Should otolaryngologists pay more attention to nasal swell bodies?

Wotman, Michael; Kacker, Ashutosh

doi:10.1002/lary.25144

Cited by 16 publications

(26 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical treatment of NSB is not commonly done. This is due to lack of consensus among ENT clinicians or rhinologists where most consider surgical treatment of NSB as aggressive and controversial [ 1 , 18 ]. This lack of consensus may be influenced by inconsistent histological study results.…”

Section: Discussionmentioning

confidence: 99%

Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

Gelera

Ojar

Lim

et al. 2017

Clin Exp Otorhinolaryngol

View full text Add to dashboard Cite

Objectives This study aims to determine the anatomical changes occurring in the nasal septal body (NSB) among patients with sinonasal disease and compares the measurements obtained from patients without sinonasal disease.Methods This was a retrospective study involving review of 405 (93 without and 212 with sinonasal disease) plain paranasal sinus computed tomography (PNS CT) on coronal view at a tertiary training hospital, which was done consecutively from January 2014 to December 2015. NSB measurements from 3 areas were done: anterior part (A), located anterior and superior to inferior turbinate; middle or widest (M) part, located anterior to middle turbinate and superior to inferior turbinate and posterior (P) part, located within the anterior 1/3 of middle turbinate not going beyond the crista galli. Posterior part of septum (sP) was measured at the area of horizontal attachment of middle turbinate to the lateral nasal wall and superior turbinate to represent the less vasoactive part of the septum. Demographic data and NSB diameters were also analyzed.Results The mean NSB diameter measurements were significantly larger among the diseased group (disease vs. control; A: 6.88 mm vs. 5.92 mm, P=0.001; M: 12.74 mm vs. 10.47 mm, P=0.001; P: 8.35 mm vs. 6.79 mm, P=0.001). A similar observation in sP part (3.35 mm vs. 2.54 mm, P=0.014) was noted. When grouped by age, among the control group, older subjects had considerable decrease in NSB size in all points of measurements except for sP (P>0.05). Such reduction in size is noticeable for those in their 4th, 5th, 6th, and 7th decades of life. For the diseased group, a trend of increasing NSB and sP size was noted as the subjects are getting older. However, only the anterior part (A) of NSB reached statistical significance (P=0.016).Conclusion With aging we expect nasal mucosal atrophy among normal subjects. However, patients with chronic sinonasal disease showed thickened nasal mucosa. Further study for the reversibility of thickened mucosa is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

Gelera

Ojar

Lim

et al. 2017

Clin Exp Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…However, it is suggested that even the slightest changes in its dimensions can produce clinically significant outcomes. [21] According to Gelera et al, [3] with advancing age, NSB dimensions were considerably decreased in the control group and considerably increased in the disease group. However in the diseased group, except for the anterior part of NSB, their results did not reach significance.…”

Section: Discussionmentioning

confidence: 94%

The relationship between nasal septal body size and allergic rhinitis and sinonasal pathologies

Çoban¹

2020

KBB Uygulamaları

View full text Add to dashboard Cite

Bu çalışmada alerjik rinit (AR) ve diğer sinonazal patolojileri olan ve olmayan hastalarda nazal septal cisim genişliğinin (NSC) araştırılması ve karşılaştırılması amaçlandı. Hastalar ve Yöntemler: Çalışmaya toplam 577 birey dahil edildi. Çalışma grupları, çeşitli sinonazal patolojileri ve/veya AR'si olan 488 erişkin hastadan, kontrol grubu ise paranazal radyografik bulguları ve alerji testleri tamamen normal olan 89 sağlıklı bireyden oluşuyordu. Çalışma grubundaki hastalar kendi içinde dört gruba ayrılarak incelendi; grup 1 sadece sinonazal patolojisi olan hastalar (septum deviyasyonu, akut sinüzit, kronik sinüzit ve/veya nazal polipozis), grup 2 hem sinonazal patolojileri hem de AR'si olan hastalar, grup 3 sadece AR tanılı hastalardan oluşturuldu, grup 4 ise kontrol grubu olarak tasarlandı. Bulgular: Grup 1'de 201 (%34.8) hasta, grup 2'de 211 (%36.6) hasta, grup 3'de 76 (%13.2) hasta ve grup 4'de ise 89 sağlıklı birey (%15.4) mevcuttu. Bunlardan 299'u (%51.8) kadın, 278'i (%48.2) erkekti. NSC erkeklerde kadınlardan anlamlı olarak daha büyüktü. Ortalama NSC genişliği 1.2±0.2 idi. NSC boyutları her üç çalışma grubunda da kontrollere kıyasla anlamlı olarak daha büyüktü (p<0.001). Sonuç: Çalışmamız, literatür ile uyumlu olarak NSC'nin AR ve sinus patolojilerinde benzer oranlarda büyüdüğünü desteklemektedir. Burun tıkanıklığı ile başvuran hastalarda, fizik muayeneye ek olarak paranazal sinüs tomografisi ile değerlendirme etkin tanı ve tedavi için büyük öneme sahiptir.

