Desviación del tabique nasal en poblaciones pediátricas y adultas
El artÃculo " Desviación del tabique nasal en poblaciones pediátricas y adultas " de Reitzen SD, Chung W, Shah AR explora la prevalencia y las posibles causas de la desviación del tabique nasal en diferentes grupos de edad. Utilizando tomografÃas computarizadas (TC) y resonancias magnéticas (IRM) de 81 pacientes a los que se les realizaron imágenes de cabeza y cuello por diversos motivos, el estudio divide a los sujetos en cuatro categorÃas de edad: menores de 4 meses; 4 meses a menos de 5 años; 5 a 15 años; y más de 15 años.
El estudio introduce una nueva medida llamada "tortuosidad" para examinar y comparar el grado de desviación del tabique nasal entre estos grupos. La tortuosidad se define como la relación entre la longitud real del tabique y su longitud ideal (recta). Los hallazgos indican que los sujetos menores de 5 años exhiben una tortuosidad del tabique nasal significativamente menor en comparación con los niños mayores y los adultos, lo que sugiere una mayor frecuencia de desviación del tabique nasal en estos últimos grupos.
Estas observaciones llevan a los autores a concluir que la desviación del tabique nasal ocurre con mayor frecuencia en niños mayores y adultos, lo que implica una etiologÃa no congénita en la mayorÃa de los casos. Sin embargo, estos hallazgos no descartan el crecimiento continuo del tabique nasal durante la infancia y la posibilidad de una predisposición genética al desarrollo posterior de un tabique nasal desviado.
Este estudio es importante porque utiliza una medida uniforme para comparar la desviación del tabique nasal por primera vez en diferentes grupos de edad, lo que proporciona información que puede sugerir que la mayorÃa de las desviaciones del tabique nasal se desarrollan posnatalmente en lugar de estar presentes al nacer (Reitzen, Chung y Shah, 2011).
The video in this post has been transcribed using an automated service. Please forgive any typographic errors or other transcription flaws.
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Dr. Shah:
I'm gonna be talking about a scientific article I published and why it's relevant to almost anyone listening. First of all, this article we're talking about deviated septum. For those who don't know, the septum is that bone that divides your nose into two different halves. And according to most studies, 80% of the population to 85% of the population has a deviated septum according to like real life knowledge. And me looking at osis, I actually think it's closer to 95% or higher. And the question is, why are there so many deviated septums? What's causing this? So that is the genesis of the study. The initial thought was we would look at neonates, and neonates are basically babies under the age of one. Compare those to toddlers and compare those to adults. And in this study we kind of wanted to find out where are the deviated septums, when are they occurring?
And then can we kind of come up with any co conclusions of why they're occurring? And so in neonates, we didn't really find deviated septums happening. So what that means is either birth trauma or genetics, we're not really seeing that. Cause like you're not born with a deviated septum because your parents had a deviated septum. When you go into the toddler age and you go into the adult age, that's when you start to see deviated septum and that's when they start to appear to occur. So the question is why do they occur? So why do they occur? I think it's two factors. One factor is gonna be microtraumas and traumas. You have, and this just comes from experience of having uh, three kids. Lots of times they'll have little accidents that happen with their kids and they fall down and things of that nature. And no one really reports that.
But I think those microtraumas might influence the nose a little bit on how it's growing and can cause some deviation. The second thing that could potentially cause that is the nose itself. As it's growing, the septum grows, it runs out of space and it tends to tilt a go to the side. And that's that part of the septum that's deviated that most people don't recognize. So take home message. If you do have a deviated septum, which you probably do if you're listening to this, don't blame mom and dad. Maybe blame a sibling who may have pushed you down when you're little or that bully. And then know that there's different ways of correcting it if you need to.