Advantages of Computed Tomography (CT) in Endoscopic Septopasty

Tareq Mohammad,Saif Rahman Khan,Nazmul Hossain Chowdhury,Towsif Bin Mamoon,A S M Rahman,Md Ashraful Islam,Farid Uddin Milki

doi:10.4236/ijohns.2020.96022

Tareq Mohammad, Saif Rahman Khan + Show 5 more

Open Access

https://doi.org/10.4236/ijohns.2020.96022

Copy DOI

Abstract

Background and objective: Nasal obstruction is the most frequent presentation to the otolaryngologist all over the world. Symptoms are multisystem involvement such as headache, epistaxis, ophthalmological, otological, upper and lower respiratory tract infections; and many more. Septoplasty is commonly performed for nasal septal deviation as a primary indication of nasal airway obstruction. Physical examination, anterior rhinoscopy and nasal endoscopy are considered the gold standard for detecting septal deviation. Computed tomography (CT) can also be used to evaluate the nasal septum, anatomical variants and unveils the associated sinonasal diseases. This study aimed to find out the advantages of CT in endoscopic septoplasty for all out benefits to the patients. Patients and methods: 168 patients of nasal septal deviation were selected from 2015 to 2018 in the Bangladesh Medical and Popular Medical College Specialized Hospital. Age ranged between 10 years to 70 years of age. CT scanning in both coronal, axial and sagittal sections had been done in all patients after proper history taking, physical examination, anterior rhinoscopy and nasal endoscopy. Endoscopic septoplasty alone and/or other ancillary procedures were performed in all 168 patients under general anesthesia. Results: Amongst 168 patients, male was 116 (69%) and female was 52 (31%) with a ratio 2.2:1. Maximum 58 (35%) reported in 31 to 40 years and 48 (29%) was found in 21 to 31 years of age. Hypertrophied inferior turbinate (HIT) 54 (32%) and 48 (29%) concha bullosa (CB) were associated with 168 septal deviation. Associated pathologies like maxillary antral cyst 68 (40%) and maxillary sinusitis 62 (37%) were documented. Conclusion: CT scanning unveils the abnormal anatomic variants and associated sinonasal pathologies along with nasal septal deviation. Endoscopic septoplasty, correction of the anatomical variants and complete surgical clearance of the sinonasal pathologies can give the patient a grand success.

Highlights

Nasal obstruction is one of the most common symptoms of the patients encountered in otolaryngological practice
Anterior rhinoscopy and nasal endoscopy are considered the gold standard for detecting septal deviation
This study aimed to find out the advantages of Computed tomography (CT) in endoscopic septoplasty for all out benefits to the patients

Summary

Introduction

Nasal obstruction is one of the most common symptoms of the patients encountered in otolaryngological practice. There are many other pathologies in the nose and paranasal sinuses responsible for nasal obstruction such as hypertrophied inferior turbinate (HIT), concha bullosa (CB), chronic rhinosinusitis (CRS), nasal polyps, mucocele, mucous retention cyst in the paranasal sinus, tumors, adenoid hypertrophy and many more may be associated with septal deviation. This nasal obstruction leads to snoring, obstructive sleep apnea (OSA), otological symptoms, headache, facial pain, etc. Anterior rhinoscopy (AR) and nasal endoscopy (NE) are considered the “gold standard” to evaluate septal deviation [2]. Associated pathologies like maxillary antral cyst 68 (40%) and maxillary sinusitis 62 (37%)

Objectives

Results

Conclusion