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Correlation study between nasal septal deviation and rhinosinusitis.

Sumit Prasad1, Saurabh Varshney2, S S Bist1

  • 1Department of ENT, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun, 248140 UA India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|January 16, 2014
PubMed
Summary
This summary is machine-generated.

This study found no significant link between nasal septal deviation (NSD) and chronic rhinosinusitis (CRS). While vertical septal deviations were common, they did not statistically correlate with developing sinusitis.

Keywords:
Deviated septumRhinosinusitis

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Area of Science:

  • Otolaryngology
  • Medical Imaging
  • Anatomy

Background:

  • Chronic rhinosinusitis (CRS) is a prevalent global health issue.
  • Nasal septal deviation (NSD) is suspected to contribute to CRS by obstructing airflow or osteomeatal pathways.
  • A standardized classification for NSD is lacking, hindering definitive conclusions on its role in sinusitis development.

Purpose of the Study:

  • To investigate the correlation between nasal septal deviation (NSD) and chronic rhinosinusitis (CRS).
  • To analyze the relationship between different grades of NSD, using Mladina's classification, and the presence of sinusitis.

Main Methods:

  • A CT scan analysis of the nose and paranasal sinuses was performed on 120 patients (≥18 years) presenting with nasal obstruction, discharge, or headache.
  • Nasal septal deviation (NSD) and sinusitis were assessed using coronal sections.
  • Mladina's 1987 classification system was employed to categorize NSD.

Main Results:

  • Out of 120 patients, 114 (95%) had NSD, and 63 (52.5%) had sinusitis.
  • No statistically significant relationship was found between NSD and sinusitis.
  • Vertical deviations (Type I and II) were the most common NSD types, and while they showed a tendency towards sinusitis, the correlation was not statistically significant.

Conclusions:

  • The study indicates no definitive correlation between nasal septal deviation and chronic rhinosinusitis.
  • Vertical septal deviations, particularly Types I and II, may be more frequently associated with sinusitis due to their impact on the nasal valve area, though this requires further investigation.