Occurrence of deviated nasal septum in terms of angles and its relation with sinus disease in patients of chronic rhinosinusitis: a computed tomography scan study

Background: The intention of this study was to evaluate angles of nasal septal deviation by measuring angle of nasal septal deviation on computerized tomography of the para nasal sinuses (CT PNS) and to study the effect of increasing septal angle on chronic sinusitis. No other study in the literature has measured exact angle of septal deviation in terms of degrees.Methods: A prospective cross-sectional observational study was carried out from September 2015 to August 2017 and 57 patients with diagnosis of having chronic sinusitis, were evaluated with CT PNS (coronal and axial views). Results: Most patients of chronic rhinosinusitis had septal deviation in grade III, followed by grade II, then grade I.Conclusions: This study concludes that higher the angle of septal deviation, higher the incidence of CRS and vice versa.

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CLINICAL FEATURES AND THE DEFORMITIES OF NASAL SEPTUM IN CHRONIC RHINOSINUSITIS PATIENTS

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.6.6 ◽

2018 ◽

Vol 8 (6) ◽

pp. 40-49

Author(s):

Thanh Dang ◽

Trang Tran Minh

Keyword(s):

Ct Scan ◽

Nasal Cavity ◽

Chronic Rhinosinusitis ◽

Clinical Features ◽

Septal Deviation ◽

Nasal Discharge ◽

Cross Sectional ◽

Nasal Septal Deviation ◽

Study Results ◽

The Relationship

Objectives: To study clinical features and the deformities of nasal septal in chronic rhinosinusitis patients and the relationship between nasal septal deformities (NSDs) and chronic rhinosinusitis. Patients and method: The research including 94 patients over 16-year-old diagnosed NSDs with nasosinusal syndromes who underwent nasal endoscopic and sinus CT scan from April 2017 to May 2018, by cross sectional descriptive study. Results: Main funtional symtoms are nasal obstruction 96.8%, nasal discharge 89.4%, headache 71.3% and hyposmia 42.6%. The most prevalent morphologies of nasal septal is deviation (51.0%); NSDs in area 4.5 of the nasal cavity according to Cottle are more common than area 1,2,3 (68.1%); The level of nasal septal deviation caused about two-third obstruction of the nasal cavity is most common (55.3%). There was a statistically significant relationship between the level of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusitis: the more obstruent NSDs caused in nasal cavity, the heavier gravity of chronic rhinosinusitis had and the rate of bilateral sinusitis more increased. Conclusion: We found the relationship between the morphology of nasal septal deformities and the severity of chronic rhinosinusitis based on clinical features, the relationship between the gravity of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusities. Key words: nasal septal deformities, chronic rhinosinusitis

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What Is the Relationship Between Chronic Sinus Disease and Isolated Nasal Septal Deviation?

Yearbook of Otolaryngology-Head and Neck Surgery ◽

10.1016/s1041-892x(08)70198-7 ◽

2006 ◽

Vol 2006 ◽

pp. 230

Author(s):

M. Gapany

Keyword(s):

Septal Deviation ◽

Sinus Disease ◽

Nasal Septal Deviation ◽

The Relationship

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Intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Journal of Chitwan Medical College ◽

10.3126/jcmc.v9i1.23785 ◽

2019 ◽

Vol 9 (1) ◽

pp. 47-51

Author(s):

Sanjeev Kumar Thakur ◽

Baleshwar Yadav ◽

Raj Kumar Bedajit ◽

Akash Agrahari ◽

Sanjay Kumar Singh ◽

...

Keyword(s):

