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Deviated Nasal Septum
Axel Ruprecht, DDS, MScD, FRCD(C)
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Deviated nasal septum (DNS)
            • Definitions

              • Displacement of septum laterally that may be sufficient to cause rhinosinusitis or difficulty breathing through affected nasal fossa

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Reporting Tips

                                  Selected References

                                  1. Dalili Kajan Z et al: The effects of septal deviation, concha bullosa, and their combination on the depth of posterior palatal arch in cone-beam computed tomography. J Dent (Shiraz). 17(1):26-31, 2016
                                  2. Damar M et al: Does the degree of septal deviation affect cribriform plate dimensions and middle turbinate length? J Craniofac Surg. 27(1):51-5, 2016
                                  3. Demirci S et al: Correlation between the septal body and the nasal turbinates in patients With deviated nasal septum. J Craniofac Surg. 27(1):166-9, 2016
                                  4. Foster A et al: Variation in the developmental and morphological interaction between the nasal septum and facial skeleton. Anat Rec (Hoboken). 299(6); 730-40), 2016
                                  5. Hartman C et al: Nasal septal deviation and facial skeletal symmetries. Anat Rec (Hoboken). 299(3):295-306, 2016
                                  6. Locketz GD et al: The nasal vestibular body: anatomy, clinical features, and treatment considerations. Eur Arch Otorhinolaryngol. 273(3):777-81, 2016
                                  7. Loftus PA et al: Anatomic variants of the paranasal sinuses in patients with recurrent acute rhinosinusitis. Int Forum Allergy Rhinol. 6(3):328-33, 2016
                                  8. Martínez-Capoccioni G et al: Silent sinus syndrome an acquired condition and the essential role of otorhinolaryngologist consultation: a retrospective study. Eur Arch Otorhinolaryngol. 273(10):3183-8, 2016
                                  9. Tomblinson CM et al: The Impact of Middle Turbinate Concha Bullosa on the Severity of Inferior Turbinate Hypertrophy in Patients with a Deviated Nasal Septum. AJNR Am J Neuroradiol. 37(7):1324-30, 2016
                                  10. Angulo-Pérez G et al: Prevalence, location and tomographic severity of chronic rhinosinusitis in adult patients with common variable immunodeficiency. Rev Alerg Mex. 62(1):15-21, 2015
                                  11. Göçmen G et al: Effect of septal deviation, concha bullosa and Haller's cell on maxillary sinus's inferior neumatization; A retrospective study. Open Dent J. 9:282-6, 2015
                                  12. Khojastepour L et al: Anatomical variations of ostiomeatal complex in CBCT of patients seeking rhinoplasty. J Dent (Shiraz). 16(1):42-8, 2015
                                  13. Lee JH et al: Underestimation of rhinogenic causes in patients presenting to the emergency department with acute headache. Acta Neurol Taiwan. 24(2):37-42, 2015
                                  14. Sedaghat AR et al: Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings. Int Forum Allergy Rhinol. 5(3):258-62, 2015
