scholarly journals The degree of concha bullosa pneumatization and its association with severity of deviated nasal septum in patients of southern region in Saudi Arabia

2021 ◽  
Vol 7 (5) ◽  
pp. 717
Author(s):  
Musleh Mubarki ◽  
Radeif Shamakhi ◽  
Ramzi Daghriri ◽  
Ali Alzarei ◽  
Khaled Hakami
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Sample Size ◽  
Nasal Septum ◽  
Southern Region ◽  
Ct Scans ◽  
Concha Bullosa ◽  
Deviated Nasal Septum ◽  
Computed Tomography Scans ◽  
Severe Type

<p class="abstract"><strong>Background:</strong> To determine the degree of concha bullosa pneumatization and its association with deviated nasal septum in patients of southern region in Saudi Arabia.</p><p class="abstract"><strong>Methods:</strong> This study used a retrospective radiological design to analyze computed tomography scans of 117 patients aged between 18 and 80 years of southern region in Saudi Arabia were used in this study. Patients with altered anatomy (iatrogenic or pathological) were excluded, CT scans were analysed to determine. The degree of concha bullosa and its association with deviated nasal septum in patients of southern region in Saudi Arabia, and the correlation between them.</p><p class="abstract"><strong>Results:</strong> Forty percent (40%) cases were male and sixty percent (60%) were female. Concha bullosa (CB) were found in 17(14.5%) cases, of which 4 cases (23%) were bilateral and 13(76%) were unilateral. 7(53%) of unilateral cases were on right side, 6(47%) on left side. From all CB patients in this sample size, 15 (88%) cases have deviated nasal septum that range from mild to severe type whereas 2(12%) cases have no deviated nasal septum. Only 1 of those patients with severe deviated nasal septum has extensive type of concha bullosa.</p><p class="abstract"><strong>Conclusions:</strong> Our findings revealed that there is no relationship between degree of pneumatization of CB and severity of deviated nasal septum.</p>

scholarly journals The prevalence of middle turbinate pneumatization in patients of Southern region of Saudi Arabia

2021 ◽  
Vol 7 (7) ◽  
pp. 1092
Author(s):  
Musleh Mubaraki ◽  
Radeif Shamakhi ◽  
Ramzi Dighriri ◽  
Ali Alzarei
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Differential Diagnosis ◽  
Middle Turbinate ◽  
Southern Region ◽  
Ct Scans ◽  
Concha Bullosa ◽  
Number Of Patients ◽  
Computed Tomography Scans ◽  
The Right

<p class="abstract"><strong>Background:</strong> The aim of the study was to determine the prevalence of middle turbinate pneumatization in patients of Southern region of Saudi Arabia.<strong> </strong> </p><p class="abstract"><strong>Methods:</strong> This study used a retrospective radiological design to analyze computed tomography scans of 117 patients aged between 18 and 80 years of Southern region in Saudi Arabia were used in this study. Patients with altered anatomy (iatrogenic or pathological) were excluded, CT scans were analysed to determine the prevalence of middle turbinate pneumatization in patients of Southern region of Saudi Arabia.  </p><p class="abstract"><strong>Results:</strong> There were forty percent (40%) male cases and sixty percent (60%) female cases. Concha bullosa (CB) was discovered in 17 (14.5%) of the cases, with 4 cases (23%) being bilateral and 13 (76%) being unilateral. 7 (53%) of unilateral cases were on the right side, while 6 (47%) were on the left.</p><p class="abstract"><strong>Conclusions:</strong> CB was discovered in 17 (14.5%) of the cases, in patients of Southern region of Saudi Arabia, most of them unilateral by 76%. That’s indicate there is significant number of patients have CB and surgeon should consider it one of his differential diagnosis in patient with nasal obstruction.</p>

scholarly journals Aplasia and agenesis of the frontal sinus in individual of southern region in Saudi Arabia

