scholarly journals Effect of nasal cavity and nasopharynx architectonic disorders on the paranasal sinus development and sinusitis

2020 ◽  
Vol 19 (5) ◽  
pp. 99-105
Author(s):  
M. V. Subbotina ◽  
◽  
V. S. Kokhanov ◽  
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Control Group ◽  
Sources Of Information ◽  
Predisposing Factor ◽  
Nasal Septum Deviation ◽  
Inflammatory Processes ◽  
Pharyngeal Tonsil

The structure of the paranasal sinuses (PNS) is characterized by pronounced variability and largely depends on the state of the intranasal architectonics, the violation of which may be a predisposing factor for the development of sinusitis. Leading among the disturbances in the architectonics of the nasal cavity and nasopharynx are the nasal septum deviation (NSD), concha bullosa (CB), hypertrophy of the inferior turbinates and pharyngeal tonsil. This review presents an analysis of modern data on the influence of the architectonics of the nasal cavity and nasopharynx on the development of PNS and the formation of inflammatory processes in them. Sources of information - databases Medline, Pubmed, Cochrane, E-library from 2004 to 2019. The search was carried out by keywords. Criteria for inclusion of articles in the review: assessment of multispiral computed tomography of SNP of patients in axial and coronary projections, presence of a control group, sample size of more than 50 people. In the presented review, it is noted that types 3 and 5 of DNP according to the classification of R. Mladina, along with contralateral CB and adenoids, can be predictors of the development of sinusitis. Information about the side of sinusitis formation in relation to the direction of the deformity of the nasal septum, about the effect of other violations of the architectonics of the nasal cavity on sinusitis and the size of the SNP remains controversial. The reasons for the contradictions are the use of different classifications of DNP, the underestimation of the complexes of anatomical anomalies and the mechanisms of aerodynamics of the sinuses, which determine the greater dependence of the volume and ventilation of the sinuses on expiration than on inspiration. Taking these positions into account, the question of the influence of the architectonics of the nasal cavity on the development of the paranasal sinuses and the formation of the inflammatory process in them requires further study.

Application of Nasomer in surgical treatment of patients with polyposis rhinosinusitis

2018 ◽  
pp. 39-42
Author(s):  
Vladimir Bereznyuk ◽  
Alexander Chernokur ◽  
Oleg Gospod
Keyword(s):  
Nasal Cavity ◽  
Postoperative Period ◽  
Paranasal Sinuses ◽  
Standard Treatment ◽  
Surgical Intervention ◽  
Sodium Hyaluronate ◽  
Main Group ◽  
Control Group ◽  
Nasal Breathing ◽  
Minimal Invasiveness

Relevance: Modern endonasal surgery allows to remove polyps from all affected paranasal sinuses, following the principles of minimal invasiveness. Minimal traumatic of surgical intervention gives the best results, accompanied by less progression of the disease. Minimal invasiveness of surgical intervention and its obligatory combination with postoperative medical treatment are common practice in many countries. One of the drugs that actively effect the restoration of the mucous membrane of the nasal cavity and paranasal sinuses in the early postoperative period is Nazomer, which includes sodium hyaluronate and dexpanthenol in saline solution. The purpose of the study is to investigate the effectiveness of the drug Nazomer in patients with polyposis rhinosinusitis after endoscopic polyposynosotomy. Results and discussion: The main group consisted of 30 patients with polyposis rhinosinusitis, who were prescribed Nasomer in addition to standard treatment in the postoperative period. The control group included 30 patients who underwent standard treatment in the postoperative period. As criteria for clinical efficacy, data from endoscopic examination of the nasal cavity and indicators of anterior rhinomatometry, measured by the «Optimus» device, were selected. In the main group, the index of nasal breathing according to rhinomatometry was better than the results of patients in the control group on the 3rd and 5th day of the postoperative period by 26% and 24%, respectively. Conclusion: The use of the drug Nazomer in the postoperative period in patients with polyposis rhinosinusitis contributes to more active restoration of respiratory function of the nasal cavity compared with the control group, according to rhinomatometry, up to 26%. Based on the results obtained, the drug Nazomer is an effective anti-inflammatory and regenerative agent in the postoperative period in patients with polyposis rhinosinusitis.

scholarly journals Prevalence and clinical features of nasal septum deviation: a study in an urban centre

2017 ◽  
Vol 3 (4) ◽  
pp. 842 ◽  
Author(s):  
Vinnakota Sriprakash
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Critical Role ◽  
Geographical Area ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Septum Deviation ◽  
Aesthetic Appearance ◽  
Nasal Septum Deviation

