CLINICAL FEATURES AND THE DEFORMITIES OF NASAL SEPTUM IN CHRONIC RHINOSINUSITIS PATIENTS

Abstract

Objectives: To study clinical features and the deformities of nasal septal in chronic rhinosinusitis patients and the relationship between nasal septal deformities (NSDs) and chronic rhinosinusitis. Patients and method: The research including 94 patients over 16-year-old diagnosed NSDs with nasosinusal syndromes who underwent nasal endoscopic and sinus CT scan from April 2017 to May 2018, by cross sectional descriptive study. Results: Main funtional symtoms are nasal obstruction 96.8%, nasal discharge 89.4%, headache 71.3% and hyposmia 42.6%. The most prevalent morphologies of nasal septal is deviation (51.0%); NSDs in area 4.5 of the nasal cavity according to Cottle are more common than area 1,2,3 (68.1%); The level of nasal septal deviation caused about two-third obstruction of the nasal cavity is most common (55.3%). There was a statistically significant relationship between the level of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusitis: the more obstruent NSDs caused in nasal cavity, the heavier gravity of chronic rhinosinusitis had and the rate of bilateral sinusitis more increased. Conclusion: We found the relationship between the morphology of nasal septal deformities and the severity of chronic rhinosinusitis based on clinical features, the relationship between the gravity of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusities. Key words: nasal septal deformities, chronic rhinosinusitis