Septal perforation and deviation repair
🇪🇸 Se puede arreglar la desviación del tabique y la perforación al mismo tiempo?
🟢La desviación del tabique causa obstrucción nasal y predispone al paciente a la rinosinusitis recurrente y a la epistaxis y costras por flujo aéreo seco. Cuando el tabique está desviado o se inclina hacia un lado de la cavidad nasal produce síntomas nasales.
🟢Tanto la desviación septal como la perforación septal empeoran la respiración nasal y la calidad de vida.
🟢La reparación quirúrgica de la perforación del tabique nasal es uno de los procedimientos más desafiantes en la cirugía nasal. Durante la última década se han descrito muchas técnicas endoscópicas con gran éxito. Pero aún más difícil si la perforación se asocia a una desviación severa del tabique. Pero si se puede ….
🇬🇧 Can you fix the septum deviation and septal perforation at the same time?
🟠Symptomatic septal deviation causes nasal obstruction and predisposes the patient to recurrent rhinosinusitis and to epistaxis and crusting due to drying air currents. When the septum is off-center or leans to one side of the nasal cavity it would produce nasal symptoms.
🟠Combined both septal deviation and septal perforation worsen the nasal breathing and quality of life.
🟠Surgical repair of nasal septum perforation is one of the most challenging procedures in nasal surgery. During the last decade many endoscopic techniques have been described with great success. But even more difficult if the perforation is associated with a severe deviation of the septum. But yes we can …
12/11/2021 @ 16:20
The differential diagnosis can be divided into diseases that mimic CRS and into diseases associated with CRS. The differential diagnosis of CRS includes perennial and persistent allergic rhinitis, nonallergic rhinitis, immotile cilia syndrome, immunodeficiency, hormonal rhinitis, drug-induced rhinitis, structural abnormalities, adenoidal hypertrophy, and tumors. Conditions associated with nasal polyps include asthma, aspirin intolerance, allergic fungal rhinosinusitis, Churg-Strauss syndrome, and cystic fibrosis. There is still an ongoing debate to as what is the precise role of microorganisms in chronic rhinosinusitis. Biofilms as well as mucosal immune responses to microbes may be involved in the pathology of CRS. CRS maybe aggravated by anatomic deformities like nasal septal deviations, septal perforations, and nasal valve dysfunction. A clear nasal discharge may be a manifestation of rhinitis, or of posttraumatic leakage of cerebrospinal fluid, whereas colored secretions are often encountered in the case of infectious exacerbations of rhinosinusitis. Smell dysfunction, ranging from hyposmia to anosmia and parosmia, often represents a key symptom of nasal polyps, but is also found in neurodegenerative diseases or intracranial lesions, or it may be congenital. Facial pain or headache may have an odontogenic, vascular, or neurologic origin.