scholarly journals Radiological Examinations of Inferior Turbinate in Patients with or without Deviated Nasal Septum by Using Computed Tomography

2016 ◽  
Vol 59 (1) ◽  
pp. 28 ◽  
Author(s):  
Do-Yang Park ◽  
Min Ho Noh ◽  
Seung Bum Park ◽  
Won Woo Ban ◽  
Kong Geun Bae ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum ◽  
Radiological Examinations

Radiological Evaluation of Inferior Turbinate in Patients with Deviated Nasal Septum using Computed Tomography

2020 ◽  
Vol 10 (2) ◽  
pp. 16-21
Author(s):  
Amit Kumar Jha ◽  
Prasanna Ghimire ◽  
Sagun Shrestha
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Nasal Septum ◽  
Three Dimensional ◽  
Inferior Turbinate ◽  
Compensatory Hypertrophy ◽  
Control Group ◽  
Deviated Nasal Septum ◽  
Cross Sectional ◽  
Angle Of Deviation

Introduction: Compensatory hypertrophy of inferior turbinate in the contralateral side of the deviated nasal septum is a known phenomenon. The objective of this study was to establish the relationship between the nasal septum and inferior turbinate and to determine the dimension and composition of inferior turbinate hypertrophy.Methods: This prospective, cross-sectional study was performed on 52 patients who were referred for Computed tomography of PNS with deviated nasal septum having compensatory hypertrophy of contralateral inferior turbinate. Non-hypertrophied inferior turbinate on the side of deviation was taken as a control group. Deviation angle, mucosal thickness including medial and lateral and bone thickness were evaluated using three-dimensional CT scan and compared to the control group.Result: Dimensions of the bony and mucosal components of the inferior turbinate were significantly greater than those of the control group. This study included 52 patients (M- 30, F- 22) having a mean age of 37 years. Out of 52, the septum deviated to the left side in 56% and 44% to the right side. The average angle of deviation was 10.12°. There was a statistically significant correlation (p<0.05) between total turbinate thickness and angle of deviation. A statistically significant correlation (p<0.05) was also observed between medial mucosa and bone thickness.Conclusion: Compensatory hypertrophy of inferior turbinate in patients with deviated nasal septum not only involves the mucosal component but also the bone itself. Pre-operative CT scan of PNS helps evaluate dimension and composition of inferior turbinate and assists to decide on surgical technique to fix turbinate.

Evaluation of the Inferior Turbinate in Patients With Deviated Nasal Septum by Using Computed Tomography

2004 ◽  
Vol 114 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Erol Egeli ◽  
Levent Demirci ◽  
Burhan Yaz??c?? ◽  
Ugur Harputluoglu
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum

scholarly journals Morphological and histopathological study of hypertrophied inferior nasal turbinate in Egyptian patients: in clinical perspective

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ashraf Ali El-Demerdash ◽  
Essam Abdel Wanees Beheiry ◽  
Sherif Maher El-Aini ◽  
Asmaa Shams El-Dein Mohamed ◽  
Ahmed Mohamed Ibrahim Khattab
Keyword(s):  
Layer Thickness ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Military Hospital ◽  
Deviated Nasal Septum ◽  
Nasal Turbinate ◽  
Egyptian Patients ◽  
Mucosal Layer ◽  
Group A ◽  
Group B

Abstract Background The inferior nasal turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. Hypertrophied inferior nasal turbinates are the second most common cause of chronic nasal obstruction. Our aim of this study is to evaluate the morphological and histopathological features of hypertrophied inferior nasal turbinate in Egyptian patients. Methods Our descriptive comparative study was carried on 30 patients presented with hypertrophied inferior nasal turbinate by clinical and radiological assessment. Patients are divided into two groups according to CT scan and endoscopic examination as group A for patients with deviated nasal septum with compensatory hypertrophied inferior nasal turbinate and group B for patients with hypertrophied inferior nasal turbinate due to allergic rhinosinusitis. Both groups underwent the same operation which partial controlled posterior inferior turbinectomy. During the period from June 2018 till May 2019, patients were selected from out-patient’s clinic of Otorhinolaryngology Department at Menoufia University Hospital and Shebin El-Kom Teaching Hospital, and Military Hospital. Results By histopathological examination of the specimens, we found out that the bony layer thickness was more prominent in group A and the mucosal layer thickness was more prominent in group B. The prominent inflammatory cells were lymphocytes in group A and eosinophils plus mast cells in group B. Conclusion The bony layer thickness should be excised during the surgical treatment of cases presented with deviated nasal septum with hypertrophied inferior turbinate where in cases of allergic rhinitis with hypertrophied inferior turbinate, the mucosal layer is enough to be excised.

scholarly journals Computed Tomography Measurement of Inferior Turbinate in Asymptomatic Adult

2017 ◽  
Vol 21 (04) ◽  
pp. 366-370 ◽  
Author(s):  
Mohammad El-Anwar ◽  
Atef Hamed ◽  
Ghada Abdulmonaem ◽  
Ismail Elnashar ◽  
Inas Elfiki
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Common Belief ◽  
Significant Difference ◽  
Air Space ◽  
Asymptomatic Adult ◽  
The Common ◽  
The Difference ◽  
Ct Measurement

