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Definition of Deviated Nasal Septum

The nasal septum is the part of the nose that separates the two airways and the nostrils. A deviated septum is when there is a shift from the midline or center position.

Description of Deviated Nasal Septum


Deviations of the nasal septum may develop during growth or by trauma due to a fall, a blow to the nose or surgery that further exaggerates the deviation.

Symptoms of Deviated Nasal Septum


These deviations are common, and for the most part, cause no symptoms and require no treatment. However, the septal deviation may be severe enough to obstruct the passage of air through the nostrils. This obstruction may predispose the patient to sinusitis, infection and epistaxis (nose bleeds).

Penyimpangan ini adalah umum, dan untuk sebagian besar, tidak menyebabkan gejala dan tidak memerlukan pengobatan. Namun, deviasi septum bisa berat cukup untuk menghalangi perjalanan udara melalui lubang hidung. Obstruksi ini dapat mempengaruhi pasien untuk sinusitis, infeksi dan epistaksis (hidung berdarah).

Treatment of Deviated Nasal Septum


Treatment of a deviated septum is based on the patient's symptoms. It may include analgesics (pain medications) to relieve headaches, decongestants to reduce secretions, antibiotics to eliminate a suspected infection, and corrective surgery for the more persistent, troublesome symptoms.

Perawatan menyimpang septum didasarkan pada gejala-gejala pasien. Ini mungkin termasuk analgesik (obat sakit) untuk menghilangkan sakit kepala, dekongestan untuk mengurangi sekret, antibiotik untuk menghilangkan infeksi yang dicurigai, dan operasi korektif untuk, gejala yang lebih gigih merepotkan.
Corrective surgery may consist of reconstruction of the nasal septum by repositioning the nasal septal cartilage, thus relieving the nasal obstruction. Other surgical procedures include rhinoplasty to correct nasal structure deformity and septoplasty to relieve nasal obstruction and enhance cosmetic appearance.

Operasi korektif dapat terdiri dari rekonstruksi septum nasal dengan reposisi tulang rawan septum hidung, sehingga menghilangkan sumbatan hidung. Prosedur pembedahan lainnya termasuk Rhinoplasty untuk memperbaiki kelainan struktur hidung dan septoplasty untuk menghilangkan sumbatan hidung dan meningkatkan penampilan kosmetik.
Surgical complications are relatively rare, however, there is the possibility of hemorrhage (bleeding), infection, and further deformity. While most patients achieve relief of nasal obstruction, some may have persistent and recurrent nasal obstruction.

Bedah komplikasi yang relatif jarang, bagaimanapun, ada kemungkinan perdarahan (perdarahan), infeksi, dan deformitas lebih lanjut. Sementara kebanyakan pasien mencapai relief sumbatan hidung, beberapa mungkin memiliki sumbatan hidung gigih dan berulang.

Nasal septum deviation is a common physical disorder of the nose, involving a displacement of the nasal septum.

Causes
It is most frequently caused by impact trauma, such as by a blow to the face.[1] It can also be a congenital disorder, caused by compression of the nose during childbirth.[1] Deviated septum is associated with genetic connective tissue disorders such as Marfan syndrome[2] and Ehlers Danlos Syndrome [3]

Presentation
The nasal septum is the bone and cartilage in the nose that separates the nasal cavity into the two nostrils. The cartilage is called the quadrangular cartilage and the bones comprising the septum include the maxillary crest, vomer and the perpendicular plate of the ethmoid. Normally, the septum lies centrally, and thus the nasal passages are symmetrical.[4] A deviated septum is an abnormal condition which the top of the cartilaginous ridge leans to the left or the right, causing obstruction of the affected nasal passage. The condition can result in poor drainage of the sinuses. Patients can also complain of difficulty breathing, headaches, bloody noses, or of sleeping disorders such as snoring or sleep apnea.[4] It is common for nasal septa to depart from the exact centerline; the septum is only considered deviated if the shift is substantial or is adversely affecting the patient.[1] Many people with a deviation are unaware they have it until some pain is produced. By itself, a deviated septum can go undetected for years and thus be without any need for correction.[1] Some people are concerned about diminished airflow through the effectively smaller nostril resulting from deviation.

Treatment
In most cases a deviated septum can be corrected with a minor surgical procedure known as a septoplasty, in which the surgeon enters through the nostrils and cuts away the obtruding matter.[4] The surgery is performed quickly (it takes around 1 hour) but the patient may take anywhere from 2 days to 4 weeks to heal completely.

SYNTOMP If a deviation in your nasal septum is minor, you may have no symptoms and you may not even know you have a deviated septum. If the deviation is severe, however, it may cause the following signs and symptoms:

Obstruction of one or both nostrils. This obstruction can make it difficult to breathe through the nostril or nostrils. This may be more noticeable when you have a cold

(upper respiratory tract infection) or allergies that cause your nasal passages to swell and narrow. Nasal congestion. As a result of nasal congestion, postnasal drip also is common. Postnasal drip occurs when mucus is blocked from flowing out of your nose, causing it to drip into and linger in the back of your throat. Nosebleeds. The surface of your nasal septum may become dry, increasing your risk of nosebleeds. Frequent or recurring sinus infections. Sinus infections can result from blocked mucus and are often marked by facial pain and headaches. Noisy breathing during sleep. This is more common in infants and young children with deviated septums.

KESIMPULAN

Menyimpang septum nasal merupakan kondisi yang paling umum hasil dari trauma, baik baru atau lama terlupakan, mungkin selama kelahiran.

Deviasi septum nasal seringkali tanpa gejala. Jika gejala hadir mereka biasanya hasil dari suatu penyimpangan yang parah dan mereka sepenuhnya karena efek dari penyimpangan atas fungsi hidung. Efek tersebut adalah sebagai berikut: mekanik obstruksi hidung, yang pada gilirannya dapat menyebabkan gangguan drainase dan kemudian ke rinosinusitis. abnormal aliran arus udara inspirasi, menyebabkan paparan dari beberapa wilayah di mukosa hidung ke tingkat intens aliran udara yang menghasilkan efek pengeringan pada mukosa dan menyebabkan pengerasan kulit, ulserasi dan edema mukosa. tekanan dari menyimpang septum hidung pada saraf-saraf di dekatnya yang dapat menghasilkan nyeri lokal, efek yang dikenal sebagai "sindrom saraf anterior ethmoidal".