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Septal manipulation in the neonate: method and results.

International Journal of Pediatric Otorhinolaryngology

|March 1, 1985

Summary

Newborn nasal septal deviations (types A, B, C) correlate with feeding and respiratory issues. Early manipulation significantly reduced these problems, particularly in type B cases, preventing long-term health complications.

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Area of Science:

Pediatrics
Otolaryngology
Developmental Biology

Background:

Septal configuration at birth, categorized as type A (straight), type B (bent), or type C (deformed), influences infant health.
Specific septal types correlate with immediate issues like nasal obstruction and feeding difficulties, and later with dental abnormalities and respiratory infections.

Purpose of the Study:

To assess the correlation between septal configurations at birth and subsequent health problems in infants.
To evaluate the efficacy of early manipulation in mitigating these health issues.
To elucidate the physiological mechanisms, including Bernoulli's phenomenon, underlying the increased incidence of ear disease in type B septal deviations.

Main Methods:

A cohort of 284 infants was assessed at birth for septal configuration.
Infants were followed up to approximately 5 years of age.
A comparison was made between 105 control infants with minimal issues (unmanipulated) and 179 infants with symptoms who underwent manipulation.

Main Results:

Type B septal deviation showed the highest incidence of associated health problems, while type A had the least.
Infants who underwent manipulation exhibited a statistically significant reduction in the incidence of nasal obstruction, feeding problems, dental abnormalities, and respiratory infections.
External nasal deformities, present in 4% of births, were successfully corrected through manipulation.

Conclusions:

Infant septal configuration is a significant factor in early-life health outcomes, impacting feeding and respiratory systems.
Early, non-invasive manipulation of septal deviations is an effective intervention to prevent or reduce the severity of associated health problems.
Understanding nasal physiology, such as Bernoulli's phenomenon, is crucial for explaining the link between septal deviation and conditions like otitis media.

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