Septopalatal Protraction for Correction of Nasal Septal Deformity in Cleft Palate Infants

2005 ◽  
Vol 133 (6) ◽  
pp. 949-953 ◽  
Author(s):  
Corey C. Moore ◽  
Ian MacDonald ◽  
Ralph Latham ◽  
Michael G. Brandt
Keyword(s):  
Computed Tomography ◽  
Cleft Palate ◽  
Nasal Septum ◽  
Airflow Obstruction ◽  
Septal Deviation ◽  
Nasal Airflow ◽  
Nasal Septal Deviation ◽  
Paired Student ◽  
Angle Deviation ◽  
Computed Tomography Scans

OBJECTIVE: It is proposed to test the practicality of septopalatal protraction in the unilateral cleft palate infant for purposes of straightening the nasal septum and thus relieving nasal airflow obstruction and its detrimental sequelae. METHODS: Alternate infants affected with complete unilateral palatal clefts had septopalatal protraction for a period of 6 to 8 weeks (protraction group; n = 4). Septal deviation was measured by a standardized technique that used computed tomography scans. The remaining infants had no protraction and served as controls (nonprotraction group; n = 5). Septal deviation was measured in the nonprotraction group from palatoseptal dental molds. RESULTS: A total of 9 patients were studied. All patients in the nonprotraction group had worsening of nasal septal deviation over a period of 8 weeks compared with the protraction group, which had complete nasal septal straightening. Differences in septal angle deviation between the protraction group and nonprotraction group at the end of the study were statistically significant ( P ≤ 0.01) as measured by the paired Student t test. CONCLUSIONS: Septopalatal protraction in the newborn appears to provide a means for correcting nasal septal deviation in complete unilateral cleft palate infants. Septopalatal protraction in the newborn is relatively easy and safe. EBM RATING: B-2

scholarly journals Relationships among Concha Bullosa, Nasal Septal Deviation, and Sinusitis: Retrospective Analysis of 296 Cases

2016 ◽  
Vol 95 (12) ◽  
pp. 487-491 ◽  
Author(s):  
Hasan H. Balikci ◽  
M. Mustafa Gurdal ◽  
Saban Celebi ◽  
Isa Ozbay ◽  
Mustafa Karakas
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
Causal Relationship ◽  
Significant Relationship ◽  
Septal Deviation ◽  
Concha Bullosa ◽  
Sinus Disease ◽  
Nasal Septal Deviation ◽  
Computed Tomography Scans ◽  
Paranasal Sinus Computed Tomography

We aimed to investigate the relationships among concha bullosa (CB), nasal septal deviation (NSD), and sinus disease. We retrospectively reviewed paranasal sinus computed tomography scans obtained from 296 patients—132 men and 164 women, aged 17 to 76 years (median: 39)—who had been evaluated over a 19-month period. CBs were classified as lamellar, bulbous, and extensive. In cases of bilateral CB, the larger side was designated as dominant. In all, 132 patients (44.6%) exhibited pneumatization of at least one concha, 176 (59.5%) had NSD, and 187 (63.2%) had sinus disease. Some 89 of 106 patients with unilateral or one-side-dominant CB (84.0%) had NSD, 89 of 132 patients with CB (67.4%) had sinus disease, and 109 of the 176 patients with NSD (61.9%) had sinus disease. We found a statistically significant relationship between CB and contralateral NSD, but no significant relationship between CB and sinus disease or NSD and sinus disease. While CB is a common anatomic problem that may accompany NSD, a causal relationship between CB or NSD and sinus disease is dubious.

Acoustic Rhinometry and Computed Tomography Scans for the Diagnosis of Nasal Septal Deviation, With Clinical Correlation

2000 ◽  
Vol 123 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Bulent Mamikoglu ◽  
Steven Houser ◽  
Imran Akbar ◽  
Bernard Ng ◽  
Jacquelynne P. Corey
Keyword(s):  
Computed Tomography ◽  
Septal Deviation ◽  
Acoustic Rhinometry ◽  
Clinical Correlation ◽  
Nasal Septal Deviation ◽  
Computed Tomography Scans

Analysis of Nasal Septal Deviation in Cleft Palate and/or Alveolus Patients Using Cone-Beam Computed Tomography