<p class="abstract"><strong>Background:</strong> Considerably large nasal septum plays a critical role in the obstruction of the nasal cavity, leading to snoring, and other symptoms, aesthetic appearance of the nose, and increased nasal resistance. This study was performed with an aim to investigate the prevalence of nasal septum deviation in our geographical area.</p><p class="abstract"><strong>Methods:</strong> 446 patients who attended the ENT department in the study period were evaluated for the nasal septum deviation. General demographic details were obtained from all of them. Detailed physical exam was performed on all the patients. Disposable nasal speculum and otoscope was used to observe the interior of the nasal cavity.  </p><p class="abstract"><strong>Results:</strong> Out of 446 patients visiting the ENT department of our hospital, 138 (30.9%) of them had DNS. The C shaped NSD was the most common type to be encountered in our study, with 57 patients showing this disorder. Nasal obstruction was the predominant symptom observed in 119 (86.2%) of the patients, followed by rhinitis and nasal discharge (34.8%).</p><p><strong>Conclusions:</strong> Deviated nasal septum is a very prevalent condition in our area, with severe symptoms such as nasal obstruction and rhinitis. Most of the patients had C shaped deviated septum.</p>

Perioperative management of patients with operated nasal cavity and paranasal sinuses

2021 ◽  
Vol 20 (4) ◽  
pp. 102-109
Author(s):  
E. L. Savlevich ◽  
◽  
T. G. Pelishenko ◽  
V. S. Kozlov ◽  
F. N. Koryagin ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Antimicrobial Agents ◽  
Perioperative Period ◽  
Objective Evaluation ◽  
Infectious Complications ◽  
Deviated Nasal Septum ◽  
Systemic Antibiotic Therapy ◽  
Significant Difference

Nowadays due to the growth of the antibiotic resistance of the bacteria, the issue of the perioperative prophylaxis in surgery of the nasal cavity and paranasal sinuses has become especially relevant. Although the use of antibiotics more than 24 hours after surgery for prophylactic purposes does not increase the effectiveness of perioperative prevention of infectious complications, systemic antibiotics are often continued in the otorhinolaryngology departments for 5-7 days after surgery. Objective: Evaluation of the possibility of using of alternative antimicrobial agents in the framework of perioperative prevention of infectious complications during operations of the nasal cavity and paranasal sinuses. 178 patients undergoing surgical treatment for deviated nasal septum, chronic hypertrophic rhinitis, chronic rhinosinusitis without polyps, were divided into 2 groups. In the first group, 2 weeks before the operation and within 7 days of the postoperative period, applications were applied to the nasal cavity with a gel with Otofag bacteriophages, 2 doses 3 times a day for 60 minutes. In the second group, systemic antibiotic therapy (ceftriaxone 1.0 intramuscularly once) was prescribed 40-60 minutes before the operation. Results: There wasn’t a significant difference in the regression of reactive phenomena of the nasal mucosa and intoxication syndrome, except for the intensity of crust formation in the nasal cavity, the severity of which was 1.9 ± 0.1 points in the first and 4.19 ± 0.54 points in the second group on the 7’th day after surgery. Conclusion: The use of the gel with Otofag bacteriophages can be recommended in the perioperative period during planned operations on the nasal septum, inferior turbinates, and paranasal sinuses, which will allow avoiding the use of standard antibacterial drugs in these patients.

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 A case of a schwannoma in the nasal columella

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882309
Author(s):  
Tae Hoon Kim ◽  
Joo Hyun Shin ◽  
Eun-Kyoung Kwak
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Benign Tumor ◽  
Relevant Literature ◽  
Nerve Sheath ◽  
Sublabial Approach ◽  
Slow Growing

Schwannoma is a slow-growing, benign tumor of the nerve sheath. It rarely presents in the nasal cavity or the paranasal sinuses. Although schwannomas in the nasal septum have been reported previously, cases of this tumor in the nasal columella are rare in the literature. Here, we report on a 67-year-old woman with a schwannoma in the nasal columella that was successfully removed using a sublabial approach, along with a review of relevant literature.

scholarly journals THE LEVELS OF SOME CHEMOKINES IN THE BLOOD SERUM OF PATIENTS WITH EXACERBATION OF CHRONIC PURULENT RHINOSINUSITIS

2017 ◽  
pp. 30-33
Author(s):  
O. A. Nakonechnaya ◽  
A. I. Onischenko ◽  
T. V. Gorbach ◽  
A. S. Tkachenko ◽  
T. N. Chubukova
Keyword(s):  
T Lymphocytes ◽  
Blood Serum ◽  
Chronic Rhinosinusitis ◽  
Cytotoxic T Lymphocytes ◽  
Nasal Septum ◽  
Inflammatory Process ◽  
Control Group ◽  
Healthy Individuals ◽  
Septum Deviation ◽  
Nasal Septum Deviation

