Relation characteristics of nasal septal deviations and external nasal deformities

Selma Hodžić-Redžić, Gorazd Poje


Objective: To determine relation characteristics between nasal septal deviations and external nasal deformities.
Materials and methods: The study was retrospective and included patients operated at the university hospital during the period of one year. Indication for surgery was the septal deviation that causes symptoms. The external nasal deformity was an additional finding. Septal deviations were classified using Mladina classification into seven types. External nasal deformities were classified into four types: rhinokyphosis, rhinoscoliosis, rhinolordosis and combination of these types.
Results: There were 175 patients included in the study, 112 men and 63 women, with a median age of 32. Most frequent type of the septal deviation was type VII (47.43%) and it was followed by type V (23.43%). The most frequent type of external nasal deformity was rhinokyphosis (61.36%) and it was followed by the combination of types (29.55%). Type VII was followed by no external nasal deformity in 62 cases. 15 patients have type VII septal deviation and rhinokyphosis. Type V was followed by no external deformity in 30 cases and rhinokyphosis in 7 cases. Rhinokyphosis was followed by type VII septal deviation in 15 cases, type V in 7 cases and type III in 4 cases. The relation between nasal septal and external nasal deformities was tested using a chi-squared test.
Conclusion: Nasal septal deviations can appear as single deformity, but are often followed by external nasal deformities. There is not a specific pattern that assumes which particular type of septal deviation will be followed by a particular type of external nasal deformity.
Key words: Nasal septum, Acquired nasal deformities, Nasal obstruction

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