When only one of the nasal chambers is obstructed by a notable deviation of the septum, the immediate effect produced is a relative increase in the amount of respired air passing through the unobstructed nostril. This increased respiration through the unobstructed nostril causes increased functional activity of the mucous membrane and deeper structures, in order that the inspired air may be properly warmed and moistened. Such increased functional activity necessarily causes hyperemia of the parts, particularly of the tissues constituting the middle and inferior turbinal bodies. The increased blood-supply, together with the enlargement and proliferation of the over-acting mucous glands and cells of the deeper tissues, soon leads to enlargement from hyperplasia of the tissues involved, which may be regarded as a true compensatory hypertrophy. This change is first and most markedly shown in the tissues opposite the greatest concavity of the deflection, which in the majority of cases is
VANSANT EL. PATHOLOGIC CHANGES OCCURRING IN THE UNOBSTRUCTED NOSTRIL IN CASES OF DEVIATED SEPTUM. JAMA. 1900;XXXIV(14):850–851. doi:10.1001/jama.1900.24610140018001f
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: