{"id":8110,"date":"2021-07-09T14:32:02","date_gmt":"2021-07-09T12:32:02","guid":{"rendered":"https:\/\/www.doctorbarret.com\/?p=8110"},"modified":"2023-03-24T12:18:20","modified_gmt":"2023-03-24T10:18:20","slug":"perforacio-del-septe-nasal-tot-el-que-necessites-saber","status":"publish","type":"post","link":"https:\/\/www.doctorbarret.com\/ca\/perforacio-del-septe-nasal-tot-el-que-necessites-saber\/","title":{"rendered":"Perforaci\u00f3 del septe nasal: tot el que necessites saber"},"content":{"rendered":"

La perforaci\u00f3 del septe nasal<\/strong> consisteix en l’aparici\u00f3 d’un orifici entre les dues fosses nasals. Algunes persones no experimenten a penes s\u00edmptomes, per\u00f2 les perforacions m\u00e9s greus poden ocasionar obstrucci\u00f3 nasal, hemorr\u00e0gies, sequedat o deformitats est\u00e8tiques<\/strong>. Amb el tractament adequat es pot reparar l’env\u00e0 perforat.<\/p>\n

Causes de la perforaci\u00f3 del septe nasal<\/h2>\n

El nas t\u00e9 dues cavitats o fosses separades per un env\u00e0 d’os i cart\u00edlag. La seva funci\u00f3 \u00e9s canalitzar el flux d’aire. Quan es produeix una perforaci\u00f3 septal<\/strong>, \u00e9s a dir, del septe nasal, totes dues cavitats queden comunicades entre si. Aix\u00f2 pot afectar en diferents graus a la qualitat de vida del pacient.<\/p>\n

La perforaci\u00f3 septal pot deure’s a diferents causes. Entre les m\u00e9s habituals es troben les seg\u00fcents:<\/p>\n

    \n
  • Cirurgia nasal pr\u00e8via<\/li>\n
  • Traumatismes o lesionis<\/li>\n
  • Infeccions nasals<\/li>\n
  • Cong\u00e8nita<\/li>\n
  • Tumors<\/li>\n
  • Tractaments amb radioter\u00e0pia<\/li>\n
  • Inflamacions<\/li>\n
  • Exposici\u00f3 a subst\u00e0ncies qu\u00edmiques industrials<\/li>\n
  • Cauteritzacions repetides en persones amb sagnat nasal<\/li>\n
  • Inhalaci\u00f3 de drogues, com la coca\u00efna<\/li>\n<\/ul>\n

    Un dels riscos de les cirurgies nasals \u00e9s la perforaci\u00f3 del septe nasal, encara que conv\u00e9 destacar que no t\u00e9 per qu\u00e8 ser conseq\u00fc\u00e8ncia d’una mala praxi.<\/p>\n

    El consum de coca\u00efna \u00e9s una de les causes freq\u00fcents de perforaci\u00f3 del septe nasal degut a la vasoconstricci\u00f3 i necrosi de la mucosa.<\/p>\n

    S\u00edmptomes i diagn\u00f2stic de la perforaci\u00f3 del septe nasal<\/h2>\n

    Les perforacions del septe nasal s\u00f3n asimptom\u00e0tiques en molts casos. No obstant aix\u00f2, alguns pacients poden experimentar importants mol\u00e8sties que ocasionen una seriosa deterioraci\u00f3 de la qualitat de vida.<\/p>\n

    Els principals s\u00edmptomes d’un septe nasal perforat s\u00f3n els seg\u00fcents:<\/p>\n

      \n
    • Obstrucci\u00f3 nasal<\/li>\n
    • Formaci\u00f3 de crostes<\/li>\n
    • Sequedat nasal<\/li>\n
    • Hemorr\u00e0gies nasals recurrents<\/li>\n
    • Xiulades en respirar<\/li>\n
    • Alteracions en l’olfacte<\/li>\n
    • Dolor facial cr\u00f2nic<\/li>\n
    • Dificultat per a pronunciar uns certs fonemes<\/li>\n
    • Deformitats est\u00e8tiques<\/li>\n<\/ul>\n

