Nasal septum deviation with severe obstruction

The nasal septum is a nasal structure that is anatomically and physiologically has a very important role. Various degrees of nasal septal deformity are present at birth and are thought to increase with age. The diagnosis of septal deviation is established based on clinical symptoms, physical examination and supporting examinations. Investigations such as nasoendoscopy, paranasal sinus X-ray, computer tomography, Peak Nasal Inspiratory Flow (PNIF), Rhinomanometry and Acoustic Rhinometry can be performed to assess the anatomical structure of the nose, nasal obstruction caused, as well as complications from septal deviation.

An 18-year-old man came to the ENT clinic at Sanglah Hospital Denpasar with complaints of an aquiline nose since two years ago. Complaints are accompanied by complaints of nasal congestion and headaches. Two years ago, the patient was hit on the nose by his friend. Assess complaints of nasal obstruction using the Nasal Obstruction Symptom Evaluation (NOSE) score to get a score of 60. In this case, the open septoplasty technique was chosen because the patient had a severe degree of nasal obstruction, often had headaches, and the patient also complained of cosmetic problems because the deviation to the contralateral side was evident on the outside of the nose.