Clinical Presentation, Diagnostic Evaluation, and Treatment Approaches for Deviated Nasal Septum (DNS)

Introduction

A Deviated Nasal Septum (DNS) occurs when the nasal septum, the cartilage that divides the nasal cavity, is displaced. This condition can lead to nasal obstruction, breathing difficulties, and other associated symptoms.

Clinical Presentation

• Difficulty in breathing through one or both nostrils
• Frequent sinus infections
• Nasal congestion or obstruction
• Snoring and sleep disturbances
• Nosebleeds

Diagnostic Evaluation

Diagnosing DNS requires a thorough examination by an otorhinolaryngologist (ENT specialist). Common diagnostic methods include:

• Anterior Rhinoscopy - Direct visualization of septal deviation
• Nasal Endoscopy - Detailed inspection of nasal cavities
• CT Scan - Used in cases of suspected sinus involvement

Treatment Approaches

Medical Management

Symptomatic relief can be achieved through pharmacological interventions:

• Decongestants to reduce nasal swelling
• Intranasal corticosteroids for inflammation control
• Antihistamines for allergy-related symptoms

Surgical Management

When medical management fails, surgery may be required:

• Septoplasty - Corrects the deviated septum and improves airflow
• Rhinoplasty - Can be combined for aesthetic and functional improvements

Conclusion

DNS can significantly affect quality of life. A combination of medical and surgical approaches ensures optimal patient outcomes.