Assessment of nasal septal deformities by anterior rhinoscopy and nasal endoscopy

Abstract

The aim of this study is to determine the percentage of the particular types of septal deformities in symptomatic patients according to Mladina’s classification. The study included 100 patients with nasal septal deviation who were identified at the otolaryngology out patients clinic of Al-Kadymia and Tikrit teaching hospitals. All of the patients underwent nasal examination by anterior rhinoscope and nasal endoscopy. Pathological septal deformities were grouped into seven types by using Mladina’s classification. The frequency of nasal septal deformation has been found to be 65% in males and 35% in females .The age incidence showed that most of the patients between second and fifth decades. The distribution of the seven types of septal deformity was 4%, 20%, 10%, 8%, 38%, 4%, and 16% respectively. The most common presentation in overall patients were nasal obstruction 85% and headache 50%. In the males type 5 deformity was more frequent and in females type2. Nasal septal deviation was more prevalent in males. Nasal obstruction was the most common presenting complaint in allover types of nasal septal deviation. Nasal endoscope was of great value in assessment of posterior septal deformity.