Types of nasal septum deviation and hearing loss in children

Lechosław P. Chmielik

Summary
Summary
Aim: Respiration is a basic function of every living organism. The human respiratory system is extremely complicated. The complicated functioning of this system has been extensively investigated, yet the system has not been fully recognized. Deviation of the nasal septum, which changes the airflow in this part of the respiratory tract, can affect the state of the paranasal sinuses as well as the functions of the auditory tube. It can also cause adenoids. In the available literature on skeletal deviations of the nasal septum and their influence on the state of hearing and, particularly, on the state of the auditory tube and middle ear, there are no uniform views. The aim of this work is to analyse the frequency of changes in tympanometry in children with a deviated nasal septum with regard to their location, shape and associated diseases.
Material and method: We analysed the medical history of 50 nasal septum patients who were treated or operated on at the Clinic of Paediatric ENT, Medical University of Warsaw, in the years 2005-2006. The analysis concerned morphology of nasal septum deviation (division according to Mladina), establishment of frequency of occurrence of conductional hypoacusia on the basis of parents´ information and audiometry examination and tympanometry performed on all children and analysis of accompanying symptoms which can cause hypoacusia in children with a deviated nasal septum.
Conclusions: Type of nasal septum deviation does not immediately cause disturbance of auditory tube function, and hence it does not cause hypocausia in children.

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