Radiographic Study Of Nasal Septal Body In Patients With Chronic Rhinosinusitis And Deviated Nasal Septum” A 1 Year Observational Study.

Abstract

Background : The Nasal Septal Body or Nasal Swell Body (NSB) is present in the anterior part of the septum situated superior to the level of inferior turbinare and anterior to middle turbinate. When compared to the rest of the septum, it contains thicker cartilage and mucosa. The structural features of septal body and its location may allow it to influence and regulate nasal airflow. The NSB effect on nasal physiology is similar to that of the inferior turbinate, hence few authors refer septal body as the septal turbinate. Various terminologies are used in the literature to describe this distinct structure as nasal septal body, nasal swell body, septal turbinate, intumescentia nasi anterior, anterior septal tubercle, and Kisselbach’s body. In case of long-standing inflammation the hypertrophied turbinate mucosa undergoes fibrosis, once fibrosis starts it is hard to inverse, hence conservative modality of treatment like corticosteroids and decongestants are less likely to benefit. In the same way, the nasal septal body can develop hypertrophic change and affect the nasal airflow in longstanding inflammation of the nasal cavity. Objective : Aim of our study is to compare the radiographic changes in Nasal Septal Body (NSB) in patients with Chronic Rhinosinusitis (CRS) and Septal deviation (DNS).