TY - JOUR
TI - NASAL-SEPTUM DEFORMITY IN THE NEWBORN-INFANT DURING LABOR
AU - KORANTZIS, A
AU - CARDAMAKIS, E
AU - CHELIDONIS, E
AU - PAPAMIHALIS, T
JO - EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
PY - 1992
VL - 44
TODO - 1
SP - 41-46
PB - ELSEVIER SCI IRELAND LTD
SN - 0301-2115
TODO - 10.1016/0028-2243(92)90311-L
TODO - null
TODO - The incidence of nasal septum dislocation (NSD) was studied in 447
newborns and was found to be 17%. The aim of this study was to
establish its aetiology as well as to find ways of prevention and early
diagnosis of this obstetrical injury.
The following conclusions were drawn: (a) The high frequency of NSD is
due to the inadequate support technique (Playfair manoeuvre) currently
in use. This is true even when birth weight is normal or less than
normal. (b) The severity of injury is lessened by the degree of
experience of the obstetrician. This is why NSD is characterised as an
obstetrical injury. (c) NSD to the right is more frequent in the front
left position of occipital presentation. (d) NSD is more frequent in the
anterior part of the nose because the injury is sustained by the
anterior part of the septum. (e) The frequency of NSD was not higher in
classical forceps delivery, in caesarean section, and in spontaneous
delivery. (f) No statistically significant correlation was found between
the duration of expulsion and nasal septum dislocation (chi-2 = 4.43, p
> 0.1).
Due to present conditions, a general rhinological examination of all
neonates is necessary. The use of Metzenbaum’s sign (asymmetry of
nostrils) and Jeppesen and Windfeld’s test (pressure on the tip of the
nose), along with rhinoscopy are recommended.
Early diagnosis and treatment of NSD is of great importance, since all
complications arising from this obstetrical injury can be prevented and
normal function of the nose restored.
ER -