Deviated Nasal Septum III—Its Influence on the Physiology and Disease of the Nose and Ear

Gray, Linsay

doi:10.1017/s0022215100067943

Cited by 53 publications

(22 citation statements)

References 33 publications

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“…Many pediatric maxillo‐facial surgeries rely upon current assumptions about maxillary ontogeny and expected spatial relationships between traits. Nasal septoplasty, for example, is often performed at young ages, sometimes as early as a few weeks post‐natal (Gray, ; Emami et al, ). This procedure surgically severs the juncture between the vomer/nasal septal cartilage and the nasal floor, and then realigns the structure to the right or left to fix a deviated septum (Gray, ).…”

Section: Discussionmentioning

confidence: 99%

The ontogeny of nasal floor shape variation in extant humans

Nicholas

Franciscus

2014

American J Phys Anthropol

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Variation in nasal floor topography has generated both neontological and paleontological interest. Three categories of nasal floor shape (Franciscus: J Hum Evol 44 (2003) 699-727) have been used when analyzing this trait in extant humans and fossil Homo: flat, sloped, and depressed (or "bi-level"). Variation in the frequency of these configurations within and among extant and fossil humans has been well-documented (Franciscus: J Hum Evol 44 (2003) 699-727; Wu et al.: Anthropol Sci 120 (2012) 217-226). However, variation in this trait in Homo has been observed primarily in adults, with comparatively small subadult sample sizes and/or large age gradients that may not sufficiently track key ontogenetic changes. In this study, we investigate the ontogeny of nasal floor shape in a relatively large cross-sectional age sample of extant humans (n = 382) ranging from 4.0 months fetal to 21 years post-natal. Results indicate that no fetal or young infant individuals possess a depressed nasal floor, and that a depressed nasal floor, when present (ca. 21% of the sample), does not occur until 3.0 years postnatal. A canonical variates analysis of maxillary shape revealed that individuals with depressed nasal floors were also characterized by relatively taller anterior alveolar regions. This suggests that palate remodeling at about 3.0-3.5 years after birth, under the influence of tooth development, strongly influences nasal floor variation, and that various aspects of dental development, including larger crown/root size, may contribute to the development of a depressed nasal floor. These results in extant humans may help explain the high frequency of this trait found in Neandertal and other archaic Homo maxillae.

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Section: Discussionmentioning

confidence: 99%

The ontogeny of nasal floor shape variation in extant humans

Nicholas

Franciscus

2014

American J Phys Anthropol

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“…The fluid shift will lower the intracellular osmolarity and causes swelling of the cell (21), it is stated that cochlear function is determined both by osmolarity and electrolyte composition of the endolymph (9) (11) (29) (44).…”

Section: Discussionmentioning

confidence: 99%

The relationship between electrolyte balance and cochlear disturbances in cases of renal failure

1970

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DURING the period extending from 5 November 1964 to 28 May 1967, 114 cases with variable grades of renal failure were otologically examined. The renal insufficiency was under medical or dialytic control and the otological examination was carried out both before and after treatment. Out of these 114 cases, 71 were fully conscious and well orientated so that audiometric examination could be done properly. Clinical examination of the external and middle ear was done and revealed no abnormality.Cochlear affection was manifested as deafness; which in turn was always peripheral (end-organ) as evidenced by the audiometric examination and recruitment test. The results of audiometric study were classified into five main groups (22) according to the percentage of hearing loss as being calculated by the American Medical Association method (24).Out of the 71 renal failure cases examined audiometricaHy; 9 cases (12-7 per cent), showed no hearing loss (Group 0), 9 cases (i2-7percent) showed mild deafness (group I), 22 cases (30-9 per cent) showed moderate deafness (group II), 19 cases (26-8 per cent) showed severe deafness (group III) and 12 cases (16-9 per cent) showed very severe deafness (group IV).Biochemical examination of the blood including blood urea, serum sodium and potassium was done in all cases. The correlation between serum sodium level and the degree of hearing loss was estimated and statistically evaluated in different groups of blood urea levels in the form of scatter diagram (46) Fig. 1.The ninety-five percentile fiducial limits (19) (47) were calculated in each individual group. It was clearly seen that in the cases showing second, third and fourth degrees hearing loss both upper and lower fiducial limits lie opposite the range of hyponatraemia.Another analysis was done between the percentage hearing loss and the blood urea level, and was evaluated at different groups of serum sodium levels (Fig. 2).Similar correlative studies were made between the degree of hearing 1 From the Ear, Nose and Throat Department.

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“…This may be secondary to mechanical obstruction by the deviated septum or by local accumulation of mucosal tissue fluid secondary to a narrowed nasal passage, based on the Bernoulli phenomenon. 6 The compromised sinus outlets then result in poor aeration of the sinuses leading to "vacuum" or "hypoxia" headaches. 7…”

Section: Commentsmentioning

confidence: 99%

Headaches Associated With Nasal Obstruction Due to Deviated Nasal Septum

Low

Willatt

1995

Headache

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A deviated nasal septum not only can cause a blocked nose, but may also be associated with headaches. This study evaluates the nature of these headaches, the effect of submucous resection of the nasal septum, and the factors associated with postoperative headache relief. Deviated nasal septa were corrected by submucous resection in 99 men and 17 women. Patients were studied at 4 to 48 months (mean 18 months) postoperatively. Fifty-five of the 116 patients studied (47.4%) had preoperative recurring headaches. Thirty-five of the 55 patients with headaches (63.6%) experienced relief (complete or partial) of their headaches at a mean follow-up period of 18 months. Patients were more likely to be relieved of their headaches following submucous resection if the headaches were most intense over the frontal region, pressurelike in nature, and if the submucous resection resulted in relief of nasal obstruction. It is possible that headaches recur in the long term, and it is postulated that central mechanisms play a role.

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Deviated Nasal Septum III—Its Influence on the Physiology and Disease of the Nose and Ear

Cited by 53 publications

References 33 publications

The ontogeny of nasal floor shape variation in extant humans

The ontogeny of nasal floor shape variation in extant humans

The relationship between electrolyte balance and cochlear disturbances in cases of renal failure

Headaches Associated With Nasal Obstruction Due to Deviated Nasal Septum

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