الفهرس | Only 14 pages are availabe for public view |
Abstract Nasal septal deviations play a critical role in nasal obstruction symptoms, aesthetic appearance of the nose, increased nasal resistance, and sometimes snoring. The decision to offer surgical management for younger patients is considered when deformity and impairment of function is of significant concern. In general, patients are selected for surgical intervention if they have significant deformity or functional impairment, most frequently obstruction. The goals of surgery depend on the problem being corrected. Following nasal trauma, the goal is to restore the preinjury appearance and function of the nose. With a severely crooked nose, the aim is to straighten the dorsum and septum, as well as restore the airway. Whereas a healthy respect for facial growth centres should accompany any otolaryngology intervention in children, surgical correction of structural nasal obstruction and deforming injuries should not be “deferred” until the late teen years. Our study was conducted on 30 pediatric patients of medically unmanageable and proven deviated nasal septum on the basis of clinical features, endoscopic examination, and CT scans. Patients’ age was ranged from 7 to 16 years old with a mean of 12 ±2.7 (SD). According to the results there was a significant improvement in the nasal obstruction symptoms as measured by the SN-5 scale between pre- and post-operative assessment of cases. No detected correlation between SN-5 Score for Assessment of Nasal Obstruction Symptoms and age or sex of studied patients. SN-5 is a valid measure of change in health status for children with persistent sinonasal symptoms. It is simple and evaluative tool. |