2021 ◽  
Vol 7 (5) ◽  
pp. 821
Author(s):  
Radeif Shamakhi ◽  
Musleh Mubaraki ◽  
Ramzi Dighriri ◽  
Azza Almarir ◽  
Alaa Alyahya
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Paranasal Sinuses ◽  
Frontal Sinus ◽  
Southern Region ◽  
Ct Scans ◽  
Anatomic Variations ◽  
Computed Tomography Scans ◽  
Preoperative Ct ◽  
Frontal Sinuses

<p class="abstract"><strong>Background:</strong> The aim of this study was to demonstrate the prevalence of anatomic variations of frontal sinus in people of southern region in Saudi Arabia.</p><p class="abstract"><strong>Methods:</strong> This study used a retrospective radiological design to analyze computed tomography scans of 117 patients aged between 18 and 80 years of southern region in Saudi Arabia were used in this study. Patients with altered anatomy (iatrogenic or pathological) were excluded, CT scans were analyzed to demonstrate the incidence of anatomic variations of frontal sinus in people of southern region in Saudi Arabia.</p><p class="abstract"><strong>Results:</strong> The study included 117 patients, 75 of whom were males (64%) and 42 of whom were females (36%) with ages ranging from 18 to 80 years. The prevalence of bilateral frontal sinus aplasia is 5.9 % and 3.4% is in the unilateral frontal sinus.</p><p class="abstract"><strong>Conclusions:</strong> These figures on frontal sinus aplasia are critical in convincing surgeons to perform a preoperative CT scan of the paranasal sinuses and concentrate on the appearance of frontal sinuses on CT images to avoid unwanted complications during sinus surgeries.</p><p class="abstract"> </p>

scholarly journals A Comparison of Intra-Observer and Inter-Observer Reliability of Plain Radiographs, Standard Computed Tomography Scans and Mobile Computed Tomography Scans in the Assessment of Distal Radius Fractures: A Cadaveric Study

2019 ◽  
pp. 53
Author(s):  
Sitthiphong Suwannaphisit ◽  
Saowapar Yoykaew ◽  
Chitchaya Suwanraksa ◽  
Varah Yuenyongviwat ◽  
Porames Suwanno ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Observer Agreement ◽  
Ct Scans ◽  
Radius Fractures ◽  
Plain Radiographs ◽  
Observer Reliability ◽  
Computed Tomography Scans ◽  
Mobile Ct

Objective: Diagnosis of a distal end radius fracture relies on various imaging studies. However, the relative usefulness of these studies is still a matter of some controversy. The aim of this study was to compare the intra-observer and inter-observer reliability of plain radiographs, standard computed tomography (CT) scans and mobile CT scans in the assessment of distal radius fractures as categorized by the Fernandez classification method. The secondary objective was to compare the dosages of radiation between the different imaging modalities. Material and Methods: Sixteen fresh cadaveric wrist bones were used in this experimental study. The desired fractures were created in the bones to mimic Fernandez types I-V fractures and plain radiographs were taken in 4 views. Standard CT and mobile CT scans were also taken with the fractured bones in the same four positions. Interobserver reliability was assessed using Kappa statistics to determine the diagnostic consistency among the nine observers. Inter-observer agreement was assessed based on the Fernandez classification system diagnoses. Results: Overall, the inter-observer agreement was substantial for the Fernandez classifications (Kappa range 0.636 0.727) in all types of imaging. For intra-observer agreement, the analysis found higher agreement for both standard CT scans and mobile CT scans. The standard CT images imparted a higher average dose of radiation than both the mobile CT scans and the plain radiographs.Conclusion: The mobile CT scan can provide an alternative imaging method for precise diagnosis of distal end radius fractures, with the additional benefits of mobility and lower radiation exposure. 

