Deviated nasal septum code according to ICD 10. Consequences of a deviated nasal septum; treatment. Deviated septum in the nose

Deviated septum in the nose - definition of ENT disease

A deviated nasal septum and associated disruption of the respiratory process can create a tendency to all kinds of allergic and inflammatory diseases of the respiratory organs, lead to nervous disorders, headaches, and negatively affect the cardiovascular and genitourinary systems. Detailed information on how to cure chronic bronchitis forever is presented in this material.

It is customary to classify deviated nasal septum into the following types:

Direct curvature of the nasal septum itself.
Thorn.
Crest.
Mixed type. It may include 2 or 3 curvature options.

a - slight curvature of the nasal septum; b — S-shaped curvature of the nasal septum; c — curvature of the nasal septum at an angle.

There is also a division into the following types of curvature of the nasal septum, characterized by the method of location:

In a horizontal or vertical plane.
One-sided or two-sided.
From the front partition or from the rear part.
With the capture of a certain area of the septum.

The most common is the curvature of the nasal septum, caused by its location on the anterior side.

A patient has a severely deviated nasal septum. Requires surgery

ICD-10 code: classification

A violation of the standard shape of the nasal septum is formed as a result of a defect in the development of the facial skeleton or mechanical trauma. On the part that has changed in shape, cartilaginous or bone thickenings in the form of a spike or ridge can often form.

Deviated nasal septum: ICD 10 code – J34.2 Displaced nasal septum.

Types of curvatures

Deviations of the nasal septum are usually divided into traumatic, physiological and compensatory, depending on the reasons that provoked this defect.

Physiological distortions. This type is caused by a violation of the normal growth of bone and cartilage tissue.
Traumatic contortions. This type is caused by mechanical damage.
Compensatory curvatures. They are caused by a cumulative violation of the anatomy of several formations of the nasal cavity.

A deviated nasal septum causes breathing problems, which negatively affects the functioning of the entire body. Therefore, it is necessary to understand the nature and type of defect in order to choose the right therapy.

Deformation of the nasal septum code according to ICD 10

Dear readers, greetings! Almost all people have a deviated nasal septum in one way or another. Perhaps some of you have undergone treatment to correct your nasal septum. Those who are undergoing such an operation are faced with a choice: what is better – treatment of a deviated nasal septum without surgery or laser treatment. Let's figure out together which option is better to choose.

Deviated nasal septum code ICD 10

The nasal septum is a wall that consists of cartilage at the front and thin bone at the back. It divides the nasal cavity into two halves. A deviated nasal septum can cause various problems with nasal breathing, and sometimes can cause it to stop completely.

All this can increase the tendency to various allergic and inflammatory diseases of the respiratory system, lead to neurotic conditions, headaches, and negatively affect the cardiovascular and genitourinary systems.

The following main types of deviated nasal septum are distinguished:

Direct deviation of the nasal septum
Thorn
Crest
Mixed, can combine 2 or 3 curvature options.

A deviated nasal septum can occur in such varieties as:

in horizontal or vertical plane
one-sided or two-sided
from the front partition or from the rear part
with capture of a certain area of the septum.

The most common deviation of the nasal septum is concentrated on the anterior side.

Deviated nasal septum: ICD code 10

A change in the shape of the nasal septum appears as a result of an abnormal development of the facial skeleton or injury. The altered part often has cartilaginous or bone thickenings in the form of a spike or ridge.

Deviated nasal septum: ICD 10 code – J34.2 Displaced nasal septum. Types and causes of deviated nasal septum

Deviation of the nasal septum is divided into traumatic, physiological and compensatory, depending on the reasons that caused it.

Physiological curvatures appear due to uneven growth of bone and cartilage tissue.
Traumatic curvatures occur as a result of mechanical damage. They may also be accompanied by fractures of the nasal bones. In babies, traumatic curvatures can occur at birth, and during childbirth, the child may experience dislocation of the cartilage of the nasal septum. Even a slight injury to the septum during growth can lead to its abnormal growth in the future.
Compensatory curvatures are a combination of anatomical disorders of several formations of the nasal cavity. The most common disorder is an enlargement of the nasal turbinates, which are constantly in contact with the septum, resulting in the formation of a curvature of the nasal septum over time.

