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ENT

Diseases of the Nasal Septum

Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery

What’s inside

7 sections · 42 slides

  1. 01

    Overview

    • What the septum is, and why it goes wrong
    • The four septal problems, in one glance

    2 slides

  2. 02

    Deviation of the nasal septum

    When the central wall is pushed off the midline

    • Why a septum ends up crooked
    • The common shapes a deviated septum takes
    • How a deviated septum makes the patient feel
    • Subluxation — a deviation with a double block
    • Tension septum — a wall under stress
    • Two numbers to anchor the deviation story
    • Confirming the diagnosis of deviation

    7 slides

  3. 03

    Septoplasty

    Straightening the septum while keeping it a working part of the nose

    • The core idea of septoplasty
    • Preserving cartilage in submucosal septal surgery
    • The Cottle operation: save the cartilage
    • Reaching the septum through a hemitransfixion incision
    • The 'swinging door' modification
    • Steps of adjunctive endoscopic septal surgery
    • What can go wrong after septoplasty

    7 slides

  4. 04

    The pediatric nasal septum

    Why operating on a child's septum needs extra caution

    • Why children are a special case
    • Operating gently — the chondroplastic approach
    • The golden rule: when in doubt, wait

    3 slides

  5. 05

    Septal hematoma and abscess

    A blood pocket after injury — and the infection that can follow

    • How a septal hematoma forms
    • From blow to deformity: the septal hematoma pathway
    • Recognising a hematoma or abscess
    • Making the diagnosis
    • Treatment: drain it fast, protect the cartilage
    • Why speed matters — the dangerous complications

    6 slides

  6. 06

    Septal perforation

    A hole straight through the wall of the nose

    • What causes a hole in the septum
    • How a perforation announces itself
    • Diagnosis: confirm the hole, rule out the cause
    • Surgical repair of a perforation
    • Bilateral bridge-flap closure of a septal perforation
    • When surgery is not the answer: conservative care

    6 slides

  7. 07

    Bringing it together

    The septal essentials to carry into the clinic

    • Three principles to remember
    • One-page summary of septal disease
    • After a child is punched in the nose, why is an urgent examination of the septum so important?
    • Ear, Nose, and Throat Diseases: With Head and Neck Surgery

    4 slides