Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

2012 ◽  
Vol 126 (8) ◽  
pp. 784-788 ◽  
Author(s):  
A Y Korkut ◽  
F Islim ◽  
S Gulseven Ciftci ◽  
R Dogan ◽  
O Gedikli ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Group Versus ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Septum Deviation ◽  
Turbinate Hypertrophy ◽  
Nasal Septum Deviation ◽  
Traumatic Group ◽  
The Difference ◽  
Inferior Turbinate Hypertrophy

AbstractObjective:To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.Methods:The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.Results:The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).Conclusion:The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

scholarly journals COMPUTED TOMOGRAPHIC EVALUATION OF INFERIOR TURBINATE HYPERTROPHY IN ADULT INDO-DRAVIDIAN PATIENTS WITH DEVIATED NASAL SEPTUM

2017 ◽  
Vol 10 (7) ◽  
pp. 342
Author(s):  
Niranjan Sahu ◽  
Satyasundar G Mohapatra ◽  
Siba Narayan Rath ◽  
Rabindra Nath Padhy
Keyword(s):  
Nasal Septum ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Total Width ◽  
Deviated Nasal Septum ◽  
Maximum Width ◽  
Turbinate Hypertrophy ◽  
Group I ◽  
Group Ii ◽  
Inferior Turbinate Hypertrophy

Objective: Aim of the study was to evaluate the prevalence and significance of inferior turbinate hypertrophy (ITH) in adult indo-dravidian patients with deviated nasal septum (DNS). Methods: Analysis of sinonasal computerized tomography (CT) images of 86 patients having DNS was done during October 2015-December 2016 for evaluation of severity of the associated ITH. Values of maximum width of medial mucosa, bone and total width of the turbinate were measured. Patients with inflammatory or expansile sinonasal masses were excluded. Results: Total 86 patients with varying degrees of septal deviation with ages ranging from 18 to 72 years (mean age of 42.8 years) were distributed as: Group I, mild cases and Group II, moderate and severe DNS cases. Patients having ITH on the contralateral side of deviation were included in the study group. The dimensions of the ITH were evaluated. The medial mucosal component of the ITH underwent maximum hypertrophy as compared to bone and lateral mucosa components. The average medial mucosa, bone and total turbinate widths of the inferior nasal concha as well as lateral offset in Group II DNS cases were 5.21 mm, 1.76 mm, 9.96 mm and 8.74 mm, respectively. Total width and width of medial mucosa of ITH in relation to the severity of septal deviation was statistically significant (p=0.0001 and 0.0098). Conclusion: Present study evaluated the relationship between DNS and compensatory ITH. The findings support the decision to excise the inferior turbinate at the time of septoplasty, because of the significant mucosal expansion.

Relationship between Septal Body Size and Septal Deviation

2011 ◽  
Vol 25 (6) ◽  
pp. 397-400 ◽  
Author(s):  
Jennifer Setlur ◽  
Parul Goyal
Keyword(s):  
Body Size ◽  
Inferior Turbinate ◽  
Moderate Deviation ◽  
Septal Deviation ◽  
Body Width ◽  
Turbinate Hypertrophy ◽  
Nasal Anatomy ◽  
The Mean ◽  
The Difference ◽  
Inferior Turbinate Hypertrophy

Background Previous studies have described inferior turbinate hypertrophy compensatory to a septal deviation. The septal body contains vasoactive tissue that may behave in a manner similar to the inferior turbinate. The septal body, situated in the nasal valve region, may undergo changes that alter nasal anatomy and airflow patterns. The goal was to compare the size of the septal body to the laterality of septal deviation. The aim was to determine whether there is a correlation between the laterality of septal deviation and laterality of septal body prominence. Methods Measurements were obtained from 100 sinus computerized tomography scans that were retrospectively reviewed. The degree of septal deviation, the size of the septal body, and the correlation between these measurements were assessed. Results The mean septal body width was 9.3 mm. The degree of septal deviation was classified as mild in 27 cases, moderate in 36 cases, and severe in 27 cases. In 99 of 100 cases, the septal body was larger on the side opposite the nasal septal deviation, and this was statistically significant (p < 0.05). The difference in septal body thickness ipsilateral and contralateral to a septal deviation was found to correlate with the degree of septal deviation. Mean difference in septal body size was 3.98 mm in cases with severe septal deviation, 1.97 mm in cases with moderate deviation, and 1.21 mm in cases with mild septal deviation. Conclusion The septal body is more prominent contralateral to a septal deviation. These findings are similar to those seen with inferior turbinate hypertrophy. The results indicate that septal body hypertrophy may play a role in regulating nasal airflow and may contribute to nasal obstruction.

scholarly journals Nasal septal angle deviation: effect on lateral wall in nasal obstruction

2018 ◽  
Vol 7 (1) ◽  
pp. 90
Author(s):  
Neha Bagri ◽  
Kavirajan K. ◽  
Ranjan Chandra ◽  
Yatish Agarwal ◽  
Neetika Gupta ◽  
...  
Keyword(s):  
Ct Scan ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
P Value ◽  
Lateral Nasal Wall ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

Background: Deviation of the nasal septum (DNS) refers to the convexity of the septum to one side disturbing the nasal physiology with obstructed nasal breathing leading to lateral nasal wall abnormalities and paranasal sinuses (PNS) mucosal disease. Knowledge of nasal morphological parameters plays an important role in planning successful nasal surgery. Our aim was to evaluate the angle of septal deviation (ASD) on CT scan and study its influence on the lateral nasal wall abnormalities and PNS mucosal disease.Methods: A prospective cross-sectional observational study was conducted on 130 patients with clinical evidence of DNS and chronic sinusitis. The direction and severity of DNS was recorded on CT scan along with evaluation of lateral nasal wall and sinus mucosal abnormalities.Results: Increasing ASD had statistically significant correlation with the lateral nasal wall abnormalities, most commonly, contralateral middle and inferior turbinate hypertrophy (p-value <0.0001). No significant association was found with the incidence of ipsilateral or contralateral osteomeatal complex (OMC) obstruction and sinus mucosal disease.Conclusions: The direction and severity of septal deviation has significant impact on contralateral middle and inferior turbinate hypertrophy. The analysis of these ancillary pathologies can be of great help to the surgeon in better management of patients with nasal obstruction.

