Research Article
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Year 2020, Volume: 6 Issue: 3, 340 - 351, 31.12.2020
https://doi.org/10.19127/mbsjohs.815984

Abstract

References

  • Akoglu E, Karazincir S, Balci A, Okuyucu SS, Sumbas H, Dagli AS. Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum. Otolaryngol - Head Neck Surg 2007;136:380–4. https://doi.org/10.1016/j.otohns.2006.09.006.
  • Alkire BC, Bhattacharyya N. An assessment of sinonasal anatomic variants potentially associated with recurrent acute rhinosinusitis. Laryngoscope 2010;120:631–4. https://doi.org/10.1002/lary.20804.
  • Bolger WE, Parsons DS, Butzin CA. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991. https://doi.org/10.1288/00005537-199101000-00010.
  • Delano MC, Fun FY, Zinreich SJ. Relationship of the optic nerve to the posterior paranasal sinuses: A CT anatomic study. Am J Neuroradiol 1996. https://doi.org/10.1016/s0196-0709(97)90018-1.
  • El-Taher M, AbdelHameed WA, Alam-Eldeen MH, Haridy A. Coincidence of Concha Bullosa with Nasal Septal Deviation; Radiological Study. Indian J Otolaryngol Head Neck Surg 2019. https://doi.org/10.1007/s12070-018-1311-x.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol 1997.
  • Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012;32:244–51.
  • Haytoglu S, Dengiz R, Muluk NB, Kuran G, Arikan OK. Effects of septoplasty on olfactory function evaluated by the Brief Smell Identification Test: A study of 116 patients. Ear, Nose Throat J 2017. https://doi.org/10.1177/0145561317096010-1123.
  • Itagi RM, Adiga CP, Kalenahalli K, Goolahally L, Gyanchandani M. Optic nerve canal relation to posterior paranasal sinuses in indian ethnics: Review and objective classification. J Clin Diagnostic Res 2017. https://doi.org/10.7860/JCDR/2017/23447.9510.
  • Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004;50:296–302. https://doi.org/10.1016/j.ejrad.2003.08.012.
  • Koo SK, Kim JD, Moon JS, Jung SH, Lee SH. The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study. Auris Nasus Larynx 2017;44:561–70. https://doi.org/10.1016/j.anl.2017.01.003.
  • Mladina R, Čujić E, Šubarić M, Vuković K. Nasal septal deformities in ear, nose, and throat patients. An international study. Am J Otolaryngol - Head Neck Med Surg 2008. https://doi.org/10.1016/j.amjoto.2007.02.002.
  • Nandapalan V, Watson ID, Swift AC. Beta-2-transferrin and cerebrospinal fluid rhinorrhoea. Clin Otolaryngol Allied Sci 1996. https://doi.org/10.1111/j.1365-2273.1996.tb01737.x.
  • Noguchi A, Balasingam V, Shiokawa Y, McMenomey SO, Delashaw JB. Extradural anterior clinoidectomy. Technical note. J Neurosurg 2005. https://doi.org/10.3171/jns.2005.102.5.0945.
  • Ozcan KM, Selcuk A, Ozcan I, Akdogan O, Dere H. Anatomical Variations of Nasal Turbinates. J Craniofac Surg 2008. https://doi.org/10.1097/SCS.0b013e318188a29d.
  • Sapci T, Derin E, Almaç S, Cumali R, Saydam B, Karavus M. The relationship between the sphenoid and the posterior ethmoid sinuses and the optic nerves in Turkish patients. Rhinology 2004.
  • Shokri A, Faradmal MJ, Hekmat B. Correlations between anatomical variations of the nasal cavity and ethmoidal sinuses on cone-beam computed tomography scans. Imaging Sci Dent 2019;49:103–13. https://doi.org/10.5624/isd.2019.49.2.103.
  • Sirikci A, Bayazit YA, Bayram M, Mumbuc S, Gungor K, Kanlikama M. Variations of sphenoid and related structures. Eur Radiol 2000. https://doi.org/10.1007/s003300051016.
  • Unal B, Bademci G, Bilgili YK, Batay F, Avci E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006. https://doi.org/10.1007/s00276-005-0073-9.
  • Uygur K, Tuz M, Dogru H. The correlation between septal deviation and concha bullosa. Otolaryngol - Head Neck Surg 2003. https://doi.org/10.1016/S0194-5998(03)00479-0.
  • Wuister AMH, Goto NA, Oostveen EJ, De Jong WU, Van Der Valk ES, Kaper NM, et al. Nasal endoscopy is recommended for diagnosing adults with chronic rhinosinusitis. Otolaryngol - Head Neck Surg (United States) 2014;150:359–64. https://doi.org/10.1177/0194599813514510.
  • Yazici D. The analysis of computed tomography of paranasal sinuses in nasal septal deviation. J Craniofac Surg 2019;30:E143–7. https://doi.org/10.1097/SCS.0000000000005077.
  • Yigit O, Acioglu E, Cakır ZA, Sisman AS, Barut AY. Concha bullosa and septal deviation. Eur Arch Oto-Rhino-Laryngology 2010;267:1397–401. https://doi.org/10.1007/s00405-010-1228-9.
  • Zhang L, Han D, Ge W, Tao J, Wang X, Li Y, et al. Computed tomographic and endoscopic analysis of supraorbital ethmoid cells. Otolaryngol - Head Neck Surg 2007. https://doi.org/10.1016/j.otohns.2007.06.737.

