS in children is helpful to prevent morbid symptoms and their complications.

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