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Paraseptal structural changes and chronic sinus disease in relation to the deviated septum
M M Elahi1, S Frenkiel, N Fageeh
1Department of Otolaryngology, McGill University, SMBD-Jewish General Hospital, Montréal, Québec.
The Journal of Otolaryngology
|August 1, 1997
Summary
Nasal septal deviation significantly correlates with ostiomeatal complex obstruction and paranasal sinus disease. Increased deviation leads to bilateral sinus issues and contralateral middle turbinate abnormalities.
Area of Science:
- Otolaryngology
- Medical Imaging
- Anatomy
Background:
- The ostiomeatal complex (OMC) is crucial for sinonasal health.
- Nasal septal deviation is a common condition that may affect OMC function.
Purpose of the Study:
- To assess how computerized tomography (CT) aids in understanding the anatomical features of the ostiomeatal complex.
- To evaluate the relationship between nasal septal deviation and OMC obstruction.
Main Methods:
- Prospective evaluation of the ostiomeatal complex region in 122 patients using CT.
- Correlation of nasal septal deviation with paranasal sinus disease, lateral nasal wall, and middle turbinate findings.
Main Results:
- Higher incidence of OMC obstruction with increasing nasal septal deviation (p < .05).
- Septal deformity caused ipsilateral OMC obstruction; contralateral obstruction linked to middle turbinate and lateral nasal wall abnormalities.
- Increased incidence and severity of sinus disease correlated with greater septal deviation (p < .05).
Conclusions:
- Significant septal deviation is associated with bilateral sinus disease.
- Contralateral middle turbinate abnormalities and ethmoid bulla prominence are linked to increased septal deviation.