Radiologic analysis of correlations between sinonasal anatomical variations in patients with nasal septal deviation

Year 2020, Volume: 6 Issue: 3, 340 - 351, 31.12.2020
https://doi.org/10.19127/mbsjohs.815984

Abstract

Objective: This study aims to analyze the sinonasal anatomical variations accompanying the nasal septal deviation, the correlations between these variations, and their relationship with the septal deviation angle.
Methods: In this retrospective study, preoperative paranasal computed tomography (CT) scans of 206 patients who underwent septoplasty between January 2015 and December 2019 were examined. In CT scans, different nasal septal deviation types, Keros classification, optic nerve type, ethmoid air cell variants, nasal concha variants, paranasal sinus pneumatization variants, and the correlation between accessory pneumatization variants and their relationship with the septal deviation angle were analyzed.
Results: In patients with nasal septal deviation, supraorbital ethmoid cell, anterior clinoid process pneumatization and onodi cell were more frequent compared to the literature. Any significant correlation between the nasal septal deviation angle and the presence of sinonasal variants was not detected (p > 0.05). Correlations were significant between the presence of Frontal sinus hypoplasia and Haller cell (ϕ = -0.142, p = 0.042), Supraorbital Ethmoid cell (ϕ = -0.173, p = 0.013) and Paradoxal middle concha (ϕ = 0.152, p = 0.029).
Conclusion: Careful examination of paranasal CTs before craniomaxillofacial surgeries is important to determine sinonasal anatomic variants, to determine the appropriate treatment plan and to prevent possible complications peroperatively.