Symptoms of the disorder The main symptoms include the following:

Difficulty breathing through the nose.
Snore.
Dry nose.
Chronic diseases such as sinusitis, sinusitis, ethmoiditis.
Allergic reactions.
Deformation of the shape of the nose.

Deviated septum in the nose - definition of ENT disease

It is customary to classify deviated nasal septum into the following types:

Direct curvature of the nasal septum itself.
Thorn.
Crest.
Mixed type. It may include 2 or 3 curvature options.

There is also a division into the following types of curvature of the nasal septum, characterized by the method of location:

In a horizontal or vertical plane.
One-sided or two-sided.
From the front partition or from the rear part.
With the capture of a certain area of the septum.

The most common is the curvature of the nasal septum, caused by its location on the anterior side.

ICD-10 code: classification

Deviated nasal septum: ICD 10 code – J34.2 Displaced nasal septum.

Types of curvatures

Deviations of the nasal septum are usually divided into traumatic, physiological and compensatory, depending on the reasons that provoked this defect.

Source: https://oncotver.ru/bolezni/krivaya-nosovaya-peregorodka.html

Causes

There are many causes of a deviated nasal septum, but otolaryngologists group them into three main groups based on the type of curvature itself:

Physiological.
Compensatory.
Traumatic.

Physiological

This group of causes of curvature is caused by impaired growth of the skull bones or congenital anomalies. Among them it is customary to distinguish:

Uneven growth of the bones of the cerebral and facial parts of the skull (accelerated growth of the cerebral part of the skull causes a decrease in the size of the nasal cavity and a bend in the nasal septum).
Uneven growth of sections of the bone and cartilage tissue of the nasal septum (faster growth of bone tissue contributes to the deformation of sections of the nasal septum consisting of cartilage tissue).
Excessive growth of the rudimentary Jacobson's organ, located in the olfactory region of the nose and consisting of a collection of nervous tissue (the fairly accelerated growth of this rudiment causes a limitation of space for adequate development of the nasal septum and its curvature).

Physiological curvature of the nasal septum

Compensatory

The group is characterized by the presence of various pathological formations in the nasal cavity:

Hypertrophy of one of the nasal conchas (an enlarged nasal concha puts pressure on the nasal septum and causes its deformation and displacement).
Tumors and polyps (large tumors disrupt nasal breathing, and the nasal septum compensates for this condition and becomes bent).

Find out about the causes of swelling of the mucous membrane without a runny nose here.

Traumatic

These reasons are associated with various mechanical damages that contribute to deformation of the nasal bones and curvature of the nasal septum. The most pronounced changes occur when the nasal bones do not heal properly after a fracture. The root cause of a deviated nasal septum cannot always be determined. This deformation is most reliably detected in children aged 13-18 years, and quite rarely makes itself felt in early childhood.

Noticing the initial stage of deformation in time means taking timely measures to influence the deformation process, avoiding possible complications.

Case history Deformation of the external nose. Deviation of the nasal septum to the left

State educational institution of higher professional education
Moscow Medical Academy named after I.M. Sechenov

Federal Agency for Health and Social Development

Department of Ear, Nose and Throat Diseases

DISEASE HISTORY

Place of work, profession

: teacher, not currently working.

receipt date

: 02/15/2010

Diagnosis on admission

: Deformation of the external nose, deviated nasal septum.

Patient complaints:

cosmetic defect of the external nose

Anamnes
morbae:
at the age of one year – injury to the nose when falling from a stroller (doesn’t remember exactly which one). After this, a deviated nasal septum was diagnosed. I was bothered by periodic nasal congestion; breathing was better through the right common nasal passage. In 2000, septoplasty was performed, according to the patient, without complications. In 2004, a nasal polypectomy was performed. The real appeal is related to the desire to change the shape of the nose.

There is no allergic history.

Denies any specific diseases.

There are no occupational hazards.

