Literary study of nasal septum deviation: major considerations on the clinical anatomy

Introduction: The nasal septum wall, located midline in the nasal cavity, is formed by the perpendicular lamina of the ethmoid, the vomer and the cartilage of the nasal septum, but can deviate to both sides (right or left) in the nasal cavity. , for various reasons such as congenital disorders, inflammatory diseases, infectious or even trauma, causing the deviated septum. Objective: The aim of this study was to perform a literature review study on the clinical anatomy of nasal septum deviation. Methodology: The article is a literature review study. A cadaverous specimen from the Human Anatomy Laboratory of the University of Brazil was used as a reference for demonstrating the nasal septum and septal deviation. The systematic survey was conducted through electronic scientific articles from Google Scholar, Virtual Health Library (VHL), Scielo and books from the Brazil University. The following keywords were used: Nasal Septum Deviation. Anatomy. Rhinoplasty The study was developed in the second semester of 2019, summarizing and transcribing the most relevant points of septum deviation. Results: Clinically, most cases of septal deviation are asymptomatic, however, some may have nasal obstruction related to symptoms such as dyspnea, snoring, sleep apnea, headache, and predisposition to sinusitis and epistaxis due to increased paranasal infections. Importantly, in symptomatic cases, it is necessary to perform a surgical procedure to correct the nasal septum, septoplasty. However, postoperatively it may present complications such as fever, vomiting, pain, nosebleeds, rapidly recovering sinusitis, synechiae, and adherence, but if treated properly, they may recover rapidly. Conclusion: It is concluded that the deviated septum affects a large part of the population, being mostly asymptomatic. However, there are symptomatic cases that require surgical correction through septoplasty, mainly. In such a procedure, complications may occur, but if properly treated, they have a rapid recovery.