期刊论文详细信息
BMC Ear, Nose and Throat Disorders
An epidemiologic study of factors associated with nasal septum deviation by computed tomography scan: a cross sectional study
Shadi Ghourchian2  Manouchehr Safdarian1  Maryam Etemadi1  Aslan Ahmadi1  Alireza Mohebbi1 
[1] Ear-Nose-Throat [ENT] and Head and Neck Surgery Research Center of Rasul-e-Akram Hospital, Tehran University of Medical Sciences, Sattarkhan street, Tehran, Iran;Tehran University of Medical Sciences (TUMS), Students’ Scientific Research Center of TUMS, Tehran, Iran
关键词: Concha bullosa;    Septal deviation;    Sinusitis;   
Others  :  862749
DOI  :  10.1186/1472-6815-12-15
 received in 2012-02-20, accepted in 2012-11-07,  发布年份 2012
PDF
【 摘 要 】

Background

Sinusitis is an inflammation of the paranasal sinuses that can be caused by anatomic variations of the nasal cavity and paranasal sinuses. In this study we aimed to find the relationship between sinusitis and septal deviation (SeD) and concha bullosa.

Methods

Two trained resident of ENT evaluated sinus CT scans of 463 cases presenting with nasal obstruction or chronic sinusitis symptoms from April 2011 to December 2011. CT scans were checked for the presence of conchae bullosa and the degree of septal deviation. The severity of sinusitis was evaluated according to the Lund Mackay criteria. The frequency of patients with different degrees of SeD and different grades of chronic sinusitis were studied.

Results

Of 463 cases, 47% had septal deviation. Concha bullosa was seen in 16.8% of the patients in the left side and 27.6% of them in the right side. There was no significant relationship between the presence of concha bullosa and the severity of sinusitis. Also the P value of analytical tests between the severity of sinusitis, osteomeatal involvement and the degree of septal deviation was not significant. Analysis of the relationship between the presence of SeD (either to right or left) and the severity of sinusitis in different sinuses revealed no significant P value.

Conclusions

By this study, the relationship between concha bullosa in osteomeatal complex and the severity of sinusitis was not cleared. No relationship was found between the severity of sinusitis, osteomeatal involvement and the degree of septal deviation. Also SeD (either to right or left) was not found to be associated with the severity of sinusitis in different sinuses.

【 授权许可】

   
2012 Mohebbi et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140725021216607.html 53KB HTML download
58KB Image download
【 图 表 】

【 参考文献 】
  • [1]Kennedy DW, Zinreich SJ, Rosenbaum AE: Functional endoscopic sinus surgery: theory and diagnostic evaluation. Arch Otolaryngol 1985, 111:576-582.
  • [2]Lehmann P, Bouaziz R, Page C, Warin M, Saliou G, Deschepper B, Strunski V, Deramond H: Sinonasal cavities: CT imaging features of anatomical variants and surgical risk. J Radiol 2009, 90(1 Pt 1):21--9.
  • [3]Kennedy DW, Bolger WE, Zinreich SJ: Disease of theSinuses, diagnosis and management, B.C. London: Decker Inc Hamitton; 2001:19-24.
  • [4]Lloyd G: CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery. J LaryngolOtol 1990, 104:477-481.
  • [5]Bolger WE, Butzin CA, Parsons DS: Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991, 101(1):56-64.
  • [6]Lloyd G, Lund V, Scadding G: CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J LaryngolOtol 1991, 105:181-185.
  • [7]Stallman JS, Lobo JN, Som PM: The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. Am J Neuroradiol 2004, 25(9):1613-1618.
  • [8]Subramanian S, Rampal GRL, Wong EFM, Mastura S, Razi A: Concha bullosa in chronic sinusitis. Med J Malaysia 2005, 60(5):535-539.
  • [9]Lund V, Kenndy DW: Staging for Rhinosinusitis. Otolaryngol Head Neck Surg 1997, 117(3pt 2):35-40.
  • [10]Orlandi RR: A systematic analysis of septal deviation associated with rhinosinusitis. Laryngoscope 2010, 120(8):1687-1695.
  • [11]Hatipoglu HG, Cetin MA, Yuksel E: Nasal septal deviation and concha bullosa coexistence: CT evaluation. B-ENT 2008, 4(4):227-232.
  • [12]Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S: The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003, 41(2):103-106.
  • [13]Hamdan AL, Bizri AR, Jaber M, Hammoud D, Baino T, Fuleihan N: Nasoseptal variation in relation to sinusitis. A computerized tomographic evaluation. Med Liban 2001, 9(1):2-5.
  • [14]Cho JH, Park MS, Chung YS, Hong SC, Kwon KH, Kim JK: Do anatomic variations of the middle turbinate have an effect on nasal septal deviation or paranasalsinusitis? Ann Otol Rhinol Laryngol 2011, 120(9):569--74.
  • [15]Harar RP, Chadha NK, Rogers G: The role of septal deviation in adult chronic rhinosinusitis: a study of 500 patients. Rhinology 2004, 42:126-130.
  • [16]Smith KD, Edwards PC, Saini TS: The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent 2010. pii: 404982. Epub 2010 Aug 24
  • [17]Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ: CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 1991, 104(4):480-483.
  文献评价指标  
  下载次数:24次 浏览次数:12次