Deviated Septum in Newborns Causes Care
Deviated Septum in Newborns Causes Care A deviated septum occurs when the thin wall separating the two nostrils—the nasal septum—is displaced or crooked. While this condition is more common in adults, it can also be present in newborns, often unnoticed until breathing issues arise. Understanding the causes and care options for a deviated septum in infants is essential for parents and caregivers to ensure healthy development and comfort for the child.
In newborns, a deviated septum can be congenital, meaning it develops during fetal growth. During pregnancy, factors such as genetic influences or abnormal development of the facial structures can lead to a septal deviation. Additionally, trauma during childbirth—especially if the delivery is difficult or involves instrumental assistance—may cause the septum to be displaced. Although rare, birth injuries involving forceps or vacuum extraction have been associated with nasal cartilage damage, leading to deviation.
Environmental factors and intrauterine positioning might also play minor roles, but congenital causes remain the primary reason for deviations seen in infants. It’s noteworthy that many infants are born with minor deviations of the septum that may not cause symptoms; however, if the deviation is significant, it can interfere with normal nasal breathing, which is crucial during early development.
Breathing difficulties are often the first sign that prompts concern. In infants, a deviated septum may manifest as noisy breathing, nasal congestion, or difficulty feeding due to nasal obstruction. Some babies might also exhibit restless sleep or episodes of apnea. Since infants are obligate nasal breathers—meaning they primarily breathe through their noses—any obstruction can significantly affect their oxygen intake and overall well-being.
Diagnosing a deviated septum in newborns entails a careful clinical examination by a pediatrician or an ENT specialist. They might use a gentle nasal endoscope or otoscope to visualize the nasal passages. In some cases, imaging studies such as nasal X-rays or CT scans are considered if the deviation appears severe or if other structural abnormalities are suspected.
Treatment approaches depend on the severity of the deviation and the associated symptoms. Mild deviations that do not cause significant obstruction often require no intervention, as the nasal passages can often adapt as the child grows. For infants experiencing substantial breathing difficulties, especially if linked to other anomalies, medical management may include saline nasal sprays, humidification, and gentle nasal suctioning to keep the passages clear.
In persistent or severe cases where the deviation causes ongoing respiratory issues, surgical intervention, such as septoplasty, might be considered once the child is older—typically after the facial bones have matured. However, surgical correction in infants is rare and generally reserved for exceptional situations, given the risks and the potential for natural improvement over time.
Preventive measures focus on minimizing trauma during birth and ensuring a safe environment. Early consultation with healthcare providers can help identify issues quickly, facilitating timely management. Parents should watch for signs of breathing difficulty, feeding problems, or unusual nasal congestion and seek professional advice promptly.
In summary, a deviated septum in newborns can originate from congenital factors or birth trauma. While many cases are mild and resolve naturally, significant deviations require careful diagnosis and tailored management to ensure the child’s comfort and healthy development. Ongoing advances in pediatric ENT care continue to improve outcomes for affected infants, emphasizing the importance of early detection and appropriate intervention.