Cross Sectional Study ◽

Nasolacrimal Duct ◽

Septal Deviation ◽

Nasolacrimal Duct Obstruction ◽

P Value ◽

Deviated Nasal Septum ◽

Cross Sectional ◽

Duct Obstruction ◽

Turbinate Hypertrophy ◽

Septal Spur

Background: Primary acquired nasolacrimal duct obstruction (PANDO) is a common entity with associated different types of intranasal abnormalities. The pathogenesis of PANDO is unknown. The objective of the study was to describe the intranasal findings in cases of PANDO and find out any association of these findings to the disease. Methods: A comparative cross-sectional study was designed consisting of 50 cases of unilateral PANDO with epiphora and 50 normal volunteers with no history of epiphora. Nasal Evaluation was done with anterior rhinoscopy and nasal endoscopy. Data was tabulated and analyzed using SPSS version 21. Results: The mean age in the unilateral PANDO group was 33.6 years and 34.5 years in the normal volunteer’s group (P-0.84). Left sided dominance of PANDO was observed in 64% (32/50) cases. The odds of having Nasolacrimal duct (NLD) obstruction was1.6 times more among individuals having septal deviation versus no deviation (95% CI, 0.907–2.78). The laterality of septal deviation was corresponding to the side of NLD obstruction in 91% (31/34) cases. High located DNS was more common in the PANDO group which was significant (P-value 0.012). Turbinate hypertrophy, the presence of septal spur or rhinitis had no significant association with NLD obstruction. Conclusions: Deviated nasal septum (DNS), turbinate hypertrophy, septal spur and rhinitis were the associated intranasal findings in cases of unilateral PANDO. A significant association exists between DNS and PANDO, although a cause and effect relation require further probing.

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

Ear Nose & Throat Journal ◽

10.1177/014556131609501209 ◽

2016 ◽

Vol 95 (12) ◽

pp. 487-491 ◽

Cited By ~ 8

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.

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PERBEDAAN LUARAN FUNGSIONAL PASIEN STROKE ISKEMIA AKUT DENGAN KONDISI HIPOALBUMINEMIA DAN TANPA HIPOALBUMINEMIA

Callosum Neurology ◽

10.29342/cnj.v1i1.5 ◽

2018 ◽

Vol 1 (1) ◽

pp. 32-39

Author(s):

Dewa Ayu Citra Mahardina ◽

Ismail Setyopranoto ◽

Kusumo Dananjoyo ◽

Anton Darmawan

Keyword(s):

Computed Tomography ◽

Computed Tomography Scan ◽

Cross Sectional ◽

Tomography Scan

Latar Belakang: Pasien yang memiliki hipoalbuminemia saat masuk rumah sakit berisiko tinggi mengalami komplikasi, luaran fungsional yang buruk dan berhubungan dengan peningkatan risiko kematian. Penilaian luaran fungsional dengan Index Barthel dianggap sensitif untuk menilai disabilitas serta mudah untuk dikerjakan. Tujuan: Untuk membandingkan luaran fungsional pasien stroke akut dengan kondisi hipoalbuminemia dan tidak hipoalbuminemia. Metode Penelitian: Penelitian analitik observasional menggunakan rancangan cross-sectional. Subjek penelitian diambil dari rekam medis pasien stroke infark dengan kondisi hipoalbuminemia dan tanpa hipoalbuminemia. Diagnosis stroke ditegakkan berdasarkan gejala klinis dan hasil Computed Tomography Scan. Metode statistik uji Mann Whitney digunakan untuk membandingkan luaran fungsional pasien stroke iskemia akut dengan kondisi hipoalbuminemia dan tanpa hipoalbuminemia. Hasil: Rerata skor Indeks Barthel kelompok hipoalbuminemia sebesar 40,33 ± 24,81 sedangkan kelompok tanpa hipoalbuminemia sebesar 87,67 ± 24,1. Uji Mann-Whitney menunjukkan perbedaan yang bermakna (p= 0,00). Simpulan: Terdapat perbedaan nilai luaran fungsional pada pasien stroke akut dengan kondisi hipoalbuminemia dan tanpa hipoalbuminemia.

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Hubungan Antara Kadar DNA Plasma Virus Epstein Barr Dengan Stadium Klinis Karsinoma Nasofaring WHO Tipe 3

Oto Rhino Laryngologica Indonesiana ◽

10.32637/orli.v48i2.277 ◽

2019 ◽

Vol 48 (2) ◽

pp. 165

Author(s):