Anamnes
vitae:
Born at term, grew and developed normally. She lived in Azerbaijan from birth. She worked as a nurse, then received a higher pedagogical education and worked as a teacher. Currently not working. Not married, no children. The family history is not burdened. Denies cancer, endocrine, and cardiovascular diseases in relatives.

Nose. The skin is of normal color, palpation of the external nose and the area of the paranasal sinuses is painless. Upon examination, the wide bridge of the nose attracts attention.

With anterior rhinoscopy: the vestibule of the nose, the nasal turbinates are normal, the mucous membrane is dry, of normal color. The nasal septum is curved to the left, the left common nasal meatus is slightly reduced. There is no discharge. Nasal breathing is slightly reduced on the left, the sense of smell is preserved.

Pharynx. The oral mucosa is of normal color, the teeth are not damaged. Pharyngoscopy: soft palate, palatine arches, palatine tonsils of normal size, normal color, palatine tonsils do not protrude from the palatine arches, no plaque. The mucous membrane of the posterior pharyngeal wall is not hyperemic or hypertrophied. The cervical lymph nodes are not enlarged. With posterior rhinoscopy, the mucous membrane of the vault of the nasal part of the pharynx is of normal color, the choanae are free, the pharyngeal tonsil does not protrude, and the mouths of the auditory tubes are free.

During hypopharyngoscopy, the mucous membrane is of normal color, the lingual tonsil is not enlarged, and the pyriform sinuses are free.

Larynx. The voice is normal, sonorous, breathing is free, and no pathology was detected during external examination and examination of the cartilage. With indirect laryngoscopy, the mucous membrane is of normal color, the arytenoid cartilages and the interarytenoid space are normal, there is no asymmetry, the aryepiglottic folds, vestibular and vocal folds are of normal color, movements are symmetrical, mobility is in full range, the glottis is not narrowed, during phonation they close in full . The subglottic space is free, the visible part of the trachea is of normal color, not narrowed.

Ears. Right: the auricle is of normal color, painless on palpation, correctly formed, of normal size. In the area of the mastoid process, the skin is of normal color, palpation is painless. The external auditory canal is not narrowed, wide, about 7 mm. The eardrum is gray, not cloudy, the identification marks are clear. There is no discharge. There is no perforation of the membrane. There are no polyps or granulations, the patency of the auditory tubes is normal.

Symptoms

The most common complaint of a patient with a deviated nasal septum is a negative change in nasal breathing, which can be characterized by difficulty breathing, dryness and congestion, and the formation of (sometimes mucopurulent) discharge from the mucous structure. The most effective medications for runny nose and nasal congestion are collected at the link. In most cases, this manifestation is on one side. People with a deviated nasal septum have special manifestations of this disease:

Chronic inflammation of the sinuses (sinusitis).
Increased susceptibility to viral respiratory tract infections.
Bleeding from the nasal cavity.
Persistent discomfort in the nose.
Vasomotor rhinitis (due to excessive proliferation of blood vessels).
Pain in the nose and face.
Noisy breathing through the nose during sleep (especially in children).
Annoying snoring.
Swelling of the mucous membrane on the affected side.
Headache.
Constant fatigue.
Increased tendency to depression.
Decreased concentration and memory.

General information

Very often, patients turn to otolaryngologists with complaints that they have difficulty breathing through their nose.
As a result, after examination, very often the medical history indicates that this symptom is associated with deformation of the nasal septum. A deviated nasal septum is a condition in which the septum deviates to one or both sides of the midline. With this pathology, a person has difficulty breathing through one or both passages of the nose. Other unpleasant symptoms also occur due to difficulty in the outflow of secretions from the paranasal sinuses.

The main function of the nasal septum is to ensure uniform air flow between both lobes of the nose. If it is bent, then important functions are disrupted - warming, cleansing, moisturizing. This condition (ICD-10 code - J34.2) is one of the most common ailments of the nasal cavity.

Statistics show that a displaced septum is rarely observed in children, but in adults it is very common. About half of all people suffer to some degree from the symptoms caused by this disease. Moreover, it occurs more often in men than in women.

