Characterising Sinonasal Pneumatization in Patients with Nasal Septal Deviation: A CBCT-Based Study.

Autor: Patil K; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India., Jogigowda SC; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India., Suresh N; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India., Christopher VS; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India., Niranjan S; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India., Basavarajappa R; Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research Mysuru, Karnataka, 570015 India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2024 Dec; Vol. 76 (6), pp. 5692-5698. Date of Electronic Publication: 2024 Sep 16.
DOI: 10.1007/s12070-024-05067-y
Abstrakt: Aim: This study aimed to investigate the presence and correlation of paranasal sinus pneumatization among patients with and without nasal septal deviations (NSD), to enhance clinical understanding of sinonasal anatomical variations.
Materials and Methods: It is descriptive, retrospective study under a monocentric, utilizing institutional archives. 30 subjects with NSD and 30 without NSD were selected. Inclusion criteria required diagnostic quality Cone Beam Computed Tomography (CBCT) images, while exclusion criteria included developmental anomalies, central pathology, previous sinonasal surgery, fractures, and non-diagnostic images. The Assessment of Pneumatization of the Paranasal Sinuses (APPS) score was used to evaluate anatomical variations in paranasal sinuses based on CBCT scans. Statistical analysis was performed using the Chi-square test and independent t-test via SPSS version 23.
Results: A significant association between NSD and certain anatomical variations was observed. Notably, higher prevalence rates of variations such as pneumatization of the maxillary floor, middle turbinate concha bullosa, and superior frontal sinus wall were found in subjects with NSD. Statistical significance was confirmed in seven out of nine parameters, with p-values < 0.001 for most comparisons. The left side exhibited greater pneumatization than the right. The total APPS scores showed strong statistical significance between groups ( p  < 0.001).
Conclusion: The study reveals a significant relationship between nasal septal deviation and paranasal sinus pneumatization, suggesting that septal deviations may influence the extent of pneumatization in the sinonasal complex.
Competing Interests: Competing InterestsThe authors declare no competing interests.
(© Association of Otolaryngologists of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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