Kent S E, Reid A P, Nairn E R, Brain D J
Walsgrave Hospital, Coventry.
J R Soc Med. 1988 Mar;81(3):132-5. doi: 10.1177/014107688808100305.
In a review of 1000 consecutive neonates of all races, nasal septal deformity was identified in 29, an incident of 2.9%; significantly fewer cases were found in negroid babies (0.1 greater than P greater than 0.05). Ten cases (35%) underwent manipulation of the deviated septum. Six-monthly review revealed that symptoms associated with the septal deformity are rare. In 7 (44%) of the 16 cases not manipulated, the septum straightened spontaneously during the first few months of life. The appearance of the deviation is not of a dislocation of the caudal edge of the cartilage but a smooth concavity. In vitro compression of the neonatal nasal cavity reproduced this C-shaped deformity, but only temporarily. Histological serial sections of 6 postmortem nasal cavities showed that the high laminae of the vomer prevent any caudal dislocation of the septal cartilage.
在对1000名各族裔连续新生儿的回顾研究中，发现29例鼻中隔畸形，发生率为2.9%；在黑人婴儿中发现的病例明显较少（0.1＞P＞0.05）。10例（35%）接受了鼻中隔偏曲矫正手术。六个月的复查显示，与鼻中隔畸形相关的症状很少见。在16例未接受手术的病例中，有7例（44%）在出生后的头几个月内鼻中隔自行变直。鼻中隔偏曲的外观不是软骨尾缘的脱位，而是光滑的凹陷。对新生儿鼻腔进行体外挤压可重现这种C形畸形，但只是暂时的。对6个死后鼻腔进行的组织学连续切片显示，犁骨的高板层可防止鼻中隔软骨的任何尾侧脱位。
