Nasal septum deviation and nasal congestion?

summary

The nasal septum bends to one side or both sides, or the nasal septum protrudes to one side or both sides, causing physiological dysfunction of the nasal cavity and paranasal sinuses and producing symptoms (such as nasal congestion, epistaxis, headache, etc.) is called nasal septum deviation. The most common patients were those with a history of nasal trauma, adenoid hypertrophy in childhood, family history, nasal polyps and tumor. It can be diagnosed by nasal endoscopy. Surgical correction is the only treatment for nasal septum deviation. Nasal septum deviation and nasal congestion? Let's talk about it

Nasal septum deviation and nasal congestion?

Nasal obstruction is the most common symptom of nasal septum deviation, most of which are persistent nasal obstruction“ The contralateral nasal cavity undertakes the main ventilation function for a long time. The nasal mucosa continues to be in a state of hyperemia, resulting in compensatory hypertrophy of inferior turbinate, also known as structural rhinitis, and then bilateral nasal congestion“ S-shaped deviation is mostly bilateral nasal obstruction. If patients with deviated nasal septum suffer from acute rhinitis, the nasal congestion is more serious, and it is not easy to recover. Severe nasal obstruction can also appear olfactory decline.

Headache, such as the compression of inferior turbinate or middle turbinate by the crooked part, can cause ipsilateral reflex headache. Heavy nasal congestion and headache. After intranasal instillation of vasoconstrictors or topical anesthetics, headache was relieved or disappeared.

Epistaxis: the site of epistaxis is often seen in the crooked convex surface or spine, ridge, where the mucous membrane tension is large and thin, often directly stimulated by air flow and dust, the mucous membrane is dry and scabby, and prone to erosion. In addition, the blood supply of nasal septum soft tissue is rich, so it is easy to bleed. Blowing the nose, digging the nose or lowering the head is often the inducement. If epistaxis occurs in the age group over 50 years old and the vascular elasticity is poor, it is difficult to cure with vaseline gauze tamponade, and surgical resection and correction of deviation are needed. Sometimes epistaxis can also be seen in the concavity of nasal septum.

matters needing attention

One of the following cases should be operated: nasal septum deviation caused by long-term persistent nasal obstruction; The high deviation of nasal septum affected the drainage of nasal sinus; Recurrent epistaxis due to deviation of nasal septum; Reflex headache caused by deviation of nasal septum; Vasomotor rhinitis with obvious deviation of nasal septum (structural rhinitis).