Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T08:37:16.314Z Has data issue: false hasContentIssue false

The Relationship of nasal septal deformity and palatal symmetry in neonates

Published online by Cambridge University Press:  29 June 2007

S. E. Kent*
Affiliation:
Consultant ENT Surgeon, Warrington District General Hospital, Cheshire.
W. P. Rock
Affiliation:
Senior Lecturer in Children's Dentristry and Orthodontics, University of Birmingham Dental School.
S. S. Nahl
Affiliation:
Registrar in Otolaryngology, Walsgrave Hospital, Coventry.
D. J. Brain
Affiliation:
Consultant ENT Surgeon, Queen Elizabeth Hospital, Birmingham.
*
MrS. E. Kent, F.R.C.S., Consultant ENT Surgeon, Department of Otolaryngology, District General Hospital, Lovely Lane, Warrington WA5 1QG.

Abstract

Results are reported of a study to evaluate possible associations between nasal septal deformity and palatal symmetry in neonates.

Five hundred babies, born consecutively, were examined within three days of birth. Prenatal and delivery data were recorded for each baby and the nose was examined to determine airway patency and possible septal deformity. When a deviation of the septum was discovered an alginate impression of the palate was taken along with photographs of the nostrils. A matched control was then selected for each study group baby and similar records were obtained.

Only 14 cases of septal deformity were found, an incidence of 2.8 per cent. No evidence of palatal asymmetry was found. The theory that moulding pressures during delivery may be a major cause of nasal septal deformity was not supported.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alpini, D., Costi, A., Brusq, E., Bini, A. (1986) Septal deviation in newborn infants. International Journal of Pediatric Otorhinolaryngology, 11: 103108.CrossRefGoogle ScholarPubMed
Gray, L. P. (1974) Deviated nasal septum—Incidence and Etiology. Medical Journal of Australia, 1: 557563.CrossRefGoogle Scholar
Gray, L. P. (1978) Deviated nasal septum. Annals of Otology, Rhinology and Laryngology, 87: Supplement 50.CrossRefGoogle ScholarPubMed
Gray, L. P. (1980) Relationship of septal deformity to snuffy noses, poor feeding and sticky eyes and blocked nasolacrimal ducts. International Journal of Pediatric Otorhinolaryngology, 2: 201215.CrossRefGoogle Scholar
Harkavy, K. L., Scanlon, J. W. (1978) Dislocation of the nasal triangular cartilage after Caesarian section for breech presentation without labour. Journal of Pediatrics, 92: 162.CrossRefGoogle Scholar
Jazbi, B. (1974) Nasal septum deformity in the newborn, diagnosis and treatment. Clinical Pediatrics, 13: 953956.CrossRefGoogle ScholarPubMed
Jazbi, B. (1977) Subluxation of the nasal septum in the newborn. Otolaryngologic Clinics of North America, 10: 125138.CrossRefGoogle ScholarPubMed
Jeppesen, F., Windfield, I. (1972) Dislocation of the nasal cartilage in the newborn. Acta Obstetrica et Gynecologica Scandinavia, 51: 515.CrossRefGoogle ScholarPubMed
Kent, S. E., Reid, A. P., Nairn, E. R., Brain, D. J. (1988) Neonatal septal deviations. Journal of Royal Society of Medicine, 81: 12581262.CrossRefGoogle ScholarPubMed
Mackenzie, M. (1880) Manual of diseases of the nose and throat. London. Publishers Churchill, 2, p 432.Google Scholar
Ruano-Gil, D., Montserrat-Viladiu, J. M., Vilanova-Trias, J., Burges-Vila, J. (1980) Deformities of the nasal septum in human foetuses. Rhinology, 18: 105109.Google ScholarPubMed