Possible complications and consequences

A deviated nasal septum causes a large number of negative consequences, such as:

Tendency to relapse of colds.
Rhinitis (vasomotor, hypertrophic, atrophic, allergic).
Sinusitis.
Sinusitis.
Frontit.
Tubootitis.
Otitis media
Bronchial asthma.
Spasms of the larynx.
Convulsive epileptiform seizures.
Astheno-vegetative syndrome.
Dysfunction of the heart, eyes and other organs.
Dysmenorrhea.
Decreased immunity.

To avoid the possibility of complications, it is necessary to use effective therapy at the stage of the first symptoms.

Treatment

A deviated nasal septum cannot be cured with medications alone, so correction and restoration are carried out only through surgery.

Operations to correct the nasal septum

There are two main directions for correcting deformation:

Laser intervention.
Septoplasty.

Laser intervention

Elimination of a defect of the nasal septum or laser septoplasty today has proven itself in otolaryngological practice from the best side. The technique is based on the properties of a laser to evaporate altered areas of cartilage tissue. Laser septoplasty is possible in cases where only the cartilaginous part is deformed and the cartilage has not been broken. The operation is not accompanied by bleeding, because the laser immediately “seals” the injured blood vessels. The areas of cartilage tissue to be removed are heated to the required temperature. Upon completion of the operation, the septum is installed in the correct position using gauze swabs and a plaster cast.

Advantages of laser therapy:

Bloodlessness.
Minor trauma to soft tissue and cartilage.
Antiseptic effect.
Stimulation of the immune system.
Low percentage of postoperative complications.
Short rehabilitation period.

Laser septoplasty is performed under local anesthesia and lasts 15 minutes.

Laser correction of the nasal septum

Septoplasty

Septoplasty is a surgical procedure to restore the curved shape of a deformed nasal septum. The main goal of this operation is to restore nasal breathing. Septoplasty is permitted after the formation of the nasal septum is completed. Most often it is prescribed at the age of 18-21 years; in rare exceptional cases, surgical intervention is allowed at an earlier age. This limitation is explained by the fact that until the end of the complete formation of the bone septum there is a good chance that it will recover on its own. Moreover, surgery at an early age may cause the need for another operation, since before the end of the first year of development of the nose, it may become deformed again. Septoplasty can be performed using traditional surgical techniques or through endoscopic minimally invasive methods.

The most common indications for this operation are:

Regularly worsening chronic sinusitis.
Chronic swelling of the nasal mucosa.
Recurrence of colds.
Constant itching or dryness in the nose.
Recurrent headaches or facial pain.
Snore.

Surgical treatment of deviated nasal septum

Surgery is performed under local or general anesthesia. The operation lasts approximately 1-2 hours.

Surgery, even a minor one, has a number of contraindications, so before the procedure itself it is necessary to undergo a series of studies to eliminate the likelihood of complications.

ethnoscience

There are several traditional medicine methods to eliminate the symptoms of a deviated nasal septum:

External gadgets.
Nasal rinses, nasal baths.
Taking teas and herbal infusions.
Massage. For this you need to use a propolis-based cream, apply it to the sinuses and massage.
Use of ultrasonic devices.
Breathing exercises.

Not a single traditional medicine can restore the correct shape of the septum, but only eliminates some unpleasant symptoms.

Prevention

At the moment, there is no prevention for the curvature of the nasal septum, which was formed due to improper formation of the skeleton. To prevent the traumatic type of curvature, it is recommended to avoid all kinds of traumatic situations, especially for athletes during training activities.

Emergency care for laryngospasm in children
What is grade 1 hearing loss and treatment methods are described in this article.
List of cold and flu powders: //drlor.online/preparaty/ot-prostudy-i-grippa/lechenie-specialnymi-poroshkami.html

Symptoms of perforation of the nasal septum

The appearance of a hole in the nasal septum leads to the following symptoms:

Changing the shape of the nose. This sign is observed when a hole of impressive size appears. As a result, the nose sinks and takes on a saddle-shaped appearance.
Whistles when breathing. This is observed if the hole is small.
Feeling of dryness and burning.
Formation of crusts in the perforation area.
Constant nasal congestion.
Thick or thin discharge from the nose. They may have bloody or purulent impurities and an unpleasant odor.