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Comparison of Inferior Turbinate and Uncinate Process Angulation with Normal Population in Patients with Septal Spur
Hacer Baran1, Elif Elibol2, Adin Selcuk3
1University of Health Sciences Kartal Dr. Lütfi Kırdar Education and Research Hospital, Semsi Denizer Street. E-5 Highway Cevizli Mevkii, Kartal, Istanbul, 34860 Turkey.
Summary
Septal spurs impact nasal structure, altering the angles of the inferior turbinate and uncinate process. These changes, particularly in patients with septal deviation, suggest a need for surgical intervention on the inferior turbinate.
Area of Science:
- Otolaryngology
- Anatomy
- Medical Imaging
Background:
- Septal spurs can lead to various pathologies by influencing the development of the inferior turbinate, osteomeatal unit, and uncinate process.
- Understanding these anatomical changes is crucial for diagnosing and treating related sinonasal conditions.
Purpose of the Study:
- To compare the angular changes of the inferior turbinate and uncinate process with the maxillary medial wall in patients with septal spurs versus a normal population.
- To investigate the impact of septal deviation on these anatomical relationships.
Main Methods:
- Retrospective evaluation of 138 patients with septal spur and unilateral septum deviation, and 83 patients without septum deviation.
- Measurement of the angles of the inferior turbinate and uncinate process with the maxillary medial wall at the osteomeatal unit level.
- Comparison of these angles between the deviated side, the non-deviated side, and the normal population.
Main Results:
- The angle of the inferior turbinate with the maxillary medial wall was significantly smaller on the deviated side compared to the non-deviated side and normal population.
- The angle of the uncinate process with the maxillary medial wall was significantly larger on the deviated side compared to the non-deviated side and normal population.
- A smaller angle was observed in the non-deviated side compared to the normal population for both structures.
Conclusions:
- The presence of a septal spur, particularly a basal crest, is associated with structural alterations in the inferior turbinate and uncinate process.
- Surgical intervention, specifically fracturing the inferior turbinate on the concave side, is recommended for patients with basal crests.
