Is There any Relationship Between Nasal Septal Deviation and Concha Bullosa

Keleş, Bahar; Öztürk, Kayhan; Ünaldi, Deniz; Arbağ, Hamdi; Özer, Bedri

doi:10.29333/ejgm/82886

Cited by 10 publications

(20 citation statements)

References 13 publications

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“…Patients with acute sinusitis, allergic sinusitis, asthma, cystic fibrosis, immune deficiency, metabolic diseases or malignant diseases or those who had previously undergone nasal or sinus surgery, or maxillofacial trauma cases, and children \8 years of age were excluded from the study [8].…”

Section: Exclusion Criteriamentioning

confidence: 99%

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Poorey

Gupta

2014

Indian J Otolaryngol Head Neck Surg

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To correlate symptoms of deviated nasal septum (DNS) and chronic rhinosinusitis with the findings of nasal endoscopy and computed tomographic (CT) imaging. To evaluate the influence of degree of septal angle deviation on the severity of lateral nasal wall abnormalities. A prospective study was conducted on 67 patients with clinical evidence of DNS and chronic sinusitis attending ENT OPD between January 2012 and September 2013. All these patients underwent nasal endoscopy and CT scan PNS coronal sections. Direction and degree of DNS was recorded. Range of sinus mucosal thickening on CT scan films was also recorded. Chronic sinusitis is common in the age group between 21 and 40 years (50.74 %) with male preponderance (55.22 %), chief symptoms being nasal obstruction (86.56 %), headache (73.13 %) and nasal discharge (52.23 %). Left sided DNS is more common (64.17 %). Most of the patients have moderate DNS, i.e. 6°-10°(56.7 %), followed by severe (22.4 %) and then mild (20.9 %). DNS results in compensatory structural changes in the turbinates and/or lateral nasal wall which causes ostiomeatal complex (OMC) obstruction resulting in sinusitis. Contralateral concha bullosa and ethmoid bulla prominence was noted. Maxillary sinus is most commonly affected sinus (73.13 %). Patients with increasing septal angles were associated with a higher incidence of maxillary sinus mucosal changes (p \ 0.05). Present study reemphasized the concept that septal deviation causes obstruction at OMC which results in an increased incidence and severity of bilateral chronic sinus disease.

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Section: Exclusion Criteriamentioning

confidence: 99%

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Poorey

Gupta

2014

Indian J Otolaryngol Head Neck Surg

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“…The present study showed the presence of septum deviation in 24.6% of cases; in the literature, frequencies of septum deviation varying from 9% to 80% have been presented, depending on the population and methodology 4,5,13,14,[16][17][18][19] . Some authors mention septum deviation as the most common anatomical alteration in the nasal cavity 18 .…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms and skeletal variations due to NSD and CB are applicable and useful in the forensic context. These traits are common and have a complex pattern, as the literature reports a strong association between nasal concha hypertrophy and the side to which the nasal septum is diverted 4,11,13,14 . This research also aimed to verify and correlate the presence of CB and the possible correlation with NSD.…”

Section: Introductionmentioning

confidence: 99%

“…Bony changes in the nasal cavity such as nasal septum deviation (NSD) and concha bullosa are easy to identify and can be very applicable to forensic anthropology. NSD is a variance of the nasal septum that can occur due to different etiologies such as irregular osseous development, trauma, or overgrowth of the nasal concha; this contributes to nasal obstruction and may lead to some level of facial deformity [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

“…However, the exact mechanisms of CB formation remain unclear; some authors suggest that the airflow pattern has an important influence. CB alters the nasal cavity space, its size and shape, blocking the nasal sinus apertures and leading to an obstructive respiratory disorder with clinical relevance [4][5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Nasal Septum Deviation and Concha Bullosa: Forensic Anthropological Implications

Santos¹,

Prado²

2017

BJFS

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Abstract. Concha bullosa (CB) and nasal septum deviation (NSD) can be a congenital trait or be linked to respiratory pathologies. Symptoms include snoring, sleep apnea, and other respiratory disorders that can be easily recognized by relatives and partners. CB and NSD are easy to identify and can be very applicable in the human identification process during routine forensic anthropological investigations. A physical-anthropological analysis was carried out by observing the presence of NSD and CB in 57 skulls from a Brazilian skull collection. Of the 57 skulls, 14 (24.6%) showed septal deviation, 19.3% to the right side and 5.3% to the left side. Regarding CB, this trait was observed in 16 skulls (34.8%) unilaterally and bilaterally in 9 skulls (19.6%). Our results are compatible with the literature and we suggest that CB influences contralateral NSD. The frequency and clinical aspects of these traits may be considered in a forensic investigation.

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CT Scan Study of Influence of Septal Angle Deviation on Lateral Nasal Wall in Patients of Chronic Rhinosinusitis

Mundra

Gupta

Sinha

et al. 2014

Indian J Otolaryngol Head Neck Surg

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The nasal septum is an important physiological and support structure of the nose. The nasal septal deviation causes alteration in air flow, mucociliary clearance and effects structures of the lateral nasal wall causing various nasal symptoms and other sinonasal disease. A systematic analysis was performed to measure the angle of septal deviation on CT scan PNS coronal section and to evaluate the influence of increasing septal angle deviation on the severity of lateral nasal wall abnormalities. A total of 61 patients with clinical evidence of chronic rhinosinusitis refractory to medical therapy for minimum three months were included in this study. After preliminary anterior & posterior rhinoscopic examination, all patients were evaluated with nasal endoscopy & CT scan PNS coronal view. There was statistically significant increase in hypertrophy of the middle turbinates and prominence of bulla ethmoidalis with OMC impingement on the side opposite to the direction of septal deviation. No apparent statistically significant difference between ipsilateral and contra lateral side OMC disease and anterior sinus mucosal disease in relation to direction of septal deviation in various groups was seen. We concluded that there is a strong association of increasing angles of septal deviation with corresponding patterns of disease in ostiomeatal complex. The result of the present study reemphasized the fact that, obstruction at ostiomeatal complex and anterior ethmoids secondary to septal deviation is the key factor for causation of chronic sinusitis.

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Is There any Relationship Between Nasal Septal Deviation and Concha Bullosa

Abstract: Aim: To evulate relationship between nasal septal deviation and concha bullosa (CB) by using deviation angles and concha bullosa pneumatization index (CBPI). Method

Cited by 10 publications

References 13 publications

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Endoscopic and Computed Tomographic Evaluation of Influence of Nasal Septal Deviation on Lateral Wall of Nose and Its Relation to Sinus Diseases

Frequency of Nasal Septum Deviation and Concha Bullosa: Forensic Anthropological Implications

CT Scan Study of Influence of Septal Angle Deviation on Lateral Nasal Wall in Patients of Chronic Rhinosinusitis

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