Putranti Dyahayu Roziaty ◽

Soehartono Soehartono ◽

Hendradi Surjotomo

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Epstein Barr Virus ◽

Tumor Type ◽

Computed Tomography Scan ◽

Cross Sectional ◽

Barr Virus ◽

Ebv Dna ◽

Epstein Barr ◽

Tomography Scan

Latar Belakang: Karsinoma nasofaring (KNF) merupakan keganasan yang tersering ditemukan, dan berdampak pada penurunan kualitas hidup serta memiliki mortalitas tinggi. Penanganan KNF selama ini terkendala oleh waktu tunggu yang cukup lama dalam menentukan staging KNF terutama untuk antrian pemeriksaan computed tomography scan (CT scan) dan Ultrasonography (USG). Pemeriksaan kadar DNA EBV (Deoxyribonucleic acid Epstein-Barr Virus) pada pasien yang relatif lebih mudah dan terjangkau dapat digunakan untuk memprediksi stadium dan prognosis KNF. Dengan mengetahui prognosis KNF lebih dini, maka diharapkan penanganan terhadap KNF dapat segera dilakukan. Tujuan: Mengetahui apakah kadar DNA EBV dapat dipakai untuk memprediksi stadium dan prognosis KNF dengan cara mencari hubungan antara kadar DNA EBV dengan stadium KNF. Metode: Penelitian cross sectional melibatkan 15 subjek penelitian yang terdiagnosis KNF WHO tipe 3 kemudian dilakukan staging dengan CT scan, USG abdomen, dan foto toraks, serta diambil sampel darah untuk diukur kadar DNA EBV. Hasil: Seluruh subjek penelitian mengalami peningkatan kadar DNA EBV sesuai dengan peningkatan stadium KNF. Peningkatan stadium KNF berhubungan signifikan dengan peningkatan kadar DNA EBV (p=0,001). Ukuran tumor (T) berhubungan signifikan dengan kadar DNA EBV (p=0,023), ukuran nodul (N) berhubungan signifikan dengan kadar DNA EBV (p=0,005), ada tidaknya metastasis tidak berhubungan signifikan dengan kadar DNA EBV (p=0,398). Nilai cut off kadar DNA EBV sebesar 952 kopi/ml. Kesimpulan: Terdapat hubungan yang signifikan antara kadar DNA EBV dengan stadium klinis, dengan demikian kadar DNA EBV dapat dipertimbangkan untuk digunakan sebagai prediktor stadium dan prognosis KNF. Background: Nasopharyngeal carcinoma (NPC) is the predominant tumor type arising in the nasopharynx, with a high mortality and affecting quality of life. NPC treatment management is hindered by long queues of Computed Tomography Scan (CT scan) and Ultrasonography (USG) examinations to ascertain the NPC staging. The examination of Epstein-Barr Virus (EBV) DNA level is relatively simpler and inexpensive to predict the NPC staging and prognosis, thus, it can speed up NPC treatment. Objective: To determine whether EBV DNA level can be used to predict the NPC stage and prognosis by finding a correlation between EBV DNA level and NPC stage. Method: This was a cross-sectional study involving 15 respondents who were diagnosed as WHO type 3 NPC, and examined by CT scan, abdominal ultrasound, chest X-ray, and blood test for measuring the levels of EBV DNA to determine the stage. Results: All respondents had elevated levels of EBV DNA in accordance with NPC stage elevation. Increased NPC stages were significantly correlated with elevated levels of EBV DNA (p=0.001). The size of tumor (T) was significantly correlated with EBV DNA (p=0.023), the size of nodule (N) was significantly correlated with EBV DNA (p=0.005). The presence or absence of metastasis did not significantly correlate with EBV DNA (p=0.398). The EBV DNA cut off value was 952 copies/ml. Conclusions: There was a significant correlation between EBV DNA levels and clinical stages, hence EBV DNA can be considered to be used as NPC staging and prognosis predictor.

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Anatomic Variations of the Nose in Chronic Rhinosinusitis: Correlation between Nasal Endoscopic and Computerized Tomography Scan Findings and a Review of Literature

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1255 ◽

2016 ◽

Vol 9 (1) ◽

pp. 13-17

Author(s):

