Research Article
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Year 2021, Volume: 43 Issue: 4, 323 - 329, 31.12.2021
https://doi.org/10.7197/cmj.998816

Abstract

References

  • 1. Cellina,M.,Gibelli, D., Cappella, A., Martinenghi, C., Belloni, E., Oliva, G. (2020). Nasal cavities and the nasal septum: Anatomicalvariants and assessment of features with computed tomography, The Neuroradiology Journal ,Vol.33 (4) 340–347
  • 2. Bandyopadhyay R, Biswas R, Bhattacherjee S ,Pandit N , Ghosh S ( 2015) Osteomeatal Complex: A Study of Its Anatomical variationamong Patients Attending North Bengal Medical Collegeand Hospital. Indian J Otolaryngol Head Neck Surg , 67 (3) : 281–286
  • 3. Ünal B ,Arıkan OK ,Bilgili Y, Koç C (2005). Relatıonshıp between the bony and mucosal wıdths of osteomeatal complex spaces/dıstances and the severıty of chronıc sınusıtıs - A ct study KBB-Forum,4(3):111-114.
  • 4. Rao J.J, Kumar E. C. V.,. Babu K. R, Chowdary V. S., Singh, J.S., Rangamani, V. (2005).Classification of nasal septaldeviations relation to sinonasal pathology, Indian Journal ofOtolaryngology and Head and Neck Surgery, vol. 57 (3) :199–201.
  • 5. Orhan I, Ormeci T, Aydin S, Altin G, Urger E, Soylu E, Yilmaz F (2014). Morphometricanalysis of themaxillarysinus in patientswithnasalseptumdeviation. EurArchOtorhinolaryngol. 271(4):727-732.
  • 6. Janovic, N., Janovic, A., Milicic, B., Djuric, M. (2020) . Relationship between nasal septum morphology and nasal obstructionsymptom severity: computed tomography study. Braz J Otorhinolaryngol., 970: 1-8
  • 7. Kaya, K.S, Türk, B., Soytaş, P.A, Vanlı, E., Turgut, S. (2019) Relationship between unilateral chronic otitis media and nasal septal and eustachian tube angles,KBB Uygulamaları;7 (1) :38-42
  • 8. Yılmazsoy Y, Arslan A (2018). Assessment of the prevalence of Haller cell variation and the relation between Haller cell variation and maxillary sinusitis J Health Sci Med; 1(3): 54-58
  • 9. Hartman, C., Holton,N., Mıller,S., Yokley T, Marshall S, Srınıvasan S,Southard T, (2016).Nasal Septal Deviation and Facial Skeletal Asymmetries. The Anatomıcal Record,299:295–306.
  • 10. Jeppesen F, Windfeld I.(1972) Dislocation of the Nasal Septal Cartilage in the Newborn. Acta Obstet Gynecol Scand,51:5-15. 3.
  • 11. Alpini D, Corti A, Brusa F, Bini A.(1986) Septal Deviation in Newborn Infants. Int J Pediatr Otorhinolaryngol,11:103-7.
  • 12. Kent SE, Reid AP, Brain DJ.(1988) Neonatal Septal Deviations. J R Soc Med ,81 (3): 132-135.
  • 13.Sorri M, Laitakai K, Vainio- Mattila J, Hartikainen –Sorri AL.(1990) Immediate Correction of Congenital Nazal Deformities; Follow-up of 8 Years. Int J Pediatr Otorhinolaryngol ,19(2):77-83.
  • 14.Arx T, Lozanoff S, Bornstein MM (2019) Extraoral anatomy in CBCT - a literature review Swıss Dental Journal SSO 129:804–815
  • 15. Mundra RK ,Gupta Y, Sinha R, Gupta A (2014). CT Scan Study of Influence of Septal Angle Deviation on LateralNasal Wall in Patients of Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg,Apr–Jun 66(2):187–190)
  • 16. Elahi MM, Frenkiel S (2000) Septal deviation and chronic sinüs disease. Am J Rhinol 14(3):175–179) 17. Orlandi RR (2010) A systematic analysis of septal deviation associated with rhinosinusitis. Laryngoscope 120:1687–1695
  • 18.Greguric T, Baudoin T ,Tomljenovic D Grgic M Stefanovic M ,Kalogjera L (2016) Relationship between nasal septal deformity, symptoms and disease severity in chronic rhinosinusitis. Eur Arch Otorhinolaryngol, 273:671–677

Effect of septal deviation on osteomeatal complex distances

Year 2021, Volume: 43 Issue: 4, 323 - 329, 31.12.2021
https://doi.org/10.7197/cmj.998816

Abstract

Objective: It is known that deviation of the septum plays an etiological role in the obstructions formed in the osteomeatal complex. In this study, it was aimed to evaluate the effect of the degree of deviation of the nasal septum on the distances between the bone structures forming the osteomeatal complex.
Method: The research universe was obtained by retrospectively scanning 1200 computed tomography (CT) images of January 2018-December 2019 in the PACS archive of the Department of Radiology of Sivas Cumhuriyet Faculty of Medicine Hospital. A total of 453 individuals, 228 females and 225 males (18-82 years old) meeting the criteria for inclusion in the study were included. Septal deviation angle was measured. Individuals were grouped according to the degree of septal deviation. Osteomeatal complex spaces (OMC) were evaluated according to the degree of septal deviation. In the study, the distance between OMC spaces was also investigated in the presence of sinusitis.
Results: In the septum, the distance between lamina papyricea and middle nasal concha (LP-MNC) at medium and high grades was found to be large in the opposite direction of the deviation. The distance between the lamina papyricea and uncinate process [ethmoidal infundibulum (LP-UP)] was small on the right side in low-grade deviation to the right. When the distance between uncinate process and middle nasal concha (UP-MNC) and the distance between LP-UP was compared, it was found to be smaller in the direction of deviation in individuals with middle deviation to the left (p < 0.05). While the right osteometal complex spaces were found to be smaller than the control group, the distance between UP-MNC from the left osteomeatal spaces made a difference with the control group.
Conclusions: Degrees and type of septal deviation were effective in narrowing the osteomeatal complex spaces. It was determined that OMC distances did not change with the presence of sinusitis. It is thought that it may be useful to evaluate the degree of septal deviation in obstruction of osteomeatal complex spaces and mucosal changes in the paranasal region.

