Document Type : Original research
Authors
1 MBCHB FIBMS, Specialist ENT at Kirkuk General Hospital
2 MBCHB FICMS, Consultant ENT, College of Medicine Al-Mustansiriya University
Abstract
Background: Septal deviation is a common nasal disorder, but its role in the development of sinus pathology remains unclear. Different types of septal deviation may affect the paranasal sinuses in distinct ways. This study aims to determine the prevalence of various types of septal deviation, assess their associated morbidity, and identify related sinonasal pathologies.
Methods: This Prospective observational study included 150 patients presenting with symptoms such as nasal obstruction, discharge, or facial pain for at least three months. All patients were evaluated at the outpatient clinic of Al-Yarmouk Teaching Hospital between April 2017 and August 2018. None had a prior diagnosis of septal deviation. Clinical evaluation included anterior rhinoscopy, rigid nasal endoscopy (0° and 30°, 4mm), and fiberoptic nasopharyngoscopy. All patients underwent CT imaging to assess the impact of the septal deviation type on the paranasal sinuses and to exclude other nasal or sinus pathologies. Data were collected and analyzed using statistical methods, including p-values for significance.
Result: Among the 150 patients with symptomatic septal deviation, 91 (60.6%) had a C-shaped deviation and 59 (39.3%) had an S-shaped deviation. Sinus pathology was observed in 70 patients: 32 (45.8%) with C-shaped and 38 (54.2%) with S-shaped deviation. S-shaped deviations showed a statistically significant association with bilateral sinus disease, whereas unilateral sinus involvement was more common with C-shaped deviations.
Conclusions: Septal deviation, particularly the S-shaped type, is significantly associated with sinonasal disease. Nasal obstruction is the most common presenting symptom.
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