Comparison of the Type and Severity of Nasal Septal Deviation between Chronic Rhinosinusitis Patients Undergoing Functional Endoscopic Sinus Surgery and Controls

Nikkerdar, Nafiseh; Karimi, Atena; Bazmayoon, Fatemeh; Golshah, Amin

doi:10.1155/2022/2925279

Cited by 4 publications

(2 citation statements)

References 33 publications

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“…The severity of NSD was significantly associated with the presence of rhinosinusitis among patients undergoing endoscopic sinus surgery compared to asymptomatic controls. However, the morphological type of NSD had no association with the presence of NSD [ 14 ].…”

Section: Reviewmentioning

confidence: 99%

Nasal Septal Deviation: A Comprehensive Narrative Review

Alghamdi¹,

Albogami²,

Alsurayhi³

et al. 2022

Cureus

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The nasal septum is an osteocartilaginous wall that divides the nose into two nasal cavities. Asymptomatic minor deviation of the septum is considered a normal developmental variation found in the majority of the population. The reported global prevalence rates had great variation due to the extent of deviation considered in the reporting studies. Previous classification systems have been proposed to classify the nasal septal deviation according to the characteristics of the nasal septum seen horizontally and vertically. For some patients, the degree of the deviation may affect the nasal airflow causing obstruction or impairing the olfactory function. Headache, rhinosinusitis, high blood pressure, obstructive sleep apnea, and breathing sounds are also among the clinical presentations of nasal septal deviation. Clinical assessment is sufficient to make the diagnosis while imaging techniques are required for decision-making. Radiological imaging techniques such as computed tomography (CT) are used to classify and assess the severity of the deviated septum. Surgical correction is the treatment option for nasal septal deviation. Septoplasty is the most common procedure used for nasal correction with high satisfaction levels and low complication rates. In this review, we present a comprehensive summary of the concept, presentation, diagnosis, management options, and quality of life of patients with nasal septal deviation.

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Section: Reviewmentioning

confidence: 99%

Nasal Septal Deviation: A Comprehensive Narrative Review

Alghamdi¹,

Albogami²,

Alsurayhi³

et al. 2022

Cureus

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“…Rossiiskaya otorinolaringologiya худшим восприятием результатов оперативного лечения по сравнению с пациентами без ИНП. С одной стороны, данные наблюдения согласуются с результатами ранее проведенных исследований, продемонстрировавших, что выраженность ИНП тесно взаимосвязана с наличием ХРС [19] и может рассматриваться в качестве фактора, оказывающего влияние на послеоперационный прогноз при лечении ХРС [20].…”

Section: ;21;6(121)unclassified

Effect of concomitant nasal septum deviation on mucociliary clearance parameters after pediatric sinus surgery

Alekseenko¹,

Dvoryanchikov²,

Artyushkin³

et al. 2022

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Objective. To analyze the effect of concomitant deviated nasal septum in children with chronic rhinosinusitis (CRS) on the effectiveness of functional endoscopic sinus surgery (FESS), the state of the ciliary apparatus, and the morphology of the nasal mucosa in the postoperative period. Patients and methods. A comprehensive examination was performed in 124 patients with CRS without nasal septum deviation as well as 66 patients with CRS and concomitant nasal septum deviation who underwent FESS. Results. A statistically significant improvement in the condition of the subjects after surgery was found in both groups. At the same time, patients with CRS and nasal septum deviation had a higher number of complications and the need for revision surgery. The subjective evaluation of the results of FESS was significantly higher in the group of children with CRS without nasal septum deviation. According to the results of video cytomorphometry in children with CRS without deviated nasal septum, by 6 and 12 months of the postoperative period, there was a close to significant and significant increase in the survival of epithelial cells, the number of cells with mobile cilia, the length of cilia, and the frequency of cilia beating. A year after the operation, this group of subjects also showed a statistically significant decrease in epithelial dystrophy, the number of neutrophils and lymphocytes, and a tendency to arrange cells in layers. In contrast, in patients with CRS and nasal septum deviation, a significant increase in the length of cilia was noted only by 12 months after surgery, while other parameters only tended to normalize. Synchronicity of cilia beat increased significantly by 12 months in both groups. Thus, the obtained results indicate a delayed recovery of the ciliary apparatus and the morphology of the ciliated epithelium mucosa after FESS in children with CRS and concomitant nasal septum deviation, which may be associated with persistent inflammation, causing a less favorable course of the postoperative period.

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