Computed Tomography (CT) Unveils Associated Pathology of Deviated Nasal Septum

Abstract

Background and Objective: Computed Tomography (CT) is the workhorse in the nose and paranasal sinus imaging and depicts not only the complex three-dimensional anatomy, but also the extent of disease and the wide range of anatomic normal variations that are of great importance to the endoscopic septal and sinus surgery. Nasal obstruction is the most frequent presentation to the otolaryngologist all over the world with septal deviation. Septoplasty is the common surgical procedure performed in nasal septal deviation. Physical examination, anterior rhinoscopy (AR) and nasal endoscopy (NE) are considered the gold standard tools to detect septal deviation. This study aimed to find out septal deviation with associated pathologies of nose and paranasal sinuses by using CT scan.Patients and Methods: 188 patients of nasal septal deviation were selected from 2015 to 2019. Age ranged in between 10 year to 70 year of age. CT scanning in both coronal, axial and sagittal sections had been done in all patients after proper history taking, physical examination, anterior rhinoscopy and nasal endoscopy. Endoscopic septoplasty alone and/or other ancillary procedures were performed in all 188 patients under general anesthesia.