Abstract

Background: Deviated nasal septum (DNS) is a comment cause of nasal obstruction may lead to the makeable changes in airflow, mucociliary clearance, nasal, and sinus mucosa. Rhinomanometry is an objective test for quantitative measurement of nasal patency which is helpful tool to a patient expecting surgery.

Objectives: To evaluate rhinomanometrical and clinicoradiological differences of nasal airflow in DNS related to lateral nasal wall pathology.

Materials and Methods: The present prospective study has 50 patients attending the ear, nose, and throat outpatient department were recruited. All patients were undergone for detailed clinical examination, hemogram, nasal airflow by rhinomanometry, and radiological examination by doing X-ray paranasal sinus (PNS) OM (Ociipitomental view) view and CT-PNS screening.

Results: In the rhinomanometric test, 56% cases had significant difference in the nasal airflow, 12% cases had highly significant obstruction due to DNS, and 16 cases did not have significant change in air flow. Haziness in maxillary sinus is the most common finding in radiological examination followed by frontal and ethmoidal sinus. The values revealing anterior DNS is more common in both males and females than posterior DNS.

Conclusion: Rhinomanometric analysis showed significant decrease in airflow due to DNS that too in the patients having anterior deviations. Post-operative rhinomanometric analysis showed that there was significant improvement in airflow that had anterior DNS.

Key words: Deviated Nasal Septum; Rhinomanometry; Computed Tomography Scan; X-ray