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

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.

2012 ◽  
Vol 126 (8) ◽  
pp. 784-788 ◽  
Author(s):  
A Y Korkut ◽  
F Islim ◽  
S Gulseven Ciftci ◽  
R Dogan ◽  
O Gedikli ◽  
...  

AbstractObjective:To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.Methods:The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.Results:The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).Conclusion:The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.


Author(s):  
Cesar B. Albuquerque ◽  
Nataly R. M. Zambrana ◽  
Jéssica R. M. Zambrana ◽  
Rodrigo A. Ribeiro ◽  
Daniela M. R. A. Salgado ◽  
...  

Introduction: The Haller Cells are described as aerated ethmoidal cells, located in the inferior margin of the orbit, near the ostia of the maxillary sinuses. The Cone Beam Computed Tomography (CBCT) is widely used in dentistry, allowing acquisition of images of the craniofacial region. Objective: to identify in CBCT exams the Haller´s cell relationship with the following conditions: sinus disease, bony nasal septum deviation, endodontic treatment and periapical lesions. Materials and methods: 99 CBCT exams were used, from which 51 were included in the research criteria. The images were analyzed in the Xelis Dental® software to identify the presence or absence of the Haller Cell, as well as the relationship with the mentioned conditions. Results: Among the 51 CFCT exams evaluated, 35.3% presented Haller´s Cell on the right side and 23.5% on the left side. Whereas the relationship of the Haller Cells with one or more alterations mentioned here, on the right side we had it in 72% of the cases, while on the left side such relationship was present in 75% of the cases. Conclusion: CBCT exams that present the infraorbital margin allow to verify the presence or absence of the Haller Cell. In this sample, we verified a greater presence of endodontic cases, bony nasal septum deviation and sinus disease cases in individuals who presented Haller Cells.


2017 ◽  
pp. 30-33
Author(s):  
O. A. Nakonechnaya ◽  
A. I. Onischenko ◽  
T. V. Gorbach ◽  
A. S. Tkachenko ◽  
T. N. Chubukova

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


2016 ◽  
Vol 21 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Tehnia Aziz ◽  
Francis Carter Wheatley ◽  
Kal Ansari ◽  
Manuel Lagravere ◽  
Michael Major ◽  
...  

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.


2021 ◽  
pp. 105566562110232
Author(s):  
Maryam Paknahad ◽  
Aida Pourzal ◽  
Mohammad Mahjoori-Ghasrodashti ◽  
Leila Khojastepour

Objectives: The detection of anatomical variation impairments in patients with cleft lip and palate (CLP) is crucial in combined orthodontic and maxillofacial surgical treatments. Therefore, this study aimed at evaluating the anatomical maxillary sinus characteristics, nasal septum deviation (NSD), and mucosal thickening of the maxillary sinus in patients with CLP using cone beam computed tomography (CBCT). Design: The CBCT images were classified into 3 groups of unilateral cleft lip and palate (UCLP; n = 40), bilateral cleft lip and palate (BCLP; n=14), and noncleft (control; n = 54). Subsequently, the maxillary sinus linear dimensions were assessed. Height, width, depth, infundibulum height, and ostium width were assessed as quantitative measures, whereas nasal septum deviation and mucosal thickening were assessed as qualitative measures. One-way analysis of variance and χ2 tests were utilized to identify any significant differences among the groups regarding the aforementioned variables. Results: Significant differences were observed among the groups regarding maxillary sinus height and depth, NSD, and mucosal thickening. Moreover, UCLP and BCLP groups showed higher incidence of NSD and mucosal thickening. However, the size of maxillary sinus height and depth was lower in the UCLP and BCLP groups. Conclusion: The results showed that BCLP and UCLP groups obtained lower maxillary sinus height and depth compared to the control group. On the other hand, incidence of the NSD and mucosal thickening was significantly higher in UCLP and BCLP groups than those in the control group.


2019 ◽  
Vol 30 (2) ◽  
pp. 433-436 ◽  
Author(s):  
Imran Aydoğdu ◽  
Yavuz Atar ◽  
Zeynep Aydoğdu ◽  
Ziya Saltürk ◽  
Enes Ataç ◽  
...  

2019 ◽  
Vol 30 (5) ◽  
pp. 1605-1608
Author(s):  
Israfil Orhan ◽  
Tugrul Ormeci ◽  
Nagihan Bilal ◽  
Saime Sagiroglu ◽  
Adem Doganer

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