Aim: to study the levels of fractalkine and IL-8 in blood serum of patients with exacerbation of chronic purulent rhinosinusitis. Material and methods . Twenty patients suffering from chronic purulent rhinosinusitis were examined during the stage of exacerbation. The control group consisted of twenty conditionally healthy individuals with nasal septum deviation. The blood sampling of the examined patients was performed. The levels of fractalkine and IL-8 in the blood serum were determined by ELISA. Results. The exacerbation of purulent chronic rhinosinusitis leads to increased levels of both fractalkine and IL-8 in the blood serum of patients, which contributes to the involvement of neutrophils, monocytes, and cytotoxic T-lymphocytes into the inflammatory process. Chemokines IL-8 and fractalkine play an important role in the pathogenesis of chronic purulent rhinosinusitis, which suggests the reasonability of application of pharmacological preparations that block their functions. Conclusions. The carried out study revealed increased levels of both fractalkine and IL-8 in the blood serum of the patients with chronic purulent rhinosinusitis at the stage of exacerbation

scholarly journals The use of intranasal glucocorticosteroids in patients with chronic rhinosinusitis in the preoperative period

2022 ◽  
pp. 51-55
Author(s):  
I. I. Chernushevich ◽  
A. N. Naumenko ◽  
A. V. Voronov ◽  
A. Y. Golubev ◽  
E. E. Kozyreva
Keyword(s):  
Blood Loss ◽  
Nasal Cavity ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Control Group ◽  
Preoperative Period ◽  
Nasal Breathing ◽  
Intraoperative Bleeding ◽  
Ostiomeatal Complex ◽  
Intraoperative Period

Introduction. Chronic rhinosinusitis is a disease that occurs everywhere, characterized by inflammation of the mucous membrane of the paranasal sinuses and nasal cavity. If it is impossible to eliminate the causes of the recurrent disease with medical therapy, the use of surgical treatment help to recover the normal functioning of the ostium, including the ostiomeatal complex to improve ventilation and drainage of the paranasal sinuses and recover nasal breathing to relieve chronic inflammation.Purpose of the study. Assessment of the degree of intraoperative bleeding in patients with chronic rhinosinusitis.Materials and methods. On the basis of the FGBU SPB Research Institute of ENT of the Ministry of Health of the Russian Federation in the period from 2020 to 2021. the study of the effect of local intranasal glucocorticosteroids (INGKS) in the intraoperative period in patients with chronic polypous rhinosinusitis was carried out. The total amount of blood loss during surgery for chronic polypous rhinosinusitis in patients who used mometasone furoate preoperatively and in patients not taking topical hormonal drugs was analyzed.Results. In the study group, the average blood loss per operation was 257 ml, in the control group – 401 ml. In patients who took intranasal glucocorticosteroids during surgery, the intensity of bleeding is less pronounced. Undoubtedly, there are many reasons that affect the intensity of bleeding in general, however, a decrease in the inflammatory response in the nasal cavity and a decrease in inflammatory metabolites have a beneficial effect on the state of the nasal mucosa.Conclusion. The use of intranasal glucocorticosteroids in the preoperative period has a positive effect on reducing the inflammatory process in the nasal cavity, which helps to reduce the intensity of intraoperative bleeding.

scholarly journals Nasal septum changes in adolescent patients treated with rapid maxillary expansion

2016 ◽  
Vol 21 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Tehnia Aziz ◽  
Francis Carter Wheatley ◽  
Kal Ansari ◽  
Manuel Lagravere ◽  
Michael Major ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Nasal Septum ◽  
Incidental Finding ◽  
Rapid Maxillary Expansion ◽  
Small Sample ◽  
Control Group ◽  
Maxillary Expansion ◽  
Septum Deviation ◽  
Nasal Septum Deviation ◽  
Adolescent Patients

Objective: To analyze cone-beam computed tomography (CBCT) scans to measure changes in nasal septal deviation (NSD) after rapid maxillary expansion (RME) treatment in adolescent patients. Methods: This retrospective study involved 33 patients presenting with moderate to severe nasal septum deviation as an incidental finding. Out of these 33 patients, 26 were treated for transverse maxillary constriction with RME and seven, who did not undergo RME treatment, were included in the study as control group. CBCT scans were taken before appliance insertion and after appliance removal. These images were analyzed to measure changes in nasal septum deviation (NSD). Analysis of variance for repeated measures (ANOVA) was used. Results: No significant changes were identified in NSD regardless of the application or not of RME treatment and irrespective of the baseline deviation degree. Conclusion: This study did not provide strong evidence to suggest that RME treatment has any effect on NSD in adolescent patients; however, the results should be interpreted with caution, due to the small sample size and large variation amongst individual patient characteristics.

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