show abstract

“…The SB is also more prominent contralateral to a septal deviation, as is the case with IT hypertrophy . In addition, because the SB is located in a relatively narrow nasal valve area, congestion can result in changes to nasal cross‐sectional area and lead to nasal obstruction, as occurs in IT hypertrophy . These histological similarities between IT and SB indicate that concomitant SB hypertrophy may occur in patients with IT hypertrophy, and some researchers have suggested that volume reduction similar to turbinoplasty, which is used to treat IT hypertrophy, would be effective in patients with SB hypertrophy.…”

Section: Discussionmentioning

confidence: 99%

“…The location and structural characteristics of the SB imply that it impacts and regulates nasal airflow . Indeed, the SB's impact on nasal physiology may be similar to that of the IT.…”

Section: Introductionmentioning

confidence: 99%

Correlation between septal body size and inferior turbinate hypertrophy on computerised tomography scans in fifty patients: A radiological analysis

Choi

Jung

et al. 2018

Clinical Otolaryngology

View full text Add to dashboard Cite

Correlation between septal body size and inferior turbinate hypertrophy on computerised tomography scans in fifty patients: A radiological analysisThe septal body (SB), also known as the nasal swell body or septal turbinate, is a distinct anatomical structure located superior to the inferior turbinate (IT) and anterior to the middle turbinate. It is composed of mucosa and soft tissue overlying cartilage and bone, and it has a thicker mucosal covering than the other portions of the nasal septum. [1][2][3][4][5] The location and structural characteristics of the SB imply that it impacts and regulates nasal airflow. 3,5-7 Indeed, the SB's impact on nasal physiology may be similar to that of the IT. From a histological perspective, the high proportion of venous sinusoids within the SB suggests that it can alter nasal airflow in a similar way to the IT. 1,3 Furthermore, one recent study revealed that, in patients with a septal deviation, the SB is more prominent contralateral to the deviation. This is similar to the compensatory IT hypertrophy that is also seen in such patients. 2 In this regard, Yu et al suggested that a hypertrophied SB can be reduced in volume using a microdebrider to treat nasal obstruction, 8 indicating that SB hypertrophy combined with IT hypertrophy reduces nasal cross-sectional area and increases resistance to airflow.Given the histological and structural similarities between SB and IT, we hypothesised that SB hypertrophy accompanies IT hypertrophy in a high proportion of patients. To our knowledge, no previous studies have addressed the correlation between SB size and IT hypertrophy. Therefore, the aim of this study was to determine, using computerised tomography (CT) scanning, whether SB size correlates with IT hypertrophy. | METHODS | Ethical considerationsThis study was approved by the Institutional Review Board of Konkuk University Chungju Hospital. | SubjectsWe analysed CT scans of the paranasal sinus (PNS) in 50 consecutive patients who presented to the Otolaryngology Department of Konkuk University Chungju Hospital between January 2015 and December 2016 complaining of headache, intermittent nasal obstruction, maxillofacial trauma, or loss of smelling. All patients were at least 16 years old. This study excluded CT scans of the PNS in patients with definite septal deviation, asymmetric IT hypertrophy, definite septal bone hypertrophy, acute or chronic rhinosinusitis, nasal polyps, maxillofacial fractures, and/or evidence of previous surgery. Septal 952 | CORRESPONDENCE: OUR EXPERIENCE

show abstract

Should otolaryngologists pay more attention to nasal swell bodies?

Cited by 16 publications

References 6 publications

Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

The relationship between nasal septal body size and allergic rhinitis and sinonasal pathologies

Correlation between septal body size and inferior turbinate hypertrophy on computerised tomography scans in fifty patients: A radiological analysis

Contact Info

Product

Resources

About