Open Surgical Approach and Preoperative/Postoperative Patient Analyzes in Deep Posterior Nasal Septum Deviations With Spur Formation Associated With Nose-Related Facial Pain and Headache.

Abstract

Patients with septal deviation may present with several different complaints. While they may present with nose-specific complaints such as breathlessness, they may also present with complaints such as headache and facial pain. We selected the patients in our study from the cases whose clinical complaints were breathing problems and facial pain/headaches.In this study, we evaluated 65 septorhinoplasty patients between 2010-2022 with breathing problems due to deep posterior spur formations and facial pain/headaches. We used the visual analog scale to evaluate the severity of facial pain and headaches. Computerized tomography images were obtained to evaluate airway. On computerized tomography imaging data, the proximity of the spur formation to the nasal side wall structures in axial and coronal planes and the distances in the passage width after removal in the postoperative period were measured.As a result of the data we obtained, it was observed that spur formation, an osteophytic structure located in the posterior septum, caused serious breathing complaints accompanied by headache. We adopted the view that open septal intervention is more successful in reaching this deformity, which is mostly located in the posterior part of the septum, due to the difficulty in surgical accessibility and our goal of obtaining effective surgical results.