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Page 87
Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Clinical implications of the nasal septal deformities
Marin Šubarić
University North in Varaždin, Croatia
T
he first attempts to systematize septal distortions have been given by Cottle who defined four groups of septal
deformities: subluxation, large spurs caudal deflection and tension septum. Fortunately, the variations of the
nasal septal deformities show a certain order, thus enabling more precise classification. Mladina was the first to
make user-friendly classification of nasal septal deformities in six basic types. He also described the seventh type,
named “Passali deformity”, which presents individually, but always well-defined combination between some of
the previous six types. Mladina types of nasal septal deformities (NSD) are divided in two main groups: so called
“vertical” deformities (types 1, 2, 3 and 4), and “horizontal” ones (types 5 and 6). This classification was immediately
well accepted by rhinologist’s world wide and started to be cited from the very beginning. Since then it has been
continuously cited increasingly more often, thus making Mladina classification a gold standard whenever clinical
researches on nasal septum are concerned. More than fourteen clinical studies based on this classification have been
published so far. It is extremely important to be familiar with the particular types of NSD since every single of them
plays a specific role in the nasal and general pathophysiology in man. To know the classification have the importance
also from the forensic point of view: the court expert witness has a great chance and possibility to make a reliable and
sustainable finding for the court needs.
Otolaryngol (Sunnyvale) 2019, Volume 09