CT Assessment of Nasal Septal Deviations | ||
| SVU-International Journal of Medical Sciences | ||
| Volume 8, Issue 2, July 2025, Pages 680-693 PDF (585.64 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2025.425623.2285 | ||
| Authors | ||
| Ahmad Mokhtar Abodahab* ; Ebtsam Ahmed Mohammed Abdelbary | ||
| Radiology Department , Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| Abstract | ||
| Background The nasal cavities represent complex anatomical structures characterized by significant variability in their functional roles. Nasal septal deviation (NSD) is a prevalent condition observed in both clinical assessments and radiological evaluations. The deviation exhibits a range of shapes, directions, and levels of significance, which can influence patient complaints and management strategies, alongside other associated pathologies involving the paranasal sinuses. Although the initial assessment is conducted through an ENT clinical examination, computed tomography (CT) is recognized as the principal diagnostic tool for evaluating NSD. Objectives: To assess variants of nasal septum deviation by computed tomography. Patients and methods: a retrospective study involving 50 patients (33 males and 17 females) who underwent non-enhanced CT scans of the paranasal sinuses and were diagnosed with various forms and degrees of NSD, all without a documented history of nasal trauma. The study focused on aspects such as type, direction, maximum distance of deviation from the midline, and associated pathologies. Results: CT scanning is the predominant imaging modality for diagnosing a deviated nasal septum. This study concluded that NSD occurs more frequently in males than in females. The analysis identified three primary types of NSD: Curve, Spur, and Z shape, with Spur being the most frequently observed type. Generally, the maximum distance of deviation was found to be less than 1.5 cm. Conclusion: CT imaging is the optimal approach for a comprehensive assessment of deviated nasal septum, crucial for both accurate diagnosis and effective treatment planning. | ||
| Keywords | ||
| Computed Tomography; Nasal Septum Deviation; Paranasal Sinuses | ||
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