(P) Deviaţia septului nazal (deviatia de sept)
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Septul nazal este alcatuit din mai multe fragmente osteo-cartilaginoase, asamblate in asa fel incit formeaza un perete despartitor, teoretic plat, care separa cele doua fose nazale.
De ce apar deviatiile de sept?
Deformarea septului nazal poate aparea- prin – traumatism in cursul nasterii sau pe la 4-6 ani cind poate aparea o dezvoltare inegala a fragmentelor de cartilaj si os din alcatuirea septului, ducind la formarea de creste, angulatii sau ingrosari. Mai pot aparea si la virsta adulta, in cursul unor traumatisme majore, cu fracturi ale piramidei nazale, care intereseaza si septul.
Deviatiile septului nazal, indiferent de originea lor, sint in forma de C, V sau S. Ele sint localizate in portiunea anterioara cartilaginoasa, mai rar in portiunea postero-superioara osoasa. In aceste cazuri coexista, de regula, cu o deformare a piramidei nazale.
Care sint simptomele?
-Obstructia nazala, predominant unilaterala, persistenta de multi ani, care nu se amelioreaza dupa instilatii cu decongestionante nazale (spre deosebire de rinitele cornice inflamatorii!)
-Unele deviatii septale importante favorizeaza aparitia afectiunilor inflamatorii ale sinusurilor (sinuzitele) al caror tratament complet este conditionat si de rezolvarea latero-deviatiei septale.
-Deviatiile septale accentueaza sforaitul nocturn, produc cefalee fronto-maxilara, favorizeaza infectii acute respiratorii.
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