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Midnasal stenosis in adults with normative values.
O Ozturan1, E Senturk1, R Dogan1
1Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey.
The Journal of Laryngology and Otology
|January 7, 2022
Summary
Midnasal stenosis, a nasal obstruction cause in adults, is reported here for the first time. This study defines normative measurements and suggests diagnostic criteria and surgical options for this condition.
Area of Science:
- Otolaryngology
- Rhinosinusology
- Medical Imaging
Background:
- Congenital midnasal stenosis is known in infants, but its occurrence and characteristics in adults remain undocumented.
- Normative anatomical measurements for adult midnasal stenosis have not been previously established.
Purpose of the Study:
- To report the first cases of midnasal stenosis in adults.
- To establish normative anatomical measurements for the adult midnasal region.
- To suggest diagnostic and treatment strategies for adult midnasal stenosis.
Main Methods:
- Case series of three adult patients diagnosed with midnasal stenosis.
- Computed tomography (CT) scans analyzed for anatomical measurements.
- Comparison of patient measurements with those of 161 healthy individuals.
Main Results:
- Adult midnasal stenosis was identified in three patients presenting with nasal obstruction.
- Significant differences in endonasal cavity dimensions were observed between males and females.
- Patients exhibited a constricted midnasal region compared to healthy controls.
Conclusions:
- This study introduces midnasal stenosis as a condition affecting adults, providing the first normative data.
- Endoscopic visualization of medially located middle turbinates and uncinate processes suggests potential midnasal stenosis.
- Paranasal sinus CT scans are crucial for definitive diagnosis, with surgical interventions like turbinectomy and uncinectomy proposed for relief.
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