Overview of Septal Deviation
Septal deviation is a common condition where the nasal septum, the thin wall of cartilage and bone that separates the two sides of the nasal passages, is displaced or crooked. This can cause nasal obstruction, breathing difficulties, and other complications.
What is the Septal deviation?
It refers to a deviation or displacement of the nasal septum from the midline, which can cause nasal obstruction and other symptoms.
Parts of the Septum
Figure 1: The parts of the Nasal Septum
Pathophysiology of Septal Pathology
Septal deviation can occur due to various factors, including:
Types of Septal Deviation
Symptoms and Signs of Septal Pathology
Symptoms
Signs
Investigations
Complications
Management of Traumatic Septal Dislocation with Deviation
The management of traumatic septal dislocation with deviation involves reducing the dislocation and correcting the deviation.
Figure 2: The Diagram of Immediate Septal Deviation Management
Figure 3: The Instruments for Reduction.
Step-by-Step Procedure of Reduction of Septal Dislocation with Deviation
Preparation: Â
The patient is prepared for the procedure, and the nasal passages are anaesthetised.
Use of Walsham and Ash's forceps
Specialised forceps are used to gently manipulate the septum and reduce the dislocation.
Manipulation of dislocation
The septum is carefully manipulated to restore its normal position.
Nasal packing or splinting
The nasal passages may be packed or splinted to support the septum and prevent re-dislocation.
Anesthesia
The procedure can be performed under local or general anaesthesia, depending on case complexity and patient preference.
Position
The patient is typically positioned in a supine position with the head elevated.
Duration of Splinting or Packing
The duration of splinting or packing varies depending on the severity of the deviation and the surgeon’s preference. Typically, the packing or splint is removed after 1-7 days.
Postoperative Management
In summary,
Management of septal deviation involves thorough evaluation, reduction of the dislocation, and postoperative care to ensure optimal outcomes.
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