Introduction The inferior turbinate (IT) is the most susceptible turbinate to enlargement causing nasal obstruction. The common belief ascribes most of the enlargement of the IT to mucosal elements. Objective This study aimed to investigate the detailed computed tomography (CT) measurement of the IT in asymptomatic adult by determining the thickness of both the non-bony (mucosa) and bony parts and their relation to nasal air space in different related areas of the nose. Methods We included in the study paranasal CT scans of 108 individuals (216 IT) that had no paranasal pathology. We acquired axial images with multiplanar reformates to obtain delicate details in coronal and sagittal planes for all subjects. We took separate measurements of the thickness of the medial mucosa, bones, and lateral mucosa of the IT on the anterior and posterior portions of ITs. We also measured the air space of the nasal cavity between the septum and IT anteriorly and posteriorly. Results The difference in the air space between nasal septum, anterior and posterior ends of IT was extremely statistically significant (P < 0.0001). The thickness of the medial mucosa was extremely significantly more than the lateral mucosa width (P < 0.0001). There was no significant difference in length of IT at both sides (p = 0.5781). Conclusion The detailed CT measurement of the IT in normal adult is an easy and novel measurement. This study lays the foundation for CT measurement of IT for further work that can describe changes in IT measures after turbinate surgery.

scholarly journals Computed Tomography (CT) Unveils Associated Pathology of Deviated Nasal Septum

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Md. Ashraful Islam ◽  
Towsif Bin Mamoon ◽  
Farid Uddin Milki ◽  
Nazmul Hossain Chowdhury ◽  
Saif Rahman Khan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Deviated Nasal Septum

scholarly journals A comparative study of conventional septoplasty versus endoscopic septoplasty

2019 ◽  
Vol 1 ◽  
pp. 27-30
Author(s):  
Bavneet Kour ◽  
Grace Budhiraja ◽  
Kunzes Dolma ◽  
Danish Guram
Keyword(s):  
Nasal Septum ◽  
Inferior Turbinate ◽  
Simple Random Sampling ◽  
Conservative Surgery ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Female Ratio ◽  
Endoscopic Septoplasty ◽  
Deviated Septum ◽  
Postnasal Drip

Introduction: A deviated septum can be asymptomatic or can cause functional and cosmetic abnormalities. Different studies have been proposed for the correction of deviated septum, but septoplasty has been the treatment of choice. Septoplasty is a more conservative surgery and endoscopic septoplasty has become increasingly popular over the past few decades. Materials and Methods: The study was carried out to compare the post-operative results among patients of conventional and endoscopic septoplasty and to assess the efficacy of endoscopic septoplasty with other surgeries. The present study was conducted among 40 patients of deviated nasal septum admitted in the Department of Otolaryngology of Adesh Institute of Medical Sciences and Research, Bathinda. Patients were selected by simple random sampling and were divided into Groups A and B, with 20 patients in each group. Group A underwent conventional septoplasty and Group B underwent endoscopic septoplasty. Results: The male-to-female ratio in the present study was 3:1. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (45%) and concha bullosa (27.5%). Postoperatively, a significant relief from the symptoms of nasal obstruction (85%), nasal discharge (25%), headache (30%), and postnasal drip (55%) was observed in endoscopic septoplasty. Complication rate was higher in conventional septoplasty. The endoscopic approach facilitates proper alignment by limited and precise resection of pathological areas. Conclusion: Endoscopic septoplasty provides precise resection of the pathological areas and better illumination with limited flap dissection and exposure.

scholarly journals CT Evaluation of Anatomical Variations in Osteomeatal Complex in Patients with Deviated Nasal Septum

2016 ◽  
Vol 21 (2) ◽  
pp. 90-93
Author(s):  
Mirza Aneesa ◽  
Sajad Majid Qazi ◽  
Aijazul Haq
Keyword(s):  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Complex Disease ◽  
Anatomical Variation ◽  
Middle Turbinate ◽  
Inferior Turbinate ◽  
Anatomical Variations ◽  
Lateral Nasal Wall ◽  
Deviated Nasal Septum ◽  
Osteomeatal Complex

Background:The presence of septal deviation has been positively associated with sinus disease, especially osteomeatal complex disease and anterior and posterior ethmoid disease.Computerized tomographic imaging (CT) of the paranasal sinuses has become a widely accepted tool for assessing the paranasal sinuses (PNS) and providing a detailed anatomy of the lateral nasal wall.Objective:The objective of the study was to identify the anatomical variations of lateral nasal wall and paranasal sinuses in patients with Deviated nasal septum.Methods:Computerized tomographic (CT) examination was carried out using the bone algorithm in the coronal plane in 40 patients who met the inclusion criteriain the Postgraduate Department of Otorhinolaryngology and Head and Neck Surgery, SMHS Hospital an associated Hospital of Government Medical College, Srinagar from March 2011 to May 2012.Results:In our study, CT Nose and PNS revealed Deviated nasal septum in 40 (100%) patients, Hypertrophied Inferior turbinate in 11 (27.50%) patients, Concha bullosa in 5 (12.50%) patients, Paradoxical Middle turbinate in 8 (20%) patients, Everted Hypertrophied Uncinate in 2 (5%) patients, Aggernasi cells in 4 (10%) patients, Haller cells in 3 (7.50%) patients and Onodi cells in 2 (5%) patients.Conclusion:The most common anatomical variation associated with deviated nasal septum was Hypertrophied Inferior turbinate and the least encountered variation was Everted Hypertrophied Uncinate and Onodi cells. The CT scan provides supplementary clinical data to the history and endoscopic examination and assists in directing surgical treatment to the affected areas.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 90-93

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