Role of CT Nose Paranasal Sinuses and Nasal Endoscopy for Decision Making in a Case of Deviated Nasal Septum

Main Article Content

Sayan Hazra
Ankit Choudhary
Swapan Kumar Ghosh
Subhradev Biswas
Kaustuv Das Biswas

Abstract

Introduction


Deviated nasal septum (DNS) can be asymptomatic in an individual or may cause nasal obstruction. The condition is generally diagnosed clinically and based on clinical diagnosis it is managed Surgically by large without much heed to diagnostic procedure. Thus, often underlying other causes of Obstruction is missed. Thus, it becomes essential to evaluate every patient presenting with history of Nasal obstruction and clinically Deviated septum, with aid of Nasal Endoscopy and CT scan Nose Paranasal Sinuses (PNS) to rule out/diagnose other coexisting conditions.


Methods and Methodology


100 patients who presented with nasal obstruction and clinically diagnosed to have Deviated Nasal Septum were then subjected to Nasal Endoscopy and CT scan Nose and PNS and findings were noted for analysis.


Results and Analysis


Of these 100 patients, 48 patients were found to have coexisting pathological conditions/anatomical variants. Various anatomical and pathological Conditions were found to coexist together. Inferior turbinate hypertrophy in 34% is the most common pathological condition found to be associated with DNS followed by of sinusitis in 25% patients apart from polyp, concha bullosa and paradoxical middle turbinate.


Discussion


Studies done so far shows there is a definite link of deviated nasal septum to various anatomical and pathological conditions of the nose.  CT Scan Nose PNS and Nasal Endoscopy plays a vital role in diagnosing such anomalies.


Conclusion


Most of the patients, presenting with nasal obstruction and having Deviated Nasal Septum, undergo management without proper analysis and returns with recurrence of symptoms which could be analyzed properly if Nasal endoscopy and CT scan is employed during diagnosis of the condition, reducing risk of treatment failure.

Article Details

How to Cite
1.
Hazra S, Choudhary A, Ghosh SK, Biswas S, Das Biswas K. Role of CT Nose Paranasal Sinuses and Nasal Endoscopy for Decision Making in a Case of Deviated Nasal Septum. BJOHNS [Internet]. 2019Dec.29 [cited 2024Nov.5];27(3):235-9. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/14
Section
Main article
Author Biographies

Sayan Hazra, Institute of Post-Graduate Medical Education & Research (IPGME&R), Kolkata

Senior Resident

Department of ENT & Head and Neck Surgery

Ankit Choudhary, Institute of Post-Graduate Medical Education & Research (IPGME&R), Kolkata

Senior Resident

Department of ENT & Head and Neck Surgery

Swapan Kumar Ghosh, Institute of Post-Graduate Medical Education & Research (IPGME&R), Kolkata

Professor

Department of ENT & Head and Neck Surgery

Subhradev Biswas, Institute of Post-Graduate Medical Education & Research (IPGME&R), Kolkata

Assistant Professor

Department of ENT & Head and Neck Surgery

Kaustuv Das Biswas, Institute of Post-Graduate Medical Education & Research (IPGME&R), Kolkata

RMO cum clinical tutor

Department of ENT & Head and Neck Surgery

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