Sooknundun M, Kacker S K, Bhatia R, Deka R C
Int J Pediatr Otorhinolaryngol. 1986 Nov;12(1):65-72. doi: 10.1016/s0165-5876(86)80059-3.
Nasal septal deviation (DNS) occurs more frequently during childhood although it occurs at any age due to trauma. Recently, it has been increasingly recognized that nasal septal deviation is seen also at birth and a number of explanations for this occurrence is forwarded. Awareness of such occurrence and its recognition at birth both by pediatricians and obstetricians is essential for early interventional management of this condition in close collaboration with the otorhinolaryngologists. Closed surgical intervention of this defect carried out early after it was detected at birth benefitted the afflicted in terms of nasal airway improvement and its maintenance resulting in normalization of its anatomy and physiology in long term follow-up. Septal deviation detected at birth if left alone without interventional procedure continues to persist. It is furthermore accompanied by statistically valied symptoms like upper respiratory infections, cough, earache, ear discharge, fever, mouth breathing and at times feeding difficulty during infancy and childhood. Long term follow-up of children who underwent closed surgical correction of DNS at birth, revealed no untoward effects such as nasofacial disproportion or retardation of facial growth. Early interventional management of DNS detected at birth therefore appears to be a safe procedure. It can even be performed by neonatologists or an obstetrician. Such an intervention procedure early in life can prevent septoplasty surgery at a latter date besides preventing a number of nasal airway-related conditions.
鼻中隔偏曲（DNS）在儿童期更为常见，不过由于外伤，在任何年龄都可能发生。最近，人们越来越认识到鼻中隔偏曲在出生时也可见，并且对此现象提出了多种解释。儿科医生和产科医生在出生时对这种现象的认识及其识别，对于与耳鼻喉科医生密切合作对该病症进行早期干预管理至关重要。在出生时检测到这种缺陷后尽早进行的闭合性手术干预，从改善鼻腔气道及其维持方面使患者受益，在长期随访中导致其解剖结构和生理功能正常化。如果在出生时检测到鼻中隔偏曲而不进行干预措施，它会持续存在。此外，在婴儿期和儿童期，它还伴有统计学上有效的症状，如上呼吸道感染、咳嗽、耳痛、耳流脓、发热、口呼吸，有时还伴有喂养困难。对出生时接受DNS闭合性手术矫正的儿童进行长期随访，未发现诸如鼻面部不对称或面部生长迟缓等不良影响。因此，对出生时检测到的DNS进行早期干预管理似乎是一种安全的手术。甚至新生儿科医生或产科医生也可以进行。这种在生命早期的干预措施除了预防一些与鼻腔气道相关的病症外，还可以避免后期的鼻中隔成形术。
