scholarly journals The relationship between nasal septal deviation and anatomical variations of the paranasal sinus

Author(s):  
Oğuzhan DİKİCİ ◽  
Osman DURGUT
2020 ◽  
Vol 31 (3) ◽  
pp. e285-e288
Author(s):  
Muammer Melih Şahin ◽  
Hamza Özer ◽  
Melih Çayönü ◽  
Lale Damgaci ◽  
Seçil Kayali Dinç ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Tung-Lung Tsai ◽  
Ming-Ying Lan ◽  
Ching-Yin Ho

This study aims to determine the relationship between nasal septal deviation, concha bullosa, and chronic rhinosinusitis by using a definitive pathological and simplified model. Fifty-two consecutive sinus computed tomography scans were performed on patients who received endoscopic sinus surgery and whose final diagnosis was paranasal sinus fungus balls. The incidences of nasal septal deviation and concha bullosa for patients diagnosed with paranasal sinus fungus balls among the study group were 42.3% and 25%, respectively. About 63.6% sinuses with fungus balls were located on the ipsilateral side of the nasal septal deviation, and 46.2% were located on the ipsilateral side of the concha bullosa. When examined by Pearson’s chi-square test and the chi-squared goodness-of-fit test, no significant statistical difference for the presence of paranasal sinus fungus balls between ipsilateral and contralateral sides of nasal septal deviation and concha bullosa was noted (P=0.292andP=0.593, resp.). In conclusion, we could not demonstrate any statistically significant correlation between the location of infected paranasal sinus, the direction of nasal septal deviation, and the location of concha bullosa, in location-limited rhinosinusitis lesions such as paranasal sinus fungal balls. We conclude that the anatomical variants discussed herein do not predispose patients to rhinosinusitis.


2005 ◽  
Vol 133 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Hasan Yasan ◽  
Harun Doĝru ◽  
Bahattin Baykal ◽  
Fehmi Döner ◽  
Mustafa Tüz

Objective The aim of this retrospective study is to examine the role of isolated nasal septal deviation (NSD) in the pathogenesis of chronic rhinosinusitis (CRS). Study Design and Setting The interaction between isolated NSD and chronic sinus disease were retrospectively evaluated in 1452 patients. Out of 1452 patients, 152 patients were included in the study. Patients with anatomical variants other than NSD were excluded from the study. Patients with NSD were enrolled in the study group and patients without NSD were enrolled in the control group. Results There was no statistically significant difference between NSD group and non-NSD group with respect to the CRS. Conclusions The mild to moderate degree of NSD was not a risk factor for chronic sinus disease. Only gross deviation of the nasal septum itself is a risk factor for the development of CRS. Significance Excluding the subjects with ostiomeatal anatomic variations has differentiated this study from the previously reported researches (isolated NSD).


2020 ◽  
Vol 26 (1) ◽  
pp. 18-23
Author(s):  
Salah Uddin Ahmmed ◽  
Md Nazrul Islam Khan ◽  
Md Zakir Hossain ◽  
Md Khairul Islam Mridha ◽  
Anower Parvez Bhuiyan ◽  
...  

The anatomical variations and pathological conditions of the sinonasal area can be easily identified using computed tomography (CT) scan. The study was done to observe the prevalence of concha bullosa (CB) and nasal septal deviation (DNS) in sinusitis patients. 135 CT scan of nose and paranasal (PNS) sinuses were taken and reviewed retrospectively for the presence of concha bullosa, nasal septal deviation and sinusitis in the department of Otolaryngology, Head and Neck Surgery, Border Guard Hospital, Dhaka from March 2019 to January 2020. Out of 135 patients, CT scan of nose and PNS revealed 74.81% patients exhibited some sinus disease, 68.14% nasal septal deviation and 42.22% had concha bullosa. In this study, we have done a retrospective analysis of the CT scan of PNS in order to assess the prevalence CB, DNS and sinusitis. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 18-23


2021 ◽  
Vol 28 (1) ◽  
pp. 50-56
Author(s):  
Soo Young Choi ◽  
So Young Jeon ◽  
Hwa Sung Rim ◽  
Sung Wan Kim ◽  
Jin-Young Min

Background and Objectives: The purpose of this study was to investigate the prevalence of incidental paranasal sinus (PNS) opacification in nasal septal deviation (NSD) using computed tomography (CT) and to identify contributing factors.Subjects and Method: We analyzed 216 patients who underwent septoplasty for the correction of NSD and who underwent preoperative PNS CT. We assessed the prevalence of incidental PNS opacification in these patients and determined the type of NSD according to Mladina classification. We also evaluated whether the direction of NSD affected the presence of PNS opacification on CT, and whether the presence of PNS opacification was associated with other rhinologic symptoms.Results: Of 216 patients with NSD, 86 showed opacified PNS on CT. According to Mladina classification, NSD patients were classified as type I (24.1%), type II (36.1%), type III (20.8%), type IV (5.6%), type V (9.7%), type VI (2.3%), or type VII (1.4%). Patients with type II NSD showed a significantly higher incidence of PNS opacification compared with other types of NSD (p=0.001). However, the direction of NSD did not significantly influence the presence of incidental PNS opacification. Furthermore, regardless of the presence of PNS opacification, there was no significant difference in rhinologic symptoms such as olfactory dysfunction, among others.Conclusion: We found that incidental PNS opacification on CT was common in NSD patients, especially in patients with type II NSD. Thus, we suggest that CT evaluation of patients with NSD may be helpful for assessing comorbid PNS pathologies as well as objectively identifying nasal septal deformities.


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