The Effect of Nasal Septal Deviation on Frontal and Maxillary Sinus Volumes and Development of Sinusitis

Abstract

The purpose of this study was to determine the possible role of nasal septal deviation on volume of maxillary and frontal sinuses. Between February 2011 and October 2013, paranasal sinus computed tomography (CT) findings of 732 patients (410 males, 322 females) who were admitted to Ear Nose and Throat Department of Kayseri Research and Training Hospital were retrospectively analyzed. By excluding the other coexistent sinonasal pathologies, 83 consecutive patients with nasal septal deviations were included in the study. The volume of each maxillary and frontal sinus (ipsi- and contralateral to the deviation side) was also calculated using the computer program. There was no statistically significant difference between ipsilateral and contralateral maxillary sinus volumes in group 1 and group 3 (P > 0.05). There was a statistically significant difference between ipsilateral and contralateral maxillary sinus volumes in group 2 (P < 0.05). There was no statistically significant difference between ipsilateral and contralateral frontal sinus volumes in group 1, group 2, and group 3 (P > 0.05). Moderate septal deviation significantly affects the volume of maxillary sinus. Mild and severe septal deviation does not significantly affect the volume of maxillary sinus. Effect of septal deviation on frontal sinus volume was not detected. The probability to encounter maxillary and frontal sinusitis ipsilateral to the all septum deviation groups was significantly increased in both right- and left-sided subjects.

Does Nasal Septal Deviation Have an Influence on Distribution Patterns of the Frontal Ethmoidal Cells?

“…Sazlısoy et al found that cribriform plate depth at the contralateral side was significantly higher than that of the ipsilateral side in adult patients with NSD (18). Karataş et al demonstrated that there was no effect of NSD on frontal sinus volume (19). In present study, we found that there was no difference between ipsilateral and contralateral sides in patients with NSD in term of the pneumatization of the frontal sinuses (P = 0.252).…”

The effects of choanal atresia on development of the paranasal sinuses and turbinates

“…However, consensus has not yet been reached on this issue. Recently, Karatas et al suggested that severe septal deviation had no remarkable effect on volumes in the maxillary and frontal sinus [15]. By contrast, a significant increase was established in contralateral maxillary sinus volume in the severe septum deviation group, when compared to that in the ipsilateral maxillary sinus [16].…”

A prediction modeling based on SNOT-22 score for endoscopic nasal septoplasty: a retrospective study

“…NSD patients with CRS have been reported to have poor prognosis, longer treatment cycles, and higher consumption of medical resources ( Ahn et al, 2016 ; Bhattacharyya, 2005 ). In addition, NSD also acts as a susceptibility factor for sinusitis by reducing nasal mucociliary activity, and inducing chronic inflammation and squamous metaplasia ( Ahn et al, 2016 ; Ji, Fu & Song, 2015 ; Kamani et al, 2014 ; Karatas et al, 2015 ). Therefore, sinusitis treatment is a serious problem in the clinical treatment of NSD.…”