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

Introduction

The nasal septum is the partition dividing the nasal cavity into two halves. A Deviated Nasal Septum (DNS) occurs when the septum is displaced to one side, leading to various symptoms affecting nasal function and overall health.

Symptoms and Clinical Manifestations

• Nasopharyngeal obstruction causing breathing difficulties
• Recurrent sinus infections due to improper drainage
• Nasal congestion and blockage
• Frequent nosebleeds
• Facial pain or pressure
• Snoring and sleep disturbances

Diagnostic Evaluation

Diagnosis is typically made through clinical examination by an otorhinolaryngologist. Common evaluation methods include:

• Anterior rhinoscopy
• Nasal endoscopy
• CT scan for severe cases

Treatment Approaches

Non-Surgical Treatments

For mild symptoms, management includes:

• Nasal decongestants and antihistamines
• Saline nasal irrigation
• Breathing exercises

Surgical Intervention

For significant obstruction or persistent symptoms:

• Septoplasty - Corrects the septal deviation
• Rhinoplasty - May be combined for aesthetic and functional improvements
• Turbinoplasty - Reduces nasal turbinate hypertrophy

Conclusion

DNS can significantly impact quality of life, but early diagnosis and treatment help manage symptoms effectively. Consulting a specialist ensures the best approach tailored to individual needs.