2014 ◽  
Vol 151 (2) ◽  
pp. 226-231 ◽  
Author(s):  
Meng Jiang ◽  
Meng You ◽  
Shuai Wang ◽  
Ke Wang ◽  
Bin Feng ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cleft Palate ◽  
Cone Beam Computed Tomography ◽  
Septal Deviation ◽  
Cone Beam ◽  
Nasal Septal Deviation

Morphological consequences of lateral outfracture of the inferior turbinate

2013 ◽  
Vol 127 (3) ◽  
pp. 323-328 ◽  
Author(s):  
B C Hanna ◽  
N Bailie ◽  
G Gallagher ◽  
J Cole
Keyword(s):  
Computed Tomography ◽  
Computer Modelling ◽  
Lateral Displacement ◽  
Inferior Turbinate ◽  
The Other ◽  
Nasal Airflow ◽  
Computed Tomography Scans ◽  
Appreciable Reduction

AbstractObjective:We report three cases of lateral outfracture of the inferior turbinate, which demonstrate a range of changes in the size, position and shape of the inferior turbinate.Method:During a study of the validity of computer modelling of nasal airflow, computed tomography scans of the noses of patients who had undergone lateral outfracture of the inferior turbinate were collected. The pre-operative scan was compared with the post-operative scan six weeks later.Results:In one patient, there was only a small lateral displacement of the inferior turbinate. In the other two cases, appreciable reduction in the volume of one inferior turbinate was noted, in addition to minor changes in the shape.Conclusion:Lateral outfracture of the inferior turbinate produces varied and inconsistent changes in morphology which may affect the shape, size and position of the turbinate.

scholarly journals A Study on the Incidence of Orbital Wall Defects in Patients with Nasal Septal Deviation Using Computed Tomography

2021 ◽  
Vol 32 (2) ◽  
pp. 118-124
Author(s):  
Joo Young Woo ◽  
Soo Kweon Koo ◽  
Tae Kyung Koh ◽  
Chang Lok Ji ◽  
Geun Hyung Park
Keyword(s):  
Computed Tomography ◽  
Septal Deviation ◽  
Nasal Septal Deviation ◽  
Orbital Wall

Quantification of Nasal Septal Deviation With Computed Tomography Data

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erika Denour ◽  
Lauren O. Roussel ◽  
Albert S. Woo ◽  
Michael Boyajian ◽  
Joseph Crozier
Keyword(s):  
Computed Tomography ◽  
Septal Deviation ◽  
Nasal Septal Deviation ◽  
Tomography Data

Septal Cartilage Graft for Nasal Valve Incompetence Associated with Deviated Septum

2007 ◽  
Vol 21 (5) ◽  
pp. 622-625 ◽  
Author(s):  
Paolo Paccoi ◽  
Valerio Di Peco
Keyword(s):  
Nasal Septum ◽  
Airflow Obstruction ◽  
Inferior Turbinate ◽  
Lateral Wall ◽  
Septal Cartilage ◽  
Cartilage Graft ◽  
Nasal Airflow ◽  
Nasal Valve ◽  
Respiratory Impairment ◽  
Major Factors

Background The nasal valve is one of the major factors contributing to nasal airflow obstruction. Physiologically, the nasal valve offers the greatest resistance to nasal airflow and generally functions as an inflow device controlling nasal airflow and resistance. Many patients who have complaints of breathing impairment are affected by alterations of the nasal septum, the turbinates, the columellar base, the vestibule floor, or the lateral wall of the nose but may have associated incompetence of the nasal valve, which is too often undervalued by nasal surgeons. The aim of this study was to propose a relatively easy surgical technique to correct most nasal valve impairments associated with nasal septum deviation whether or not there also is inferior turbinate hypertrophy. Methods Between May 2004 and September 2006, 68 patients (26 women and 42 men; mean age, 37 years; range, 16–71 years) underwent primary or secondary functional nasal surgery, because of a nasal respiratory obstruction caused by nasal septal deviation eventually associated with inferior turbinates hypertrophy, and also demonstrated nasal valvular incompetence. A septal cartilage graft was used to correct the valvular incompetence. Results On postoperative visits almost all of the patients (with one exception) showed a remarkable improvement in the stiffening of the valvular region and had only minimal depression of the nostril during deep inspiration. Conclusion This study indicated that septal grafts were useful in the surgical management of nasal respiratory impairment because of nasal valve incompetence, where there had been flaccid mobile collapse of the ala of the nose associated with septal alterations.

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