DEVIATED NASAL SEPTUM (DNS)
Description
- A deviation of the nasal septum from midline which can lead to difficulty breathing( typically in only one nostril) , nasal congestion,(usually one side more than the other, recurrent sinus infections, nose bleeds, sleep apnea
Types of DNS
- Anterior dislocation- Septal cartilage may be dislocated into one of the nasal chambers
- C-shaped deformity- Septum is deviated in a simple curve to one side
- S-shaped deformity - Such a deformity may cause bilateral nasal obstruction
- Spurs- A spur is a shelf-like projection often found at the junction of bone and cartilage. Spur may gives rise to headache and also predispose to repeated epistaxis
- Thickening
Etiology
- Trauma- A lateral blow on the nose may cause displacement of septal cartilage
- Developmental error - Unequal growth between the palate and the base of skull may cause buckling of the nasal septum
- Racial factors- Caucasians are affected more than black Americans
- Hereditary factors
Types
- Nasal obstruction
- Difficulty breathing
- Headache
- Sinusitis - Deviated septum may obstruct sinus ostia resulting in poor ventilation of the sinuses
- Epistaxis
- Snoring
- Middle ear infection
Investigation
- Anterior Rhinoscopy
- Nasal endoscopy
- CT scan
Treatments
- Minor degrees of septal deviation with no symptoms - require no treatment
- When deviated septum produces mechanical nasal obstruction
- Submucous resection (SMR) operation
- Septoplasty
Ayurvedic Treatment
Internal Medicines
- Dashamoola katutraya Kashaya
- Ardraka ksheera prayoga
- Surasaasavam
- Punarnavasava
- Amrutharishta
- Mukkamukkudadi gutika
- Vettumaran gutika
- Sudarshanam gutika
- Vilwadi gutika
- Taleesadi choorna
- Vyoshadi vataka
- Haridra khanda
- Dashamoola rasayana
- Pippali rasayana
Procedure
- Lepa - Rasna jambeera over nose
- Dhoopana - Haridra varthi
- Nasa pichu - Bala taila, ksheera bala taila
- Oil for head – Lakshadi kera, Balahatadi
Department
Salakya - ENT
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