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Prevention and treatment of septal deformity in infancy and childhood
Insights
Septal deformities, including anterior and combined types, can arise from fetal pressure during birth. Early manipulation using infant forceps can address issues like stuffy nose and feeding problems.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Developmental Biology
Background:
- Septal deformities are classified into anterior nasal deformity and combined septal deformity.
- These deformities are acquired due to fetal pressure during pregnancy or parturition.
- Anterior nasal deformity incidence varies with delivery type, higher in difficult births.
Purpose of the Study:
- To investigate the incidence and causes of septal deformities in infants.
- To describe methods for testing and manipulating septal deformities.
- To present the procedure and results of rapid maxillary expansion.
Main Methods:
- Classifying septal deformities into anterior and combined types.
- Analyzing incidence based on delivery pressure (e.g., spontaneous vaginal vs. persistent occipitoposterior).
- Utilizing nasal testing struts for diagnosis and infant forceps for manipulation.
Main Results:
- Anterior nasal deformity occurred in 4% of spontaneous vaginal deliveries and 13% with increased pressure.
- The incidence of straight septa averaged 42%, varying with pressure.
- Over 20% of adults have straight septa.
- Manipulation indications include stuffy nose, feeding problems, and sticky eyes.
Conclusions:
- Septal deformities are acquired conditions influenced by birth pressures.
- Early detection and manipulation are crucial for conditions like stuffy nose and feeding issues.
- Rapid maxillary expansion is a presented procedure for addressing these deformities.
Abstract:
There are two basic types of septal deformity, namely anterior nasal deformity and combined septal deformity, which may occur independently or both together. They are considered to be acquired from different types of pressures on the foetus during pregnancy or parturition. The incidence of anterior nasal deformity was found to be 4% in cases of spontaneous vaginal delivery, but 13% in cases of increased pressure as persistent occipitoposterior. The combined septal deformity is part of a facial deformity, and is best tested by using simple nasal testing struts. The incidence of straight septa varied with the degree of pressure with an average of 42%. In adult surveys a little over 20% are straight. Methods of manipulation are described using special infant forceps. Indications for manipulation are: Stuffy nose, feeding problems and sticky eyes. The procedure and results of rapid maxillary expansion are presented.