Deflected nasal septum

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Deflected nasal septum
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Anatomy

• Septal cartilage
• Vomer
• Perpendicular plate of ethmoid

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Causes

• Birth trauma
• Accidental trauma
• Errors of develoment

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Types of deformities

• Collumellar dislocation
• C-shape deviation
• S-shaped deviation
• Spurs

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Clinical features

• Nasal obstruction
• External deformity
• Headache
• Epistaxis
• Rhinosinusitis

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Treatment

• No treatment
• SMR
• Septoplasty
• Septorhinoplasty

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Complications

• Infection
• Hemorrhage
• Septal hematoma
• Septal perforation
• Adhesions
• Saddling
• Flapping septum

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Comparison of SMR septoplasty

• Age
• Location of deformity
• Incision
• Technique
• Amount of cartilage removed
• Chances of complications

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