鼻腔解剖变体与SNOT-22在患有牙性鼻炎的患者中的相关性:回顾性研究
Federico Sireci1, Filippo Cascio2, Francesco Lorusso3
1Otorhinolaryngology Section, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C), University of Palermo, Via del Vespro, 133, 90127 Palermo, Italy.
Journal of clinical medicine
|April 12, 2025
概括
鼻腔解剖学变异,如隔膜偏差和孔卡布洛萨,与牙性鼻炎患者的生活质量恶化有关. 这些变化与较高的症状得分相关,但与放射性严重程度无关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 犀牛鼻学 犀牛鼻学
- 医疗成像医学成像
背景情况:
- 牙性鼻炎 (OS) 是一种常见的疾病,通常受鼻解剖学的影响.
- 了解解剖变异和疾病表现之间的相互作用对于有效管理至关重要.
研究的目的:
- 调查鼻腔解剖变异与牙性鼻炎的临床和放射性特征之间的相关性.
- 评估特定解剖异常对患者报告结果和疾病严重程度的影响.
主要方法:
- 追溯多中心研究,涉及70名被诊断患有牙性鼻炎的患者.
- 临床数据收集包括中鼻结局测试 (SNOT-22和SNOT-8) 和隆德-麦凯分数 (LMS).
- 记录了鼻腔解剖变异,如矛盾的中间轮 (PMT),孔卡布洛萨 (CB) 和鼻腔隔膜偏差 (NSD).
主要成果:
- 与NSD和PMT/CB相关的患者报告SNOT-22和SNOT-8得分显著更高.
- 后勤回归证实了这些变体与增加的症状负担 (p=0.02和p=0.04) 之间的显著关联.
- 伦德-麦凯评分和解剖学变异的存在之间没有明显的相关性.
结论:
- 鼻腔解剖学变量,特别是与OS同一侧的PMT或CB相结合的NSD,与生活质量下降有关.
- 这些解剖学因素显著影响患者报告的症状 (SNOT-22,SNOT-8) 在牙性鼻炎.
- 用LMS测量的放射性疾病严重程度似乎不受这些常见的鼻腔解剖变异的影响.
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