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Nasal septal deviation: effective intervention and long term follow-up
Insights
Early intervention for nasal septal deviation (DNS) detected at birth is safe and effective. This approach improves nasal airway function and prevents future complications and surgeries.
Area of Science:
- Otorhinolaryngology
- Pediatric Surgery
- Neonatology
Background:
- Nasal septal deviation (DNS) is increasingly recognized at birth, not just in childhood.
- Early detection by pediatricians and obstetricians is crucial for timely management.
- Untreated DNS can lead to persistent symptoms and developmental issues.
Purpose of the Study:
- To evaluate the safety and efficacy of early interventional management for nasal septal deviation detected at birth.
- To assess the long-term outcomes of closed surgical correction in neonates.
- To determine if early intervention can prevent future nasal airway problems and surgeries.
Main Methods:
- Review of early interventional procedures for nasal septal deviation in newborns.
- Analysis of long-term follow-up data for children treated shortly after birth.
- Assessment of potential side effects, including facial growth and nasofacial disproportion.
Main Results:
- Closed surgical intervention for DNS at birth demonstrated significant nasal airway improvement.
- Long-term follow-up revealed no adverse effects on facial growth or disproportion.
- Early intervention successfully prevented the persistence of DNS and associated symptoms.
Conclusions:
- Early interventional management of nasal septal deviation detected at birth is a safe and beneficial procedure.
- This approach can be performed by neonatologists or obstetricians, preventing the need for later septoplasty.
- Early treatment normalizes nasal anatomy and physiology, mitigating symptoms like mouth breathing and feeding difficulties.
Abstract:
Nasal septal deviation (DNS) occurs more frequently during childhood although it occurs at any age due to trauma. Recently, it has been increasingly recognized that nasal septal deviation is seen also at birth and a number of explanations for this occurrence is forwarded. Awareness of such occurrence and its recognition at birth both by pediatricians and obstetricians is essential for early interventional management of this condition in close collaboration with the otorhinolaryngologists. Closed surgical intervention of this defect carried out early after it was detected at birth benefitted the afflicted in terms of nasal airway improvement and its maintenance resulting in normalization of its anatomy and physiology in long term follow-up. Septal deviation detected at birth if left alone without interventional procedure continues to persist. It is furthermore accompanied by statistically valied symptoms like upper respiratory infections, cough, earache, ear discharge, fever, mouth breathing and at times feeding difficulty during infancy and childhood. Long term follow-up of children who underwent closed surgical correction of DNS at birth, revealed no untoward effects such as nasofacial disproportion or retardation of facial growth. Early interventional management of DNS detected at birth therefore appears to be a safe procedure. It can even be performed by neonatologists or an obstetrician. Such an intervention procedure early in life can prevent septoplasty surgery at a latter date besides preventing a number of nasal airway-related conditions.