An artificial intelligence algorithm that identifies middle turbinate pneumatisation (concha bullosa) on sinus computed tomography scans

2020 ◽  
Vol 134 (4) ◽  
pp. 328-331 ◽  
Author(s):  
P Parmar ◽  
A-R Habib ◽  
D Mendis ◽  
A Daniel ◽  
M Duvnjak ◽  
...  
Keyword(s):  
Neural Network ◽  
Artificial Intelligence ◽  
Computed Tomography ◽  
Diagnostic Accuracy ◽  
Convolutional Neural Network ◽  
Middle Turbinate ◽  
Concha Bullosa ◽  
Computed Tomography Images ◽  
Computed Tomography Scans ◽  
Neural Network Algorithm

AbstractObjectiveConvolutional neural networks are a subclass of deep learning or artificial intelligence that are predominantly used for image analysis and classification. This proof-of-concept study attempts to train a convolutional neural network algorithm that can reliably determine if the middle turbinate is pneumatised (concha bullosa) on coronal sinus computed tomography images.MethodConsecutive high-resolution computed tomography scans of the paranasal sinuses were retrospectively collected between January 2016 and December 2018 at a tertiary rhinology hospital in Australia. The classification layer of Inception-V3 was retrained in Python using a transfer learning method to interpret the computed tomography images. Segmentation analysis was also performed in an attempt to increase diagnostic accuracy.ResultsThe trained convolutional neural network was found to have diagnostic accuracy of 81 per cent (95 per cent confidence interval: 73.0–89.0 per cent) with an area under the curve of 0.93.ConclusionA trained convolutional neural network algorithm appears to successfully identify pneumatisation of the middle turbinate with high accuracy. Further studies can be pursued to test its ability in other clinically important anatomical variants in otolaryngology and rhinology.

scholarly journals The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Abdullah D. Alotaibi ◽  
Bassam Ahmed Almutlaq ◽  
Fahad Nashmi Alshammari ◽  
Hussain Gadelkarim Ahmed
Keyword(s):  
Saudi Arabia ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Clinical Presentation ◽  
Critical Role ◽  
Deviated Nasal Septum ◽  
Clinical Presentations ◽  
Common Clinical Presentation ◽  
The Common ◽  
Almost All

Background. Nasal septal deviation (NSD) plays a critical role in nasal obstruction symptoms, aesthetic look of the nose, increased nasal resistance, and occasionally snoring. Septoplasty is the most common method for correction of deviated nasal septum (DNS). Therefore, the aim of the present study was to assess the association between initial clinical presentations of patients selected for septoplasty and demographical characteristics in Northern Saudi Arabia.Methodology. Archives related to all patients selected for septoplasty between 2012 and 2017 were retrieved from ENT Department at King Khalid Hospital in Hail, Northern Saudi Arabia. Only adults over 18 years of age were included in this study.Results. With regard to the clinical presentations, almost all patients presented with variable degrees of nasal congestions, nasal blockages, breathing troubles, sleeping troubles, and exercise problems.Conclusion. Nasal obstruction is prevalent in Northern Saudi Arabia with peaks being in the years 2016 and 2014 with the most etiological factor being DNS.

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.

scholarly journals Computed Tomography (CT) Unveils Associated Pathology of Deviated Nasal Septum

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Md. Ashraful Islam ◽  
Towsif Bin Mamoon ◽  
Farid Uddin Milki ◽  
Nazmul Hossain Chowdhury ◽  
Saif Rahman Khan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Deviated Nasal Septum

scholarly journals Strategy to reduce radiation exposure in postoperative spinal computed tomography scans

2021 ◽  
Vol 12 ◽  
pp. 159
Author(s):  
Anirudh Murthy ◽  
Ezriel Kornel ◽  
Seth Neubardt
Keyword(s):  
Computed Tomography ◽  
Total Dose ◽  
Ct Scans ◽  
X Rays ◽  
Specific Interest ◽  
Spinal Disorders ◽  
Reduce Radiation Exposure ◽  
Computed Tomography Scans ◽  
Harmful Effects ◽  
Scan Length

Background: When diagnosing and treating spinal disorders, spine surgeons commonly utilize computed tomography (CT) scans preoperatively, intraoperatively, and postoperatively. Methods: This article reviews the literature regarding the potentially harmful effects of X-rays, specifically from CT scans. Results: The risk for damaging DNA and developing cancer increases with increasing scan length (e.g., increasing amount of radiation received). Conclusion: When assessing postoperative status, CT scans should be directed only through the area of specific interest to limit the total dose of radiation received by the patient.

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