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Maxillary sinus volume and mucosal thickening according to the septal deviation angle and age of the children

Adnan Özdemir1, Nuray Bayar Muluk2, Serkan Tursun3

  • 1Radiology Department, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.

Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research
|February 21, 2023
PubMed

Insights

Nasal septal deviation (SD) can reduce maxillary sinus volume, especially in adolescents. Early treatment of SD may prevent sinus issues and shrinkage.

Area of Science:

  • Otolaryngology
  • Pediatric Radiology
  • Anatomy

Background:

  • Nasal septal deviation (SD) is a common condition affecting nasal airflow and sinus development.
  • The impact of SD angle on maxillary sinus volumes in pediatric populations requires further investigation.

Purpose of the Study:

  • To investigate the relationship between the angle of nasal septal deviation (SD) and maxillary sinus volumes in children.
  • To determine if SD affects maxillary sinus volume and mucosal thickening based on deviation severity and age.

Main Methods:

  • Retrospective analysis of paranasal sinus computed tomography (PNSCT) images from 106 children with unilateral nasal SD.
  • Children were grouped by SD angle (≤11° vs. >11°) and age (9-14 years vs. 15-17 years).
  • Maxillary sinus volume and mucosal thickening were measured and compared between ipsilateral and contralateral sides, and between groups.

Main Results:

  • In adolescents (15-17 years), males had larger maxillary sinus volumes than females.
  • Ipsilateral maxillary sinus volume was significantly lower than contralateral volume in all children and adolescents.
  • In the >11° SD group, ipsilateral maxillary sinus mucosal thickening was higher.
  • In younger children (9-14 years), SD did not significantly affect maxillary sinus volume.

Conclusions:

  • Significant differences in maxillary sinus volume exist based on SD angle and age in children.
  • Adolescent males exhibit larger maxillary sinus volumes compared to females.
  • Timely treatment of nasal septal deviation is recommended to prevent maxillary sinus volume reduction and potential rhinosinusitis.

Keywords:
ChildrenPNSCTSD anglemaxillary sinus volumemucosal thickeningnasal septal deviation

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