Nasal Septum Deviation Is More Frequently Seen In Infants Who Born With Vaginal Birth Than Babies Born With Caesarean!
Nasal Septum Deviation in Infants and Children
Nasal septum deviation (NSD) is seen more frequently in babies born to vaginal birth!
There are many studies that emphasize that nasal septum deviation (NSD) is seen more frequently in babies born to vaginal birth than babies born to caesarean section. Of course, there are many advantages of natural birth process (normal vaginal delivery), but the recommendations of your own gynecologist and obstetrician will be the best for you. The nose, the most prominent part of the face, is not surprisingly exposed to an enormous amount of compression and spinning force in intrauterine life and during the delivery process. Therefore, nasal septal deformity is not uncommon in neonates.
Types of nasal septum deviations in newborns
There are 2 types of NSD in newborns. (1) Anterior dislocation - external deformity of the nose is seen where the septal cartilage exits the maxillary groove. (2) Secondly, combined septal deformity occurs due to the forces transmitted in the fetal skull during pressure and external deformity may not be seen. In the above picture, the patient has a caudal septal deviation or anterior septal dilocation. You can find detailed information about the deviation of caudal septum >> Caudal Septal Deviation
Etiology of nasal septum deviations
In general, the etiology of NSD can be classified as congenital, genetic effects that produce a mass effect from abnormal growth, trauma, infection, or even nasal cavity neoplasms. In other words, mechanical pressure and trauma to the nose, infections and rarely intranasal tumor masses cause nasal septum deviation.
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| Nasal septum deviation in infants - Nasal septum deviation in children - Nasal septum deviation test in newborns - Gray Strut Test in newborns - Types of nasal septum deviations in newborns - Etiology of nasal septum deviations - Symptoms of nasal septum deviation in children and infants - Septal deviation in infants born with vaginal delivery - Nasal septal deviation in infants born with normal delivery - Causes of nasal septum deviation - Anterior septal dislocation - Causes of deviation of nasal septum in children? - Nasal septum deviation in infants |
Nasal septum deviation in children
Deviation of nasal septum and growth of nasal flesh is the most common cause of nasal obstruction. In newborns, the frequency of septal deviation may vary from 1.45% to 6.3% (a large number of neonates have deviations in the nasal septum, with studies showing that the incidence is between 2.9% and 31% in various studies). In a recent study, the prevalence of septal deviations in newborns was analyzed and it was found that there was a high rate of 22% in children born by vaginal delivery, but only 4% of births were observed by cesarean delivery. It has been suggested that trauma to the septum from vaginal delivery is a common cause of NSD. When occipitomental radiographs were evaluated, the prevalence of NSD was approximately 20% in school-age children aged 6-15 years, and approximately 10% of children in the same study had clinical symptoms.
Of course, the probability of symptomatic nasal septum deviation is very low in newborn infants. It has been emphasized that the incidence of septal deviation in vaginal delivery of newborns with high birth weight is increased as in the case of emergency vaginal delivery.
Symptoms of nasal septum deviation in children and infants
As we know, babies are mandatory nasal breathing devices, nasal congestion leads to cyanotic spells, high pulmonary resistance, and may even cause respiratory failure. In the literature, traumatic subluxation of the nose causing acute respiratory distress and cyanosis in neonates has been reported. In addition, nasal congestion, aerophagy (air swallowing) and infected nasal discharge can cause poor nutrition and colic pain. Infants with severe septum deviation tend to experience sinusitis, epistax, eustachian tube dysfunction, otitis media, upper and lower respiratory tract infections, dental diseases and poor general health. Many of these deformities persist in adulthood and may cause physiological, anatomical, psychological and cosmetic complications.
Test for screening septum deviation in newborn babies: "Gray 's Strut Test"
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| "Gray 's Strut Test" |
Silastic strips of 4 mm width and 2 mm thickness are placed in each nostril after lubrication to understand the nasal septum deviation in newborn infants. Septal deviation of newborns is associated with the asymmetry of the nostrils, the oblique columella and the tip of the nose pointing in the opposite direction to the deviation. Most of these patients can be diagnosed using Gray's Strut Test. These rods are 4mm wide and 2 mm thick and are lubricated after being lubricated and inserted on the nasal septum by gently pushing back along the floor of the nasal cavity. Normally, these rods can be used for a distance of 4-5 cm, but in the case of septal deviation, it is seen that the bars cannot be advanced at a distance of 1 to 2 cm from the nostril.
Strut test is not a test done routinely. Although septum deviation is detected in neonates, limited septoplasty procedures can be performed in patients with complete curvature and completion of nasal development for surgical treatment. In other words, the diagnosis of septum deviation in neonates will usually only be useful for explaining the cause of nasal congestion and related symptoms. You can find detailed information about the Strut test >> Strut test- An useful test to diagnose neonatal septal deviation ... / Deviated Nasal Septum Incidence and EtiologyAnnals of Otology ... / The Development of Septal and Dental Deformity from Birth / Deviated Nasal Septum
Normally, ent doctors can see the location and amount of the septum deviation by a simple nasal endoscopic examination and tell the effect of nasal obstruction.
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
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Appointment Phone: +90 212 561 00 52
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