Kawalski H, Spiewak P
Science and Instruction Base of the Silesian Academy of Medicine, Truchana, Poland.
Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):23-30. doi: 10.1016/s0165-5876(98)00036-6.
The authors have examined the nasal septum in 273 newborns. Nasal septal deformations have been divided into anterior, posterior and anterior-posterior groups. Newborns have been divided into age groups within 12-h time sections. The incidence of nasal septal deviations in the group of newborns born by spontaneous labour has been compared with the incidence of nasal septal deviations in the group of newborns born by Caesarean section. A much more frequent occurrence of anterior nasal septal deviation has been found in children born by spontaneous labour. It testifies to the importance of birth injury, which leads to anterior nasal septal deformation. The incidence of nasal septal deviations in the particular 12-h age groups has been compared. It has been proved by means of linear and exponential regression that the septum is straightened spontaneously in its anterior section during the first 3 days of life. Therefore a decision about surgical intervention should be taken in the case of older newborns.
作者检查了273名新生儿的鼻中隔。鼻中隔畸形被分为前部、后部和前后部组。新生儿被按12小时时间段划分为不同年龄组。将自然分娩出生的新生儿组中鼻中隔偏曲的发生率与剖宫产出生的新生儿组中鼻中隔偏曲的发生率进行了比较。发现在自然分娩出生的儿童中，前鼻中隔偏曲的发生率要高得多。这证明了出生损伤的重要性，它会导致前鼻中隔变形。对特定12小时年龄组中鼻中隔偏曲的发生率进行了比较。通过线性和指数回归证明，在出生后的头3天内，鼻中隔前部会自发变直。因此，对于较大的新生儿应做出手术干预的决定。