scholarly journals Evaluation of The Relationship of Nasal Septum Deviation With Pharyngeal Airway and Cervico-Craniofacial Measurements on Cephalometric Analysis

2020 ◽  
Author(s):  
Sanaz Sadry ◽  
Ufuk Ok ◽  
Didem Öner Özdaş
Keyword(s):  
Nasal Septum ◽  
Control Group ◽  
Pharyngeal Airway ◽  
Septum Deviation ◽  
Postural Changes ◽  
Nasal Septum Deviation ◽  
Package Program ◽  
Orthodontic Patients ◽  
The Difference ◽  
Relationship Of

Abstract Purpose: The aim of this study is to evaluate the effects of nasal septum deviation on the pharyngeal airway and cervico-craniofacial measurements on cephalometrics. Methods: The present study examines the skeletal and functional relationship of airway and septum deviation on the panoramic and cephalometric images of 50 patients with indication of orthodontic treatment, who were refeered to XXXXX University Faculty of Dentistry Departments of Pedodontics and Orthodontic for various reasons. Material of the study consists of 50 patients, including 25 patients (11 females and 9 males) with nasal septum deviation and 25 (12 females and 8 males) control group individuals without nasal septum deviation (23 females and 17 males; mean age: 10.1 ± 0.7 years). Results: The obtained data were evaluated using SPSS (21.0) package program. Regarding the data analysis, Mann-Whitney U Test Statistics was used for the analysis of two-variable data. (P>0.05). The difference between the groups was statistically significant (p<0.05) in the group with nasal septum deviation with regard to nasopharynx (af-pf1), vertical airway length (Eb-pm), and cervical colon curvature (OPT/CVT). Conclusion: Orthodontic patients detected with a nasal septum deviation of 4 mm and more on their panoramic radiographs are susceptible of various pharyngeal airway and cranio-cervical postural changes.

scholarly journals Comparing the outcome of septoplasty and septoplasty with turbinectomy in patients with deviated nasal septum

2019 ◽  
Vol 5 (5) ◽  
pp. 1185
Author(s):  
Nayanna Karodpati ◽  
Mayur Ingale ◽  
Sharad Rawat ◽  
Vinayak Kuradagi
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Symptom Improvement ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Turbinate Hypertrophy ◽  
Symptom Evaluation ◽  
Postoperative Symptoms ◽  
Inferior Turbinate Hypertrophy

<p class="abstract"><strong>Background:</strong> Deviated nasal septum is a bodily disorder results in nasal obstruction. Many surgical procedures are available in correcting the disorder. The present study aimed to compare the surgical outcome of septoplasty alone and septoplasty with turbinectomy in patients with deviated nasal septum.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done on 50 patients attending to the department of ENT of Dr. D. Y. Patil Medical College and Hospital, DPU with complaints of nasal obstruction due to inferior turbinate hypertrophy with deviated nasal septum. The severity of nasal obstruction was assessed by NOSE (nasal obstruction symptom evaluation) scale. Of them, 25 patients were managed with septoplasty alone and other 25 patients with septoplasty and turbinectomy. The outcome of both the procedures was assessed statistically by using NOSE scale.  </p><p class="abstract"><strong>Results:</strong> Postoperative symptom improvement was seen in the both groups following surgery (p&lt;0.05). When the NOSE scores are compared between two groups, statistically significant improvement in the symptoms (NOSE score) was seen in the group of patients treated with septoplasty and turbinectomy compared to septoplasty alone (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> This study re-iterates both septoplasty and concurrent turbinectomy are established mode of treatment in deviated nasal septum along with hypertrophy of inferior turbinates when the preoperative and postoperative symptoms are compared. However, the symptomatic outcomes and diagnostic nasal endoscopic findings are significantly better in patients who underwent septoplasty with concurrent resection of the inferior turbinate. </p>

Bilateral Antrochoanal Polyps: An Analysis from Four Cases

2016 ◽  
Vol 50 (4) ◽  
pp. 173-175
Author(s):  
Prachi Jain ◽  
Lokesh K Penubarthi ◽  
Eshaan Kaushik
Keyword(s):  
Nasal Septum ◽  
Close Association ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Easy Access ◽  
Rare Entity ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

ABSTRACT Bilateral antrochoanal polyps (ACPs) are a rare entity. We studied four cases of bilateral ACPs that presented to us. We found a close association of allergy (75%) and chronic rhinosinusitis (CRS) (50%) as etiological factors. The anatomical factors like deviated nasal septum (75%), inferior turbinate hypertrophy (50%), and concha bullosa (25%) are also commonly associated with bilateral ACPs. Endoscopic sinus surgery was performed in all the patients with special emphasis to correct the anatomical factors. Inferior meatal antrostomy was performed in two cases to allow easy access of the angled microdebrider blade for clearing the polyp from the anterolateral and anterosuperior limits of the antrum. After a mean follow-up period of 23 months, no recurrence was found. How to cite this article Virk RS, Penubarthi LK, Gupta AK, Jain P, Kaushik E. Bilateral Antrochoanal Polyps: An Analysis from Four Cases. J Postgrad Med Edu Res 2016;50(4):173-175.

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