Faculty Opinions recommendation of The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis.

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 Nasal Septal Deviation on Frontal and Maxillary Sinus Volumes and Development of Sinusitis

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000001809 ◽

2015 ◽

Vol 26 (5) ◽

pp. 1508-1512 ◽

Cited By ~ 10

Author(s):

Duran Karataş ◽

Ali Koç ◽

Fatih Yüksel ◽

Murat Doğan ◽

Ali Bayram ◽

...

Keyword(s):

Maxillary Sinus ◽

Septal Deviation ◽

Nasal Septal Deviation

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Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1110 ◽

2012 ◽

Vol 5 (1) ◽

pp. 19-24

Author(s):

SPS Yadav ◽

Anuj Kumar Goel ◽

Rati Goel ◽

Rupender Ranga ◽

JS Gulia

Keyword(s):

Comparative Study ◽

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Randomized Study ◽

Septal Deviation ◽

P Value ◽

Deviated Nasal Septum ◽

Chronic Maxillary Sinusitis ◽

Group B ◽

Middle Meatus Antrostomy

ABSTRACT Introduction The study was conducted to asses if septoplasty is adequate for the management of chronic maxillary sinusitis. Chronic maxillary sinusitis is not uncommonly associated with deviated nasal septum (DNS). The randomized study was conducted on 40 cases of medically unmanageable and HRCT proven chronic maxillary sinusitis with DNS. Materials and methods The study was conducted in 40 cases of HRCT (PNS) proven chronic maxillary sinusitis which were not cured with medical treatment. The patients were divided randomly in two groups. Group A underwent septoplasty and group B septoplasty along with FESS in the form of uncinectomy and middle meatus antrostomy. Patients having other anatomical factors for example concha were excluded. Results Both procedures produced significant improvement in symptomatology and on HRCT (PNS) findings as compared to preoperative status (p-value less than 0.001). Septoplasty was found to be effective in chronic maxillary sinusitis, however, when polyps were present in maxillary sinus, then septoplasty with FESS was found to be better. Discussion In cases of chronic maxillary sinusitis with DNS, septoplasty is adequate, however if the maxillary sinus shows polyps on HRCT (PNS) scan then septoplasty should be combined with FESS. How to cite this article Goel AK, Yadav SPS, Ranga R, Gulia JS, Goel R. Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation. Clin Rhinol Int J 2012;5(1):19-24.

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