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

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

scholarly journals Relationships among Concha Bullosa, Nasal Septal Deviation, and Sinusitis: Retrospective Analysis of 296 Cases

2016 ◽  
Vol 95 (12) ◽  
pp. 487-491 ◽  
Author(s):  
Hasan H. Balikci ◽  
M. Mustafa Gurdal ◽  
Saban Celebi ◽  
Isa Ozbay ◽  
Mustafa Karakas
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
Causal Relationship ◽  
Significant Relationship ◽  
Septal Deviation ◽  
Concha Bullosa ◽  
Sinus Disease ◽  
Nasal Septal Deviation ◽  
Computed Tomography Scans ◽  
Paranasal Sinus Computed Tomography

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.

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

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.

Is the maxillary sinus volume affected by concha bullosa, nasal septal deviation, and impacted teeth? A CBCT study

2019 ◽  
Vol 277 (1) ◽  
pp. 227-233 ◽  
Author(s):  
Melek Tassoker ◽  
Guldane Magat ◽  
Bekir Lale ◽  
Melike Gulec ◽  
Sevgi Ozcan ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Septal Deviation ◽  
Concha Bullosa ◽  
Impacted Teeth ◽  
Nasal Septal Deviation ◽  
Maxillary Sinus Volume

Isolated Inflammatory Sphenoid Sinus Disease: A Revisitation of Computed Tomography Indications based on Presenting Findings

2005 ◽  
Vol 19 (6) ◽  
pp. 627-632 ◽  
Author(s):  
Young H. An ◽  
Giridhar Venkatraman ◽  
John M. DelGaudio
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Sphenoid Sinus ◽  
Disease Process ◽  
Retrospective Chart Review ◽  
Neurological Complications ◽  
Common Finding ◽  
Sinus Disease ◽  
Presenting Symptoms ◽  
Ct Evaluation

Background Isolated inflammatory sphenoid sinus disease (IISSD) can be difficult to diagnose. Frequently, history and physical are inadequate in establishing a diagnosis. Computed tomography (CT) is an excellent screening tool; however, it often is obtained late in the disease process because of vague symptoms at presentation. Identifying the most common presenting symptoms of IISSD may allow earlier detection and avoidance of more severe sequelae by determining earlier indications for CT. Presently, headache is not an indication for sinus CT. Methods A retrospective chart review of IISSD presentation was performed at our institution. A literature review was performed also to quantitatively document trends in presentation of IISSD, including characterization of headache symptoms by location. Cumulative findings were then compared with current CT indications to determine if presentation patterns warrant a change in indications for CT. Results A total of 361 cases were evaluated by our inclusion criteria. Headache was the most common finding (81.7%), particularly peri/retro-orbital, vertex, and frontal headache. Ocular changes (17.5%) and cranial nerve involvement (16.1%) were common also, but headache frequently was a solitary finding (42.6%). Twenty-six IISSD cases were reviewed at our institution over 7 years, with similar results. Under current guidelines, the only IISSD findings that are indications for CT scan are the ophthalmologic and neurological complications. Conclusion Not every headache necessitates a CT scan. However, the deep-seated vertex, frontal, and, particularly, peri/ retro-orbital headaches, especially when aggravated by head movement and refractory to analgesics, as is often seen in IISSD, should be an indication for CT evaluation. (American Journal of Rhinology 19, 627–632, 2005)

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

2017 ◽  
Vol 82 ◽  
pp. 126-133 ◽  
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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