      Una perforaci\u00f3 del septe nasal en la zona anterior i superior t\u00e9 com a conseq\u00fc\u00e8ncia la deformitat del nas. El dors o la punta s’alteren ocasionant el que es coneix com a \u201cnas en cadira de muntar<\/strong>\u201d.<\/p>\n

      El diagn\u00f2stic de la perforaci\u00f3 del septe nasal es realitza mitjan\u00e7ant una endosc\u00f2pia nasal<\/strong>. Mitjan\u00e7ant aquesta exploraci\u00f3, el cirurgi\u00e0 pot localitzar el lloc concret de la perforaci\u00f3 i valorar la seva gravetat.<\/p>\n

      Les perforacions de la zona anterior s\u00f3n les m\u00e9s freq\u00fcents i les que generen m\u00e9s s\u00edmptomes. Les tomografies computades (TAC)<\/strong> permeten valorar l’estat del cart\u00edlag i os i mesurar les dimensions de la perforaci\u00f3 per a la seva posterior reconstrucci\u00f3.<\/p>\n

      Tractament de les perforacions nasals<\/h2>\n

      El tractament m\u00e8dic de les perforacions nasals<\/strong> lleus no \u00e9s complex. Sol consistir en rentades nasals, cremes hidratants, antibi\u00f2tics per a prevenir infeccions i analg\u00e8sics en cas de dolor.<\/p>\n

      No obstant aix\u00f2, en els casos m\u00e9s greus, la millor alternativa \u00e9s la reconstrucci\u00f3 del septe nasal<\/strong> mitjan\u00e7ant cirurgia. Mitjan\u00e7ant aquesta intervenci\u00f3, es tanca l’orifici i es reparen les estructures septals per a recuperar la seva funcionalitat. En molts casos s’empren empelts de teixits del propi pacient.<\/p>\n

      Amb aquesta mena de cirurgia es millora el flux aeri i es restableix la seva fisiologia<\/strong>. L’aspecte est\u00e8tic tamb\u00e9 es recupera mitjan\u00e7ant t\u00e8cniques quir\u00fargiques que retornen l’alineaci\u00f3 correcta al nas amb forma en cadira de muntar.<\/p>\n

      Els resultats de la cirurgia del nas solen ser molt bons, encara que la seva efectivitat dep\u00e8n de la localitzaci\u00f3 i la grand\u00e0ria de la perforaci\u00f3 nasal, aix\u00ed com de l’estat de l’os i el cart\u00edlag.<\/p>\n

      Si vols saber m\u00e9s sobre la cirurgia de reconstrucci\u00f3 del septe nasal, consulta amb la nostra cl\u00ednica. T’assessorarem sobre les t\u00e8cniques m\u00e9s adequades per al seu cas.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

      La perforaci\u00f3 del septe nasal consisteix en l’aparici\u00f3 d’un orifici entre les dues fosses nasals. Algunes persones no experimenten a penes s\u00edmptomes, per\u00f2 les perforacions m\u00e9s greus poden ocasionar obstrucci\u00f3 nasal, hemorr\u00e0gies, sequedat o deformitats est\u00e8tiques. Amb el tractament adequat es pot reparar l’env\u00e0 perforat. Causes de la perforaci\u00f3 del septe nasal El nas t\u00e9 […]<\/p>\n","protected":false},"author":1,"featured_media":8107,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[102,101],"tags":[],"class_list":["post-8110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia-facial","category-cirurgia-reparadora"],"yoast_head":"\nPerforaci\u00f3 del septe nasal: Causes, s\u00edmptomes i diagn\u00f2stic<\/title>\n<meta name=\"description\" content=\"La perforaci\u00f3 del septe nasal consisteix en l'aparici\u00f3 d'un orifici entre les dues fosses nasals per diferents motius.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.doctorbarret.com\/ca\/perforacio-del-septe-nasal-tot-el-que-necessites-saber\/\" \/>\n<meta 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