Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

Abstract

The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

The Impact of Middle Turbinate Concha Bullosa on the Severity of Inferior Turbinate Hypertrophy in Patients with a Deviated Nasal Septum

“…Additionally, as measured by distance or angle, the inferior turbinate on the concave side of a deviated septum projects farther medially into the nasal cavity. 11,14 Histopathologically, Berger et al 3 compared resected inferior turbinate specimens in patients undergoing surgery for NSD with ITH and compared them with freshly harvested postmortem specimens. The conchal bone in the ITH group showed a 2-fold increase in thickness, which accounted for approximately 75% of the difference in overall turbinate thickness compared with the cadaveric controls, with no significant difference in bone type (lamellar versus compact).…”

“…6 ITH has been commonly described as occurring contralateral to the direction of nasal septal deviation (NSD) or, alternatively phrased, along the concave side of the septum. 2,3,[7][8][9][10][11][12][13][14] Because of this association, it has been speculated that ITH is compensatory, to create physiologically favorable nasal airflow turbulence and to protect the mucosa from excessive drying and crusting with increased air flow. In other words, the inferior turbinate may have progressively enlarged to fill the void in the nasal cavity created by the shifted midline with the undesirable result of a smaller-than-expected crosssectional area for air passage.…”

Computed Tomographic Evaluation of Inferior Turbinate Hypertrophy in Adult Indo-Dravidian Patients With Deviated Nasal Septum

“…Nasal airway obstructions are often present in patients with deviated nasal septum (DNS) associated with varying degrees of concomitant inferior nasal turbinate hypertrophy (ITH) on the side contralateral to the direction of septal convexity [1][2][3][4][5][6][7]. Because of this association, it has been speculated that ITH is compensatory to create a physiologically favorable pathway for nasal airflow; the nasal mucosa could be protected from excessive drying and crusting due to increased air flow.…”

The peculiar features of the anatomical structure of the inferior turbinated bone

“…Korkut и соавт. [13] также провели сравнительное исследование размеров ННР у больных с врожденным и приобретенным искривлением перегородки носа по данным СКТ. По измерению нескольких параметров (толщина слизистой оболочки ННР, ее проекционный угол, максимальная толщина ННР и ее костного остова) гипертрофия ННР у а/a б/b больных с врожденным искривлением перегородки носа была достоверно более выражена, чем при травматических поражениях.…”