Is There any Relationship Between Nasal Septal Deviation and Concha Bullosa

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.

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Nasal Septal Deviation and Concha Bullosa – Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?

Polish Journal of Radiology ◽

10.12659/pjr.900634 ◽

2017 ◽

Vol 82 ◽

pp. 126-133 ◽

Cited By ~ 11

Author(s):

Iwona Kucybała ◽

Konrad Adam Janik ◽

Szymon Ciuk ◽

Dawid Storman ◽

Andrzej Urbanik

Keyword(s):

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Septal Deviation ◽

Concha Bullosa ◽

Nasal Septal Deviation

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The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study

Auris Nasus Larynx ◽

10.1016/j.anl.2017.01.003 ◽

2017 ◽

Vol 44 (5) ◽

pp. 561-570 ◽

Cited By ~ 16

Author(s):

Soo Kweon Koo ◽

Jong Deok Kim ◽

Ji Seung Moon ◽

Sung Hoon Jung ◽

Sang Hoon Lee

Keyword(s):

Anatomic Variation ◽

Septal Deviation ◽

Concha Bullosa ◽

Nasal Septal Deviation ◽

Radiologic Study

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There Is No Structural Relationship between Nasal Septal Deviation, Concha Bullosa, and Paranasal Sinus Fungus Balls

The Scientific World JOURNAL ◽

10.1100/2012/181246 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 8

Author(s):

Tung-Lung Tsai ◽

Ming-Ying Lan ◽

Ching-Yin Ho

Keyword(s):

Paranasal Sinus ◽

Goodness Of Fit ◽

Final Diagnosis ◽

Septal Deviation ◽

Sinus Surgery ◽

Concha Bullosa ◽

Goodness Of Fit Test ◽

Ipsilateral Side ◽

Nasal Septal Deviation ◽

Fungus Balls

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.

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Investigation of maxillary sinus volume relationships with nasal septal deviation, concha bullosa, and impacted or missing teeth using cone-beam computed tomography

Oral Radiology ◽

10.1007/s11282-018-0360-x ◽

2018 ◽

Vol 35 (3) ◽

pp. 287-295 ◽

Cited By ~ 2

Author(s):

Fahrettin Kalabalık ◽

Elif Tarım Ertaş

Keyword(s):

Computed Tomography ◽

Maxillary Sinus ◽

Cone Beam Computed Tomography ◽

Septal Deviation ◽

Cone Beam ◽

Concha Bullosa ◽

Missing Teeth ◽

Nasal Septal Deviation ◽

Maxillary Sinus Volume

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The Prevalence of Concha Bullosa and Nasal Septal Deviation and Their Relationship to Maxillary Sinusitis by Volumetric Tomography

International Journal of Dentistry ◽

10.1155/2010/404982 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5 ◽

Cited By ~ 44

Author(s):

Kyle D. Smith ◽

Paul C. Edwards ◽

Tarnjit S. Saini ◽

Neil S. Norton

Keyword(s):

Nasal Cavity ◽

Significant Relationship ◽

Maxillary Sinusitis ◽

Septal Deviation ◽

Ct Scans ◽

Concha Bullosa ◽

Common Occurrence ◽

Nasal Septal Deviation ◽

School Of Dentistry ◽

Mucosal Thickening

The objective of this study was to determine the prevalence of concha bullosa and nasal septal deviation and their potential relationships to maxillary sinusitis. 883 CT scans taken at Creighton University School of Dentistry from 2005 to 2008 were retrospectively reviewed for the presence of concha bullosa, nasal septal deviation, and maxillary sinusitis. 67.5% of patients exhibited pneumatization of at least one concha, 19.4% of patients had a deviated septum, and 50.0% had mucosal thickening consistent with maxillary sinusitis. 49.3% of patients who had concha bullosa also had evidence of maxillary sinusitis. Only 19.5% of patients with concha bullosa also had nasal septal deviation, whereas 19.7% of patients with sinusitis also presented with nasal septal deviation. Although concha bullosa is a common occurrence in the nasal cavity, there did not appear to be a statistically significant relationship between the presence of concha bullosa or nasal septal deviation and maxillary sinusitis.

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The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study

BMC Oral Health ◽

10.1186/s12903-021-01974-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Shishir Ram Shetty ◽

Saad Wahby Al Bayatti ◽

Natheer Hashim Al-Rawi ◽

Vinayak Kamath ◽

Sesha Reddy ◽

...

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Hard Palate ◽

Study Groups ◽

Septal Deviation ◽

Cone Beam ◽

Concha Bullosa ◽

Deviation Angle ◽

Nasal Septal Deviation ◽

Skeletal Malocclusion

Abstract Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB and NSD on the dimensions of the hard palate using cone-beam computed tomography (CBCT). Materials and methods A retrospective study was conducted using CBCT scans of 200 study subjects. The study subjects were divided into four groups based on the presence of CB and NSD. Septal deviation angle (SDA), palatal interalveolar length (PIL), palatal depth (PD) and maxillopalatal arch angle (MPAA) were measured in the study groups. Results The presence of NSD and CB was associated with significant (p < 0.001) differences in the palatal dimensions of the study subjects. The PIL and MPA (p < 0.001) were significantly reduced (p < 0.001), whereas the PD was significantly increased (p < 0.001) in study subjects with NSD and CB. There was no significant change in the palatal dimensions between the unilateral and bilateral types of CB. Among the palatal dimensions, the PIL had the most significant association (R2 = 0.53) with SDA and CB. There was a significant correlation between the palatal dimensions and SDA when CB was present along with NSD. Conclusion Based on the results of this study, it can be concluded that the presence of NSD and CB have a significant effect on the palatal dimensions and, therefore, they may be associated with skeletal malocclusion.

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Study of Prevalence of Concha Bullosa, Nasal Septal Deviation and Sinusitis based on CT Findings

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i1.47948 ◽

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 ◽

...

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Head And Neck ◽

Anatomical Variations ◽

Neck Surgery ◽

Septal Deviation ◽

Concha Bullosa ◽

Sinus Disease ◽

Nasal Septal Deviation ◽

Pathological Conditions

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

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