                                  15. Selcuk OT et al: Do altitude and climate affect paranasal sinus volume? J Craniomaxillofac Surg. 43(7):1059-64, 2015
                                  16. Tan M et al: Does nasal septal deviation affect the success of tympanoplasty surgery? West Indian Med J. 64(4), 2015
                                  17. Tiwari R et al: Study of anatomical variations on CT in chronic sinusitis. Indian J Otolaryngol Head Neck Surg. 67(1):18-20, 2015
                                  18. Uçar S et al: Congenital vomer agenesis. Kulak Burun Bogaz Ihtis Derg. 25(3):182-4, 2015
                                  19. Wang J et al: Assessment of the effect of deviated nasal septum on the structure of nasal cavity. Eur Arch Otorhinolaryngol. 273(6):1477-80, 2015
                                  20. Javadrashid R et al: Concha bullosa, nasal septal deviation and paranasal sinusitis; a computed tomographic evaluation. B-ENT. 10(4):291-8, 2014
                                  21. Lin JK et al: Analyzing nasal septal deviations to develop a new classification system: a computed tomography study using MATLAB and OsiriX. JAMA Facial Plast Surg. 16(3):183-7, 2014
                                  22. Orhan I et al: A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy. 28(1):e68-72, 2014
                                  23. Poorey VK et al: Endoscopic and computed tomographic evaluation of influence of nasal septal deviation on lateral wall of nose and its relation to sinus diseases. Indian J Otolaryngol Head Neck Surg. 66(3):330-5, 2014
                                  24. Saylisoy S et al: Is there a relationship between cribriform plate dimensions and septal deviation angle? Eur Arch Otorhinolaryngol. 271(5):1067-71, 2014
                                  25. Jain R et al: Comparison of anatomical abnormalities in patients with limited and diffuse chronic rhinosinusitis. Int Forum Allergy Rhinol. 3(6):493-6, 2013
                                  26. Lee JS et al: Association of facial asymmetry and nasal septal deviation in acquired nasolacrimal duct obstruction in East Asians. J Craniofac Surg. 24(5):1544-8, 2013
                                  27. Harugop AS et al: Prevalence of nasal septal deviation in newborns and its precipitating factors: A cross-sectional study. Indian J Otolaryngol Head Neck Surg. 64(3):248-51, 2012
                                  28. Holton NE et al: Nasal septal and craniofacial form in European- and African-derived populations. J Anat. 221(3):263-74, 2012
                                  29. Smith KD et al: The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent. 2010, 2010
                                  30. Elwany S et al: The septal body revisited. J Laryngol Otol. 123(3):303-8, 2009
                                  31. Stallman JS et al: The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol. 25(9):1613-8, 2004
                                  32. Lebowitz RA et al: Nasal septal deviation: a comparison of clinical and radiological evaluation. Operative Techniques in Otolaryngol-Head and Neck Surg. 12(2):104-6, 2001
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Deviated nasal septum (DNS)
                                            • Definitions