References

  • 1. Cellina,M.,Gibelli, D., Cappella, A., Martinenghi, C., Belloni, E., Oliva, G. (2020). Nasal cavities and the nasal septum: Anatomicalvariants and assessment of features with computed tomography, The Neuroradiology Journal ,Vol.33 (4) 340–347
  • 2. Bandyopadhyay R, Biswas R, Bhattacherjee S ,Pandit N , Ghosh S ( 2015) Osteomeatal Complex: A Study of Its Anatomical variationamong Patients Attending North Bengal Medical Collegeand Hospital. Indian J Otolaryngol Head Neck Surg , 67 (3) : 281–286
  • 3. Ünal B ,Arıkan OK ,Bilgili Y, Koç C (2005). Relatıonshıp between the bony and mucosal wıdths of osteomeatal complex spaces/dıstances and the severıty of chronıc sınusıtıs - A ct study KBB-Forum,4(3):111-114.
  • 4. Rao J.J, Kumar E. C. V.,. Babu K. R, Chowdary V. S., Singh, J.S., Rangamani, V. (2005).Classification of nasal septaldeviations relation to sinonasal pathology, Indian Journal ofOtolaryngology and Head and Neck Surgery, vol. 57 (3) :199–201.
  • 5. Orhan I, Ormeci T, Aydin S, Altin G, Urger E, Soylu E, Yilmaz F (2014). Morphometricanalysis of themaxillarysinus in patientswithnasalseptumdeviation. EurArchOtorhinolaryngol. 271(4):727-732.
  • 6. Janovic, N., Janovic, A., Milicic, B., Djuric, M. (2020) . Relationship between nasal septum morphology and nasal obstructionsymptom severity: computed tomography study. Braz J Otorhinolaryngol., 970: 1-8
  • 7. Kaya, K.S, Türk, B., Soytaş, P.A, Vanlı, E., Turgut, S. (2019) Relationship between unilateral chronic otitis media and nasal septal and eustachian tube angles,KBB Uygulamaları;7 (1) :38-42
  • 8. Yılmazsoy Y, Arslan A (2018). Assessment of the prevalence of Haller cell variation and the relation between Haller cell variation and maxillary sinusitis J Health Sci Med; 1(3): 54-58
  • 9. Hartman, C., Holton,N., Mıller,S., Yokley T, Marshall S, Srınıvasan S,Southard T, (2016).Nasal Septal Deviation and Facial Skeletal Asymmetries. The Anatomıcal Record,299:295–306.
  • 10. Jeppesen F, Windfeld I.(1972) Dislocation of the Nasal Septal Cartilage in the Newborn. Acta Obstet Gynecol Scand,51:5-15. 3.
  • 11. Alpini D, Corti A, Brusa F, Bini A.(1986) Septal Deviation in Newborn Infants. Int J Pediatr Otorhinolaryngol,11:103-7.
  • 12. Kent SE, Reid AP, Brain DJ.(1988) Neonatal Septal Deviations. J R Soc Med ,81 (3): 132-135.
  • 13.Sorri M, Laitakai K, Vainio- Mattila J, Hartikainen –Sorri AL.(1990) Immediate Correction of Congenital Nazal Deformities; Follow-up of 8 Years. Int J Pediatr Otorhinolaryngol ,19(2):77-83.
  • 14.Arx T, Lozanoff S, Bornstein MM (2019) Extraoral anatomy in CBCT - a literature review Swıss Dental Journal SSO 129:804–815
  • 15. Mundra RK ,Gupta Y, Sinha R, Gupta A (2014). CT Scan Study of Influence of Septal Angle Deviation on LateralNasal Wall in Patients of Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg,Apr–Jun 66(2):187–190)
  • 16. Elahi MM, Frenkiel S (2000) Septal deviation and chronic sinüs disease. Am J Rhinol 14(3):175–179) 17. Orlandi RR (2010) A systematic analysis of septal deviation associated with rhinosinusitis. Laryngoscope 120:1687–1695
  • 18.Greguric T, Baudoin T ,Tomljenovic D Grgic M Stefanovic M ,Kalogjera L (2016) Relationship between nasal septal deformity, symptoms and disease severity in chronic rhinosinusitis. Eur Arch Otorhinolaryngol, 273:671–677
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Basic Science Research Articles
Authors

Merve Dursun 0000-0002-1947-7218

Yaşar Taştemur 0000-0002-2016-0592

İsmail Şalk 0000-0002-5156-6923

Vedat Sabancıoğulları 0000-0001-9059-6554

Publication Date December 31, 2021
Acceptance Date December 24, 2021
Published in Issue Year 2021Volume: 43 Issue: 4

Cite

AMA Dursun M, Taştemur Y, Şalk İ, Sabancıoğulları V. Effect of septal deviation on osteomeatal complex distances. CMJ. December 2021;43(4):323-329. doi:10.7197/cmj.998816