References

  • Akoglu E, Karazincir S, Balci A, Okuyucu SS, Sumbas H, Dagli AS. Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum. Otolaryngol - Head Neck Surg 2007;136:380–4. https://doi.org/10.1016/j.otohns.2006.09.006.
  • Alkire BC, Bhattacharyya N. An assessment of sinonasal anatomic variants potentially associated with recurrent acute rhinosinusitis. Laryngoscope 2010;120:631–4. https://doi.org/10.1002/lary.20804.
  • Bolger WE, Parsons DS, Butzin CA. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991. https://doi.org/10.1288/00005537-199101000-00010.
  • Delano MC, Fun FY, Zinreich SJ. Relationship of the optic nerve to the posterior paranasal sinuses: A CT anatomic study. Am J Neuroradiol 1996. https://doi.org/10.1016/s0196-0709(97)90018-1.
  • El-Taher M, AbdelHameed WA, Alam-Eldeen MH, Haridy A. Coincidence of Concha Bullosa with Nasal Septal Deviation; Radiological Study. Indian J Otolaryngol Head Neck Surg 2019. https://doi.org/10.1007/s12070-018-1311-x.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol 1997.
  • Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012;32:244–51.
  • Haytoglu S, Dengiz R, Muluk NB, Kuran G, Arikan OK. Effects of septoplasty on olfactory function evaluated by the Brief Smell Identification Test: A study of 116 patients. Ear, Nose Throat J 2017. https://doi.org/10.1177/0145561317096010-1123.
  • Itagi RM, Adiga CP, Kalenahalli K, Goolahally L, Gyanchandani M. Optic nerve canal relation to posterior paranasal sinuses in indian ethnics: Review and objective classification. J Clin Diagnostic Res 2017. https://doi.org/10.7860/JCDR/2017/23447.9510.
  • Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol 2004;50:296–302. https://doi.org/10.1016/j.ejrad.2003.08.012.
  • Koo SK, Kim JD, Moon JS, Jung SH, Lee SH. The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study. Auris Nasus Larynx 2017;44:561–70. https://doi.org/10.1016/j.anl.2017.01.003.
  • Mladina R, Čujić E, Šubarić M, Vuković K. Nasal septal deformities in ear, nose, and throat patients. An international study. Am J Otolaryngol - Head Neck Med Surg 2008. https://doi.org/10.1016/j.amjoto.2007.02.002.
  • Nandapalan V, Watson ID, Swift AC. Beta-2-transferrin and cerebrospinal fluid rhinorrhoea. Clin Otolaryngol Allied Sci 1996. https://doi.org/10.1111/j.1365-2273.1996.tb01737.x.
  • Noguchi A, Balasingam V, Shiokawa Y, McMenomey SO, Delashaw JB. Extradural anterior clinoidectomy. Technical note. J Neurosurg 2005. https://doi.org/10.3171/jns.2005.102.5.0945.
  • Ozcan KM, Selcuk A, Ozcan I, Akdogan O, Dere H. Anatomical Variations of Nasal Turbinates. J Craniofac Surg 2008. https://doi.org/10.1097/SCS.0b013e318188a29d.
  • Sapci T, Derin E, Almaç S, Cumali R, Saydam B, Karavus M. The relationship between the sphenoid and the posterior ethmoid sinuses and the optic nerves in Turkish patients. Rhinology 2004.
  • Shokri A, Faradmal MJ, Hekmat B. Correlations between anatomical variations of the nasal cavity and ethmoidal sinuses on cone-beam computed tomography scans. Imaging Sci Dent 2019;49:103–13. https://doi.org/10.5624/isd.2019.49.2.103.
  • Sirikci A, Bayazit YA, Bayram M, Mumbuc S, Gungor K, Kanlikama M. Variations of sphenoid and related structures. Eur Radiol 2000. https://doi.org/10.1007/s003300051016.
  • Unal B, Bademci G, Bilgili YK, Batay F, Avci E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006. https://doi.org/10.1007/s00276-005-0073-9.
  • Uygur K, Tuz M, Dogru H. The correlation between septal deviation and concha bullosa. Otolaryngol - Head Neck Surg 2003. https://doi.org/10.1016/S0194-5998(03)00479-0.
  • Wuister AMH, Goto NA, Oostveen EJ, De Jong WU, Van Der Valk ES, Kaper NM, et al. Nasal endoscopy is recommended for diagnosing adults with chronic rhinosinusitis. Otolaryngol - Head Neck Surg (United States) 2014;150:359–64. https://doi.org/10.1177/0194599813514510.
  • Yazici D. The analysis of computed tomography of paranasal sinuses in nasal septal deviation. J Craniofac Surg 2019;30:E143–7. https://doi.org/10.1097/SCS.0000000000005077.
  • Yigit O, Acioglu E, Cakır ZA, Sisman AS, Barut AY. Concha bullosa and septal deviation. Eur Arch Oto-Rhino-Laryngology 2010;267:1397–401. https://doi.org/10.1007/s00405-010-1228-9.
  • Zhang L, Han D, Ge W, Tao J, Wang X, Li Y, et al. Computed tomographic and endoscopic analysis of supraorbital ethmoid cells. Otolaryngol - Head Neck Surg 2007. https://doi.org/10.1016/j.otohns.2007.06.737.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Elif Karalı 0000-0002-8164-4056

Akif Güneş 0000-0001-9554-8922

Emine Dağıstan 0000-0002-0202-8555

Zeliha Coşgun 0000-0003-1996-1568

Ahmet Ural 0000-0002-6088-1415

Oya Kalaycıoğlu 0000-0003-2183-7080

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 6 Issue: 3

Cite

Vancouver Karalı E, Güneş A, Dağıstan E, Coşgun Z, Ural A, Kalaycıoğlu O. Radiologic analysis of correlations between sinonasal anatomical variations in patients with nasal septal deviation. Mid Blac Sea J Health Sci. 2020;6(3):340-51.

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