S.Zh. Dzhandaev, T.R. Kudasov, N.M. Papulova, T.M. Azhenov, S.A. Klimantsev Kazakh State Medical Academy Astana, Kazakhstan In 110 examined patients with traumatic disease of the nose (TDN), fibroendosconia or rigid endoscopy with 0° and 30° endoscopes were used to clarify the features of changes in the intranasal structures, nasal mucosa and nasopharynx. After anemization (0.1% adrenaline hydrochloride solution) and topical anesthesia (2% dicaine solution), the vestibule and anterior sections of the nasal cavity, inferior nasal meatus, choanae, nasopharynx, middle nasal meatus, olfactory slit and the area of ??the superior nasal meatus were sequentially examined. Attention was paid to the condition of the nasal valve, the presence, nature and localization of deformities of the nasal septum (NS), inferior and middle turbinates. According to our data, the predominant type of intranasal structure disorders (89.1 ± 3.0%) in patients with TBN was nasal septum deformation, somewhat less common (70.0 ± 2.9%) were hypertrophy of the nasal turbinates, narrowing of the nasal valve (MV) (40.0 ± 4.7%), and columella dislocation (31.8 ± 4.4%). In a third of patients with TBN (33.7 ± 4.8%), we observed S-shaped NP, in 26 (26.5 ± 4.5%) of the examined patients, NP deformation was caused by a ridge, approximately the same number of patients had angular (15.3 ± 3.6%) and combined (14.3 ± 3.5%) curvature, and in 8.2 ± 2.8% - C-shaped NP curvature. In the majority of patients with TBN (70.4±4.6%), the curvature of the NS was localized simultaneously in the cartilaginous and bony sections; isolated deformations of the cartilaginous (18.4±3.9%; P<0.001) and bony (11.2±3.2%; P<0.001) fragments of the nasal septum occurred significantly less frequently. In more than half of the examined patients (55.1±3.0%), the protruding part of the deformed NS occupied 2/3 of the corresponding half of the nose; in 34 (34.7±4.8%) patients, it was in contact with the lateral wall of the nose. And only in 10 (10.2±3.0%) people, the deviation of the NS did not exceed 1/3 of the distance between the midline and the lateral wall of the nasal cavity. Hypertrophy of the nasal turbinates was more common in patients with TBN duration from 1 to 5 years or more (78.2±5.6% of cases) and less common in those examined with TBN duration less than 1 year (61.2*6.6%). We observed turbinate narrowing in 54 (49.1±4.8%) patients with TBN: unilateral - in 44 (81.5±5.3%) and bilateral - in 10 (18.5±5.3%) people. In most cases, turbinate narrowing was due to NP deformation (51.9±6.8% of those examined). turbinate narrowing was more often detected in patients with rhinoscoliosis (68.5±6.3% of patients), less common in those examined with rhinokyphosis (14.8±4.8%) and rhinolordosis (9.3±3.9%). In the majority of patients with TBN (78.2%), damage to the anatomical elements of the nasal cavity were of a combined nature. Most frequently (43.7±4.7% of those examined), we observed a combination of three disorders: deformation of the NP, hypertrophy of the nasal turbinates, and narrowing of the NC. Less frequently, displacement of the NP was combined only with hypertrophy of the nasal turbinates (26.4±4.2% of patients). A combination of deformation of the NP with narrowing of the NC was found in 5.4±2.2%, and with dislocation of the columella - in 2.7±1.5% of patients with TBN. The frequency of combined disorders of the intranasal structures in the examined patients generally did not depend on the type of TBN. Thus, the combination of NP deformation with the above-mentioned changes in patients with rhinoscoliosis amounted to 87.0±4.0%, in patients with rhinokyphosis - 86.7±8.8%, with rhinolordosis - 76.9±11.7% (P> 0.05). According to our data, combinations of various damages to the anatomical elements of the nasal cavity dominated in the group of patients with deformation of the bone (87.5±4.4%) and osteochondral (84.2±5.9%) sections of the NN, compared with patients with isolated disorders of the cartilaginous section of the nose (31.3±11.6%). Interpreting the research results, it should be emphasized that the listed changes in the intranasal structures have an extremely negative effect on the state of the functional mechanisms of the nose and occupy a special place among the factors contributing to the emergence and development of chronic pathology of the nasal mucosa and the ONP. However, a more complete understanding of the patterns of pathogenetic changes in the nasal cavity with IFN can only be obtained by taking into account the results of functional studies.