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The first 25 slides, exactly as they appear. The full deck has 42 content slides.
ENT
Diseases of the Nasal Septum
Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery

What’s inside
7 sections · 42 slides
Overview
- What the septum is, and why it goes wrong
- The four septal problems, in one glance
Deviation of the nasal septum
When the central wall is pushed off the midline
- Why a septum ends up crooked
- The common shapes a deviated septum takes
- How a deviated septum makes the patient feel
- Subluxation — a deviation with a double block
- Tension septum — a wall under stress
- Two numbers to anchor the deviation story
- Confirming the diagnosis of deviation
Septoplasty
Straightening the septum while keeping it a working part of the nose
- The core idea of septoplasty
- Preserving cartilage in submucosal septal surgery
- The Cottle operation: save the cartilage
- Reaching the septum through a hemitransfixion incision
- The 'swinging door' modification
- Steps of adjunctive endoscopic septal surgery
- What can go wrong after septoplasty
The pediatric nasal septum
Why operating on a child's septum needs extra caution
- Why children are a special case
- Operating gently — the chondroplastic approach
- The golden rule: when in doubt, wait
Septal hematoma and abscess
A blood pocket after injury — and the infection that can follow
- How a septal hematoma forms
- From blow to deformity: the septal hematoma pathway
- Recognising a hematoma or abscess
- Making the diagnosis
- Treatment: drain it fast, protect the cartilage
- Why speed matters — the dangerous complications
Septal perforation
A hole straight through the wall of the nose
- What causes a hole in the septum
- How a perforation announces itself
- Diagnosis: confirm the hole, rule out the cause
- Surgical repair of a perforation
- Bilateral bridge-flap closure of a septal perforation
- When surgery is not the answer: conservative care
Bringing it together
The septal essentials to carry into the clinic
- Three principles to remember
- One-page summary of septal disease
- After a child is punched in the nose, why is an urgent examination of the septum so important?
- Ear, Nose, and Throat Diseases: With Head and Neck Surgery