Curvature of the Nasal Septum in Children

What is the Nasal Septum Curvature in Children?

Curvature of the nasal septum is a violation of the structure of the cartilage, which separates the two sides of the nasal cavity. The nasal septum is the wall between the left and right sides of the nose. It is a flexible cartilage covered in skin that has many blood vessels. Ideally, the nasal septum should be exactly in the center, so that the left and right parts of the nose are the same. In about 80% of children, the nasal septum is slightly off center, although most people will never notice.

Curvature of the nasal septum is a common disorder in children. Curvature of the nasal septum can cause breathing problems or nasal discharge. The most common symptom when curving the nasal septum is difficulty breathing through the nose, children are prone to the occurrence of inflammatory and allergic diseases of the respiratory system.

Deviations of the septum develop during the growth of the child. Violation of the nasal septum usually develops starting from the age of 7, at a time when permanent teeth begin to erupt and the jaw expands. The teeth and facial part of the skull reach their final shape at the age of 20-25 years. Partial curvature can be diagnosed in young children, aged 3-4 years old, very rarely in children under 3 years old.

Causes of Curvature of the Nasal Septum in Children

The following reasons can affect the appearance of a curvature of the nasal septum:

  • Congenital etiology. The formation of the nose in the prenatal period.
  • Damage to the nose during childbirth.
  • Injuries: a blow to one side of the nose, often occurs during contact sports, on the playground during the game, during a traffic accident.

Pathogenesis during the Curvature of the Nasal Septum in Children

In children with a curved nasal septum, one side of the nose is wider. This changes the structure of the air flow in the nose, and sometimes blocks the narrowed side. A slight change is not considered a pathology.

As a rule, air flows evenly, i.e. on both sides of the septum, in the nasal cavity. With the correct nasal septum, the air flow is moistened, heated and filtered before entering the maxillary sinuses. Curvature of the nasal septum changes the air flow, which in turn leads to irritation of the mucous membrane of the nasal cavity, maxillary sinuses and nasopharynx. Due to constant irritation, the mucous membrane swells and narrows the openings of the nose, maxillary sinuses and Eustachian tube. This can cause pathological processes in the sinuses and middle ear.

Curvature can occur in any part of the nasal septum (rarely in the bone). The partition can be curved only in one direction, or in both directions, in the form of the letter S.

Often in children with this disorder, the sense of smell is impaired. If the deviation develops slowly and gradually, the patient does not feel that his breathing is difficult, as he gradually gets used to it, and such a violation of the blocking of breathing becomes “natural”.

In some cases, these disorders can cause sinus infections (prolonged or recurrent sinusitis). The consequences of such disorders are headache, sinusitis, ear diseases, pharyngeal problems, nosebleeds, snoring, etc.

This disorder is aggravated in the case of concomitant diseases and disorders, including swelling of the mucous membrane. Symptoms can grow exponentially if the curvature of the septum is combined with other diseases. For example, if there is a blockage due to an allergy in combination with a curvature of the septum, then the feeling of blockage increases, which can lead to the development of sinusitis and the formation of a polyp.

Blocked nasal breathing due to a curved septum has a negative effect on the auditory tubes. Acute or chronic ear problems sometimes appear due to septal disorders.