Subject(s)
Rhinoplasty/history , Female , Germany , History, 19th Century , History, 20th Century , Humans , Male , Maxillofacial Injuries/surgery , Surgery, Plastic/history , United StatesSubject(s)
Facial Injuries/surgery , Military Medicine , Surgery, Plastic , Warfare , Austria , England , Germany , History, 20th Century , Humans , Male , Surgical FlapsABSTRACT
Results are reported of a study to evaluate possible associations between nasal septal deformity and palatal symmetry in neonates. Five hundred babies, born consecutively, were examined within three days of birth. Prenatal and delivery data were recorded for each baby and the nose was examined to determine airway patency and possible septal deformity. When a deviation of the septum was discovered an alginate impression of the palate was taken along with photographs of the nostrils. A matched control was then selected for each study group baby and similar records were obtained. Only 14 cases of septal deformity were found, an incidence of 2.8 per cent. No evidence of palatal asymmetry was found. The theory that moulding pressures during delivery may be a major cause of nasal septal deformity was not supported.
Subject(s)
Infant, Newborn , Nasal Septum/abnormalities , Palate/anatomy & histology , Delivery, Obstetric , Female , Humans , Male , Nasal Cavity/anatomy & histologyABSTRACT
In a review of 1000 consecutive neonates of all races, nasal septal deformity was identified in 29, an incident of 2.9%; significantly fewer cases were found in negroid babies (0.1 greater than P greater than 0.05). Ten cases (35%) underwent manipulation of the deviated septum. Six-monthly review revealed that symptoms associated with the septal deformity are rare. In 7 (44%) of the 16 cases not manipulated, the septum straightened spontaneously during the first few months of life. The appearance of the deviation is not of a dislocation of the caudal edge of the cartilage but a smooth concavity. In vitro compression of the neonatal nasal cavity reproduced this C-shaped deformity, but only temporarily. Histological serial sections of 6 postmortem nasal cavities showed that the high laminae of the vomer prevent any caudal dislocation of the septal cartilage.
Subject(s)
Nasal Septum/abnormalities , Humans , Infant, Newborn , Nasal Septum/pathology , Nasal Septum/surgeryABSTRACT
Lateral skull radiographs of adult patients who had suffered nasal trauma during childhood were compared with those of undergraduate dental students. Measurements from the former group indicated reduced downward and forward growth in the maxilla, and altered angulations for certain planes in the middle and lower thirds of the face. The angle of nasal projection was also reduced in the study group.
Subject(s)
Facial Bones/growth & development , Nose/injuries , Adult , Cephalometry , Humans , Maxilla/growth & development , Nose Deformities, Acquired/surgery , Radiography , Skull/diagnostic imagingABSTRACT
Cephalometric radiographs from a group of adults who had suffered nasal trauma during childhood were compared with random controls. Significant differences were found between mean measurements for the two groups, which indicated aberrations in the growth of the midface in patients from the study group. The vertical component of facial development was also altered, being increased in the study group.
