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
2016 ◽  
Vol 95 (12) ◽  
pp. 487-491 ◽  
Author(s):  
Hasan H. Balikci ◽  
M. Mustafa Gurdal ◽  
Saban Celebi ◽  
Isa Ozbay ◽  
Mustafa Karakas

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.


2005 ◽  
Vol 133 (6) ◽  
pp. 949-953 ◽  
Author(s):  
Corey C. Moore ◽  
Ian MacDonald ◽  
Ralph Latham ◽  
Michael G. Brandt

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


2019 ◽  
Vol 30 (4) ◽  
pp. 1221-1227 ◽  
Author(s):  
Hatice Güzelküçük Akay ◽  
Nuray Bayar Muluk ◽  
Mikail Inal ◽  
Gökçe Şimşek ◽  
Rahmi Kiliç

2021 ◽  
Vol 32 (2) ◽  
pp. 118-124
Author(s):  
Joo Young Woo ◽  
Soo Kweon Koo ◽  
Tae Kyung Koh ◽  
Chang Lok Ji ◽  
Geun Hyung Park

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erika Denour ◽  
Lauren O. Roussel ◽  
Albert S. Woo ◽  
Michael Boyajian ◽  
Joseph Crozier

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shishir Ram Shetty ◽  
Saad Wahby Al Bayatti ◽  
Natheer Hashim Al-Rawi ◽  
Vinayak Kamath ◽  
Sesha Reddy ◽  
...  

Abstract Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB and NSD on the dimensions of the hard palate using cone-beam computed tomography (CBCT). Materials and methods A retrospective study was conducted using CBCT scans of 200 study subjects. The study subjects were divided into four groups based on the presence of CB and NSD. Septal deviation angle (SDA), palatal interalveolar length (PIL), palatal depth (PD) and maxillopalatal arch angle (MPAA) were measured in the study groups. Results The presence of NSD and CB was associated with significant (p < 0.001) differences in the palatal dimensions of the study subjects. The PIL and MPA (p < 0.001) were significantly reduced (p < 0.001), whereas the PD was significantly increased (p < 0.001) in study subjects with NSD and CB. There was no significant change in the palatal dimensions between the unilateral and bilateral types of CB. Among the palatal dimensions, the PIL had the most significant association (R2 = 0.53) with SDA and CB. There was a significant correlation between the palatal dimensions and SDA when CB was present along with NSD. Conclusion Based on the results of this study, it can be concluded that the presence of NSD and CB have a significant effect on the palatal dimensions and, therefore, they may be associated with skeletal malocclusion.


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