Priyanko Chakraborty ◽

Rajiv K Jain ◽

Purnima Joshi ◽

Rakhi Kumari ◽

Sidharth Pradhan

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Chronic Rhinosinusitis ◽

Sinus Surgery ◽

Anatomic Variations ◽

Review Of Literature ◽

Computed Tomography Scan ◽

Diagnostic Endoscopy ◽

The Mean ◽

Tomography Scan

ABSTRACT Background Chronic rhinosinusitis (CRS) refers to a group of disorders characterized by inflammation of the mucosa of the paranasal sinuses. Nasal endoscopy and computed tomography (CT) scans are successfully used as diagnostic modalities of nose and paranasal sinus diseases. There have been many studies regarding the anatomic variations leading to pathogenesis of paranasal sinus diseases. Considerable progress has been made in the medical and surgical control of these conditions; however, a large number of questions relating to the diagnosis, evaluation, and treatment of the diseases remain unanswered. Materials and methods The study included 82 clinically diagnosed cases of CRS who underwent CT scan and were advised to undergo diagnostic endoscopy. The anatomical findings of the nose were compared to see correlation between nasal endoscopy and CT scan. Results The mean age (±standard error of the mean) of presentation was 34.11 (±1.42) years, while most patients were from the age group of 18 to 30 years. Males were predominating the study group with 62.2%, while 37.8% were females. The most common anatomic variation was deviated nasal septum with 92.68% CT reported patients. This was followed by inferior turbinate hypertrophy, septal spur, concha bullosa, and agger nasi cells. Conclusion Computed tomography scan is considered the gold standard for sinonasal imaging. Diagnostic endoscopy and CT scan are a must prior to any functional endoscopic sinus surgery. They help in assessing the extent of sinus disease and to know the variations and vital relations of the paranasal sinuses. Computed tomography scan assists the surgeon as a “road map” during endoscopic sinus surgery. How to cite this article Chakraborty P, Jain RK, Joshi P, Kumari R, Pradhan S. Anatomic Variations of the Nose in Chronic Rhinosinusitis: Correlation between Nasal Endoscopic and Computerized Tomography Scan Findings and a Review of Literature. Clin Rhinol An Int J 2016;9(1):13-17.

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Computed tomography scan of the head in patients with migraine or tension-type headache

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2002000400005 ◽

2002 ◽

Vol 60 (3A) ◽

pp. 542-547 ◽

Cited By ~ 19

Author(s):

Marcelo Moraes Valença ◽

Luciana Patrízia A. Andrade Valença ◽

Terce Liana Menezes

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Tension Type Headache ◽

Empty Sella ◽

Computed Tomography Scan ◽

Sinus Disease ◽

Intracranial Lipoma ◽

Intracranial Neoplasm ◽

Type Headache ◽

Tomography Scan

A retrospective study was performed in order to evaluate the frequency of abnormalities found by computed tomography (CT) scan of the head in 78 patients with migraine or tension-type headache. In the present study CT scan was normal in 61.5% of the patients with migraine or tension-type headache. A number of abnormalities were encountered in more than one third of the patients studied, including inflammatory sinus disease (19.2%), cysticercosis (3.9%), unruptuted cerebral aneurysm (2.6%), basilar impression (2.6%), intracranial lipoma (2.6%), arachnoid cyst (2.6%), empty sella (2.6%), intracranial neoplasm (2.6%), and others (2.6%). None of these lesions were symptomatic or responsible by the headache picture, therefore, considered incidental findings. In conclusion, the fortuitous encounter of some abnormalities on CT scan of the head is often higher than what we could predict in patients suffering migraine or tension-type headache. We briefly discuss clinical, epidemiologic, and practical management of some of the abnormalities detected by CT scan as well as the indication to request a neuroimaging investigation.

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Investigation and management of adult periorbital and orbital cellulitis

The Journal of Laryngology & Otology ◽

10.1017/s0022215106003434 ◽

2006 ◽

Vol 121 (6) ◽

pp. 545-547 ◽

Cited By ~ 15

Author(s):

A Robinson ◽

T Beech ◽

A L McDermott ◽

A Sinha

Keyword(s):

Cell Count ◽

White Cell Count ◽

Orbital Cellulitis ◽

White Cell ◽

Computed Tomography Scan ◽

Retrospective Case ◽

Sinus Disease ◽

Streptococcus Milleri ◽

Large Groups ◽

Tomography Scan

Background: Orbital cellulitis has important complications. Despite this, there are few studies in the literature of large groups of cases of this condition.Methods: We performed a retrospective case analysis of all patients admitted with periorbital and orbital cellulitis between 2002 and 2004.Results: A total of 27 cases were included in the study. Of these, 25 had undergone a computed tomography scan, 19 of which had revealed significant sinus disease; 10 had had a microbiology result, with the most common organism being Streptococcus milleri; 20 had had a white cell count taken, with raised results in only 10; 12 had undergone surgery; and 25 had made a good recovery. One case had been found to be squamous cell carcinoma of the nasal cavity.Conclusions: In this study, sinus disease was the commonest cause of orbital cellulitis, with the commonest organism being Streptococcus milleri. Only 50 per cent of cases with proven disease had had a raised white cell count; this is therefore not a very sensitive test.

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