Deviation of the nasal septum versus adenoid hypertrophy

Lechosław P. Chmielik, Mieczysław Chmielik

Summary
Introduction: In world and Polish literature, there are only few and contradictory reports describing the relationship between nasal septum deviations and the function of immune organs of upper respiratory tracts. Therefore we performed an analysis of medical histories of children hospitalized at the Department of Paediatric Otorhinolaryngology of the Medical University of Warsaw between 1999 and 2004, for the purpose of surgical treatment nasal septum deviations.
Material: One hundred and four medical histories were submitted to examination. The analysis consisted in establishing the type of septal deviation and its possible convergence with third tonsil hypertrophy. The material was submitted for statistical workout. Based on obtained results, conclusions were drawn and proceeding schemes suggested.
Method: Cottle´s and Mladina´s classifications were adopted to assess the septal deviation. Evaluation of the adenoid hypertrophy was carried out based on radiological photographs or computed tomography images of nasal sinuses. A c² test was adopted to perform statistical assessments.
Results: Adenoid hypertrophy was detected in 22.12% of cases. Statistical methods gave a test result of c²=2.012. This value is smaller than the critical value for the test. Hence, in the examined material, no interrelation was observed between the nasal septum deviation and adenoid hypertrophy. However, result of the testing method is near – critical.
Conclusions: No statistically significant interrelation between nasal septum deviation and adenoid hypertrophy was ascertained.

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