KMID : 0361020000430090946
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Korean Journal of Otolaryngology - Head and Neck Surgery 2000 Volume.43 No. 9 p.946 ~ p.951
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The Causes and Frequency of Neonatal Septal Deformities
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Jung Dong-Hak
Park Seung-Won Jang Tae-Young Kim Min-Wook Lim Jung-Hyuk Jun Hye-Sun
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Abstract
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Background and Objectives: Nasal septal deformities have been reported at all ages and in all races. Many factors have been reported as being causative factors in nasal deformities. Among the factors, birth trauma was first reported by Metzenbaum as being a causative factor in nasal deformities, and das since been reported by many other authors. The aim of this study was to find if birth trauma is a cause of nasal septal deformities and to assess the frequency of neonatal septal deformities in Korean neonates.
Material and Method: The experiment was performed in a randomized group op neonates. A number of 602 neonates aged 1 - 2 days have been examined in a two-month period. A number of 278 neonates were born by natural vaginal delivery (group A), 264 by elective cesarean section (group B) and 60 by emergency cesarean section (group C). The nasal septa of neonates were examined by otoscope, cotton wool test and strut test.
Result: The septal deformities have been found in 66 neonates of group A (23.74%), in 32 of group B and C (p<0.05). In the group A neonates with septal deformity, however, the correlations between parity and septal deformity and between birth weight and septal deformity were not statistically significant (p>0.05). The overall incidence of septal deformities in the investigated neonates was 18.1% in this study.
Conclusion: Birth trauma is a causative factor of neonatal septal deformities.
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KEYWORD
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Neonates, Nasal septal deformity, Birth, Trauma
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