Significance of Nasal Septum Angulation and Its Association with Rhinosinusitis Symptom Scores

Abstract

The aim of the study was to determine the association of angulation of nasal septum with the severity of rhinosinusitis as measured by symptom score and Visual Analog Score (VAS). Method: The study was performed as a cross sectional study conducted at two different centres in Malaysia. Ninety-eight patients who were diagnosed with rhinosinusitis and fulfilled the selection criteria were assessed as for the symptom score and VAS and the measurement of angulation of nasal septum was performed through a coronal view of CT paranasal sinuses in bone window setting at osteomeatal complex level. Results: The result obtained from one-way ANOVA test revealed a significant association between category of severity of septal angulation and the symptom score of rhinosinusitis (p=0.025). In addition, the result obtained from one-way ANOVA test also revealed a significant association between category of severity of septal angulation and the VAS of rhinosinusitis (p<0.05). Conclusion: Severity of nasal septum angulation may be significantly associated with severity of rhinosinusitis based on symptom score and VAS. These findings could be used in tailored management of patient with rhinosinusitis especially during functional endoscopic sinus surgery.

The correlation between nasal and paranasal sinus anatomical variations with severity of Chronic Rhino Sinusitis Based on CT Scan Examination at Dr. Zainoel Abidin Hospital Banda Aceh

“…Sinusitis frequency and sinus score from CT scan resultsSinusitis Frequency (n) Percentage (%)Lazim NM et al (2019) reported that the severity of nasal septal deviation angulation was significantly related to the degree of severity of CRS based on symptom scores and VAS [25]. Poorey and Gupta (2014) reported 67 CT scans of patients with CRS which were 56.7% had a degree of septal deviation moderate and were correlation between the degree of deviation of the nasal septum and changes in the maxillary sinus mucosa (p <0.05), but did not correlate with changes in the mucosa of the ethmoidal, frontal and sphenoidal sinuses [26].…”