scholarly journals Preoperative Evaluation of Paranasal Computed Tomography Reports of Patients Requesting Rhinoplasty for the Presence of Septal Deviation and Inferior Turbinate Hypertrophy: Retrospective Clinical Case Series Study

2019 ◽  
Vol 6 (3) ◽  
Author(s):  
Aksoy MH
Keyword(s):  
Computed Tomography ◽  
Clinical Case ◽  
Preoperative Evaluation ◽  
Case Series ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Turbinate Hypertrophy ◽  
Case Series Study ◽  
Inferior Turbinate Hypertrophy ◽  
Series Study

scholarly journals Nasal septal angle deviation: effect on lateral wall in nasal obstruction

2018 ◽  
Vol 7 (1) ◽  
pp. 90
Author(s):  
Neha Bagri ◽  
Kavirajan K. ◽  
Ranjan Chandra ◽  
Yatish Agarwal ◽  
Neetika Gupta ◽  
...  
Keyword(s):  
Ct Scan ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
P Value ◽  
Lateral Nasal Wall ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

Background: Deviation of the nasal septum (DNS) refers to the convexity of the septum to one side disturbing the nasal physiology with obstructed nasal breathing leading to lateral nasal wall abnormalities and paranasal sinuses (PNS) mucosal disease. Knowledge of nasal morphological parameters plays an important role in planning successful nasal surgery. Our aim was to evaluate the angle of septal deviation (ASD) on CT scan and study its influence on the lateral nasal wall abnormalities and PNS mucosal disease.Methods: A prospective cross-sectional observational study was conducted on 130 patients with clinical evidence of DNS and chronic sinusitis. The direction and severity of DNS was recorded on CT scan along with evaluation of lateral nasal wall and sinus mucosal abnormalities.Results: Increasing ASD had statistically significant correlation with the lateral nasal wall abnormalities, most commonly, contralateral middle and inferior turbinate hypertrophy (p-value <0.0001). No significant association was found with the incidence of ipsilateral or contralateral osteomeatal complex (OMC) obstruction and sinus mucosal disease.Conclusions: The direction and severity of septal deviation has significant impact on contralateral middle and inferior turbinate hypertrophy. The analysis of these ancillary pathologies can be of great help to the surgeon in better management of patients with nasal obstruction.

Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

2012 ◽  
Vol 126 (8) ◽  
pp. 784-788 ◽  
Author(s):  
A Y Korkut ◽  
F Islim ◽  
S Gulseven Ciftci ◽  
R Dogan ◽  
O Gedikli ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Group Versus ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Septum Deviation ◽  
Turbinate Hypertrophy ◽  
Nasal Septum Deviation ◽  
Traumatic Group ◽  
The Difference ◽  
Inferior Turbinate Hypertrophy

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.

Septoplasty and compensatory inferior turbinate hypertrophy: a randomized study evaluated by acoustic rhinometry

1993 ◽  
Vol 107 (5) ◽  
pp. 413-417 ◽  
Author(s):  
L. F. Grymer ◽  
P. Illum ◽  
O. Hilberg
Keyword(s):  
Randomized Study ◽  
Inferior Turbinate ◽  
Cross Sectional Area ◽  
Septal Deviation ◽  
Acoustic Rhinometry ◽  
Sectional Area ◽  
Cross Sectional ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

The present study deals with the indication for inferior turbinate surgery in cases of concomitant anterior septal deviation. We define, by acoustic rhinometry, the characteristics of the obstructed nose and define mucosal turbinate hypertrophy. A random sample of 80 patients with nasal obstruction and anteriorly located septal deviation were objectively evaluated by acoustic rhinometry pre– and post–operatively. All had septoplasty and half were randomly selected to have anterior inferior turbinoplasty performed in the side opposite to the major septal deviation. Severe septal deviation, expressed by a minimal cross–sectional area less than 0.4 cm2 was present in 37 patients. In this group inferior turbinate reduction seems advisable. In the wide side, the minimal cross–sectional area and the cross–sectional areas at 3.3 and 4.0 cm from the nostrils increased in the turbinectomy group and decreased in the non–turbinectomy group after correction of the septal deviation. In the group with less pronounced septal deviation no influence of turbinate reduction could be detected.

scholarly journals COMPUTED TOMOGRAPHIC EVALUATION OF INFERIOR TURBINATE HYPERTROPHY IN ADULT INDO-DRAVIDIAN PATIENTS WITH DEVIATED NASAL SEPTUM

2017 ◽  
Vol 10 (7) ◽  
pp. 342
Author(s):  
Niranjan Sahu ◽  
Satyasundar G Mohapatra ◽  
Siba Narayan Rath ◽  
Rabindra Nath Padhy
Keyword(s):  
Nasal Septum ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Total Width ◽  
Deviated Nasal Septum ◽  
Maximum Width ◽  
Turbinate Hypertrophy ◽  
Group I ◽  
Group Ii ◽  
Inferior Turbinate Hypertrophy

Objective: Aim of the study was to evaluate the prevalence and significance of inferior turbinate hypertrophy (ITH) in adult indo-dravidian patients with deviated nasal septum (DNS). Methods: Analysis of sinonasal computerized tomography (CT) images of 86 patients having DNS was done during October 2015-December 2016 for evaluation of severity of the associated ITH. Values of maximum width of medial mucosa, bone and total width of the turbinate were measured. Patients with inflammatory or expansile sinonasal masses were excluded. Results: Total 86 patients with varying degrees of septal deviation with ages ranging from 18 to 72 years (mean age of 42.8 years) were distributed as: Group I, mild cases and Group II, moderate and severe DNS cases. Patients having ITH on the contralateral side of deviation were included in the study group. The dimensions of the ITH were evaluated. The medial mucosal component of the ITH underwent maximum hypertrophy as compared to bone and lateral mucosa components. The average medial mucosa, bone and total turbinate widths of the inferior nasal concha as well as lateral offset in Group II DNS cases were 5.21 mm, 1.76 mm, 9.96 mm and 8.74 mm, respectively. Total width and width of medial mucosa of ITH in relation to the severity of septal deviation was statistically significant (p=0.0001 and 0.0098). Conclusion: Present study evaluated the relationship between DNS and compensatory ITH. The findings support the decision to excise the inferior turbinate at the time of septoplasty, because of the significant mucosal expansion.

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