To Study the Role of Nasal Septal Deviation and Its Relation to Sinonasal Pathology.

Rhinosinusitis is an extremely prevalent disorder that has a significant impact on the quality of life of affected individuals. Nasal septal deviation may either cause osteomeatal obstruction or may interfere with proper airflow and potentially predispose to sinusitis. This study was aimed to findThe incidence of various types of DNS andTo find co relation between NSD and sinus pathologyThis work was done on 100 cases with clinical features of deviated nasal septum and co existing features of rhinosinusitis. Detailed nasal endocopic examination was done. DNS was classified according to Mladina system of classification. CT PNS was done in all cases and rhinosinusitis documented according to Lund-Mackay scoring system. Finally an attempt was made to correlate DNS and Rhinosinusitis.Type II and Type I deviations were the most common types of septal deviations found. 84% of the patients with DNS had rhinosinusitis. There was a statistically significant correlation between nasal septal deviation and rhinosinusitis with p value ≤ 0.05. Our study also significantly correlates the predisposition of rhinosinusitis on the same side as DNS. We hereby conclude that in a case of DNS, co-existent rhinosinusitis should be ruled out, first by detailed history taking and then if warranted by CT-PNS. Such chronic patients treated by septoplasty alone may never be relieved of their symptoms. Thus combined septopasty and FESS is advisable.

Septal Schwannoma of the Nose: A Rare Case.

A schwannoma is a benign tumor arising from Schwann cells present in the nerve sheath of myelinated nerves.It is rarely seen in the nose and paranasal sinuses, and it very rarely originates from the nasal septum. A 40-year-old female presented to our outpatient department with a gradual onset, progressive, left nasal obstruction since the last 4 years. On performing a local examination, a soft tissue mass occupying the left nasal cavity was seen. Surgery via the external approach was performed; the mass was found to arise from the nasal septum and was totally excised. Histopathologic examination revealed a schwannoma. Nasal septal schwannoma along with review of the literature is a rare entity. It should be considered in the differential diagnosis of benign tumors of the nasal cavity.