Relationship between nasal septum morphology and nasal obstruction symptom severity: computed tomography study

Janovic, Natasa; Janović, Aleksa; Miličić, Biljana; Djurić, Marija

doi:10.1016/j.bjorl.2020.09.004

Cited by 13 publications

(15 citation statements)

References 21 publications

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“…Unfortunately, there is no ubiquitous grading system for nasal obstruction and no specific anatomic sites were found to reflect or correlate more than others to the severity of obstruction 23,24 . Another study found that NOSE scores were not significantly associated with DNS types and angles as reflected on CT imaging 25 . Nevertheless, patients with very anterior deviations were excluded because they were unlikely to benefit from RFA as sole treatment modality.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency‐assisted turbinate reduction

Neiderman

Eisenberg

Caspi

et al. 2022

Laryngoscope Investig Oto

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Objectives: Inferior turbinate hypertrophy (ITH) and nasal septum deviation are leading causes of chronic nasal obstruction. Radiofrequency ablation (RFA) of hypertrophic inferior turbinates is effective for improving quality of life (QOL). We aim to assess QOL among patients with nasal obstruction associated with ITH and major deviated nasal septum. Methods: A prospective cohort study comparing the difference in improved QOL among patients with and without septal deviation following RFA treatment between March 2016 and June 2019. The patients formed two groups according to their grade of septal deviation. Patients participating filled in QOL questionnaires (Sino-Nasal Outcome Test-22 [SNOT-22] and Nasal Obstruction Symptom Evaluation [NOSE]) Pre-and 2 months postprocedure.Results: All patients demonstrated QOL improvement with no significant difference between those with and those without any degree of deviated septum, as demonstrated by their responses to the SNOT-22 questionnaire (p = .29), the NOSE questionnaire (p = .93), and the degree of nasal obstruction (question 22 in the SNOT-22 questionnaire) (p = .14). Conclusion:We conclude that septal deviation to certain degree does not preclude treatment of ITH with RFA nor does it negatively affect subjective improvement of the patient's QOL. Both those with and those without septal deviation will benefit similarly with regards to subjective QOL improvement.

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Section: Discussionmentioning

confidence: 99%

“…23,24 Another study found that NOSE scores were not significantly associated with DNS types and angles as reflected on CT imaging. 25 Nevertheless, patients with very anterior deviations were excluded because they were unlikely to benefit from RFA as sole treatment modality.…”

Section: Discussionmentioning

confidence: 99%

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency‐assisted turbinate reduction

Neiderman

Eisenberg

Caspi

et al. 2022

Laryngoscope Investig Oto

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“…The deviation of nasal septum was measured in degrees, as described in Janovic et al in their article [ 21 ], and left as a continuous variable.…”

Section: Methodsmentioning

confidence: 99%

Retrospective Analysis of Clinical and Radiologic Data Regarding Zygomatic Implant Rehabilitation with a Long-Term Follow-Up

Cosola

Ballini

Zhurakivska

et al. 2021

IJERPH

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Background: Zygomatic implants have been introduced to rehabilitate edentulous patients with severely atrophic maxillae. Their use has been reported by several studies, describing high overall survival rates at medium–long follow-up. The aim of this study was to retrospectively analyze if a few patient-related and implant-related features are correlated with implant success or the onset of complications. Materials and methods: Data of patients treated with zygomatic implants between May 2005 and November 2012 at three private clinics were collected and retrospectively analyzed. For each implant, the following data were collected: implant length, insertion path, ridge atrophy and sinus characteristics (width, pneumatization, thickness of mucosae, patency of sinus ostium). General patient characteristics and health status data were also recorded. The outcomes evaluated were implant failure, infective complications, early neurologic complications and overall complications. Results: A total of 33 patients (14 men, 17 women, mean age 59.1) that received 67 zygomatic implants were included in the study. The mean duration of the follow-up was of 141.6 months (min 109; max 198). In this period, a total of 16 (23.88%) implants in 8 (24.24%) patients were removed and 17 (51.51%) patients with 36 (53.73%) implants reported complications. Immediate loading resulted in a significantly lower risk of complications compared with the two-stage prosthetic rehabilitation (OR: 0.04, p = 0.002). A thickness of the sinus mucosa > 3 mm emerged to be correlated with a greater occurrence of infective complications (OR: 3.39, p = 0.019). Severe and extreme pneumatization of the sinus was significantly correlated with the incidence of overall complications (p = 0.037) and implant failure (p = 0.044). A large sinus width was predisposed to a higher risk of neurologic complications, infective complications and implant failure (p = 0.036, p = 0.032, p = 0.04, respectively). Conclusions: zygomatic implants are an alternative procedure for atrophic ridge rehabilitation when a conventional implant placement is not possible. Several clinical and anatomical factors can have a significant role in complication occurrence.

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“…The direction of nasal septal deviation was determined as the convexity side of the septal curvature. According to the size of the nasal septal deviation angle, they were divided into three groups as low ( < 9°), medium (9°-15°), high ( > 15°) 6,7 . The point where the septal deviation is most Images were adjusted to the level at which bone structures could be clearly distinguished.…”

Section: Methodsmentioning

confidence: 99%

Effect of Septum Deviation on Osteomeatal Complex Distances

Şalk¹,

Taştemur²,

DURSUN³

et al. 2021

Cumhuriyet Medical Journal

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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.

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Relationship between nasal septum morphology and nasal obstruction symptom severity: computed tomography study

Cited by 13 publications

References 21 publications

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency‐assisted turbinate reduction

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency‐assisted turbinate reduction

Retrospective Analysis of Clinical and Radiologic Data Regarding Zygomatic Implant Rehabilitation with a Long-Term Follow-Up

Effect of Septum Deviation on Osteomeatal Complex Distances

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