A Study of Nasal Septal Deviation, External Nasal Deformities, and their Correlation with the Severity of Sino-Nasal Symptoms Using Sino Nasal Symptoms Score Questionnaire
Senu Sunnychan *
Department of Otorhinolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.
P. T. Deshmukh
Department of ENT, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Background/Rationale: The human nose is structurally complex and this complexity results in nasal shape and shape variations. Midline deformities such as hump nose, saddle nose, tip deformities and lateral nasal deformities such as crooked nose, deviated nose, alar depression are common forms of deformity affecting the external nose. Internal nasal valve (INV) is a key anatomical landmark of nasal cavity. Any obstructions in this region have tremendous effects on inspiratory and expiratory currents. This study aims to assess the nasal septal deviation and external nasal deformities and correlate the severity of sino nasal symptoms.
Methods: This Prospective observational study will include total 50 patients with nasal septal deviation. Patients will undertake Sino Nasal Test -22 questionnaire. Investigations like Diagnostic nasal endoscopy with 30 degree nasal endoscope, X-ray PNS Water’s view and complete blood count including absolute eosinophilic count will be carried out. Data will be analysed using appropriate statistical tests.
Expected Results: A significant correlation is expected between Nasal Septal Deviation, External Nasal Deformities, and Severity of Sino-nasal Symptoms.
Conclusion: This study will reflect on internal nasal valve and it’s correlation with etiopathological process of upper respiratory tract. It will also guide clinicians in choosing appropriate surgical approach.
Keywords: Nasal cavity, internal nasal valve, nasal endoscopy, deviated nasal septum, sino-nasal symptoms, water’s view