                                              • Displacement of septum laterally that may be sufficient to cause rhinosinusitis or difficulty breathing through affected nasal fossa

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • CT Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Staging, Grading, & Classification

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Dalili Kajan Z et al: The effects of septal deviation, concha bullosa, and their combination on the depth of posterior palatal arch in cone-beam computed tomography. J Dent (Shiraz). 17(1):26-31, 2016
                                                                  2. Damar M et al: Does the degree of septal deviation affect cribriform plate dimensions and middle turbinate length? J Craniofac Surg. 27(1):51-5, 2016
                                                                  3. Demirci S et al: Correlation between the septal body and the nasal turbinates in patients With deviated nasal septum. J Craniofac Surg. 27(1):166-9, 2016
                                                                  4. Foster A et al: Variation in the developmental and morphological interaction between the nasal septum and facial skeleton. Anat Rec (Hoboken). 299(6); 730-40), 2016
                                                                  5. Hartman C et al: Nasal septal deviation and facial skeletal symmetries. Anat Rec (Hoboken). 299(3):295-306, 2016
                                                                  6. Locketz GD et al: The nasal vestibular body: anatomy, clinical features, and treatment considerations. Eur Arch Otorhinolaryngol. 273(3):777-81, 2016
                                                                  7. Loftus PA et al: Anatomic variants of the paranasal sinuses in patients with recurrent acute rhinosinusitis. Int Forum Allergy Rhinol. 6(3):328-33, 2016
                                                                  8. Martínez-Capoccioni G et al: Silent sinus syndrome an acquired condition and the essential role of otorhinolaryngologist consultation: a retrospective study. Eur Arch Otorhinolaryngol. 273(10):3183-8, 2016
                                                                  9. Tomblinson CM et al: The Impact of Middle Turbinate Concha Bullosa on the Severity of Inferior Turbinate Hypertrophy in Patients with a Deviated Nasal Septum. AJNR Am J Neuroradiol. 37(7):1324-30, 2016
                                                                  10. Angulo-Pérez G et al: Prevalence, location and tomographic severity of chronic rhinosinusitis in adult patients with common variable immunodeficiency. Rev Alerg Mex. 62(1):15-21, 2015
                                                                  11. Göçmen G et al: Effect of septal deviation, concha bullosa and Haller's cell on maxillary sinus's inferior neumatization; A retrospective study. Open Dent J. 9:282-6, 2015
                                                                  12. Khojastepour L et al: Anatomical variations of ostiomeatal complex in CBCT of patients seeking rhinoplasty. J Dent (Shiraz). 16(1):42-8, 2015
                                                                  13. Lee JH et al: Underestimation of rhinogenic causes in patients presenting to the emergency department with acute headache. Acta Neurol Taiwan. 24(2):37-42, 2015
                                                                  14. Sedaghat AR et al: Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings. Int Forum Allergy Rhinol. 5(3):258-62, 2015
                                                                  15. Selcuk OT et al: Do altitude and climate affect paranasal sinus volume? J Craniomaxillofac Surg. 43(7):1059-64, 2015
                                                                  16. Tan M et al: Does nasal septal deviation affect the success of tympanoplasty surgery? West Indian Med J. 64(4), 2015
                                                                  17. Tiwari R et al: Study of anatomical variations on CT in chronic sinusitis. Indian J Otolaryngol Head Neck Surg. 67(1):18-20, 2015
                                                                  18. Uçar S et al: Congenital vomer agenesis. Kulak Burun Bogaz Ihtis Derg. 25(3):182-4, 2015
                                                                  19. Wang J et al: Assessment of the effect of deviated nasal septum on the structure of nasal cavity. Eur Arch Otorhinolaryngol. 273(6):1477-80, 2015
                                                                  20. Javadrashid R et al: Concha bullosa, nasal septal deviation and paranasal sinusitis; a computed tomographic evaluation. B-ENT. 10(4):291-8, 2014
                                                                  21. Lin JK et al: Analyzing nasal septal deviations to develop a new classification system: a computed tomography study using MATLAB and OsiriX. JAMA Facial Plast Surg. 16(3):183-7, 2014
                                                                  22. Orhan I et al: A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy. 28(1):e68-72, 2014
                                                                  23. Poorey VK et al: Endoscopic and computed tomographic evaluation of influence of nasal septal deviation on lateral wall of nose and its relation to sinus diseases. Indian J Otolaryngol Head Neck Surg. 66(3):330-5, 2014
                                                                  24. Saylisoy S et al: Is there a relationship between cribriform plate dimensions and septal deviation angle? Eur Arch Otorhinolaryngol. 271(5):1067-71, 2014
                                                                  25. Jain R et al: Comparison of anatomical abnormalities in patients with limited and diffuse chronic rhinosinusitis. Int Forum Allergy Rhinol. 3(6):493-6, 2013
                                                                  26. Lee JS et al: Association of facial asymmetry and nasal septal deviation in acquired nasolacrimal duct obstruction in East Asians. J Craniofac Surg. 24(5):1544-8, 2013
                                                                  27. Harugop AS et al: Prevalence of nasal septal deviation in newborns and its precipitating factors: A cross-sectional study. Indian J Otolaryngol Head Neck Surg. 64(3):248-51, 2012
                                                                  28. Holton NE et al: Nasal septal and craniofacial form in European- and African-derived populations. J Anat. 221(3):263-74, 2012
                                                                  29. Smith KD et al: The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent. 2010, 2010
                                                                  30. Elwany S et al: The septal body revisited. J Laryngol Otol. 123(3):303-8, 2009
                                                                  31. Stallman JS et al: The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol. 25(9):1613-8, 2004
                                                                  32. Lebowitz RA et al: Nasal septal deviation: a comparison of clinical and radiological evaluation. Operative Techniques in Otolaryngol-Head and Neck Surg. 12(2):104-6, 2001