Is There any Relationship Between Nasal Septal Deviation and Concha Bullosa

Bahar Keleş,Bedri Özer,Deniz Ünaldı,Kayhan Öztürk,Hamdi Arbağ

doi:10.29333/ejgm/82886

Abstract

Aim: To evulate relationship between nasal septal deviation and concha bullosa (CB) by using deviation angles and concha bullosa pneumatization index (CBPI). Method: Ninety patients with both nasal septal deviation and CB were evaluated by computerized tomography (CT) of paranasal sinus in coronal plane. Deviation angles and concha bullosa pneumatization index (CBPI) was calculated. Paranasal sinus pathologies were recorded on paranasal sinus CT. Result: Contralateral, ipsilateral and bilateral CB according to nasal septal deviation were found in 45 (50%), 16 (17.8%) and 29 (32.2%), respectively. Contralateral CB was significant higher than ipsilateral CB (p 0.05). Conclusion: Results suggested that there was a significantly relationship between nasal septal deviation and contralateral CB.

Highlights

The nasal septum is an important physiological and support structure of the nose [1]
All subjects were asked about typical symptoms of nasal septal deviation, concha bullosa (CB) and paransal sinus disease such as unilateral or bilateral nasal obstruction, nasal or postnasal discharge, facial pain or pressure, hedache, hyposmia/anosmia and cough
Direction of nasal septal deviation was determined by the convexity of the septal curvature

Summary

Introduction

The nasal septum is an important physiological and support structure of the nose [1]. It is formed by the quadrangular cartilage anteriorly, the vomer and perpendicular plate of the ethmoid bone posteriorly. Nasal septal deviation is highly accounted disease in the population. It is reported between 18.8-57.6% in the literature [2,3]. Nasal septal deviation can occurred by pressure and expansion during the downward growth of the septum from the ethmoid ossification centers, upward growth of the maxillar crest, and the development of the premaxilla and vomer [2]. The other important etiological factors are irregularity in the growth of the maxilla, asymmetric development of maxillary sinuses and turbinates, thumb-sucking, tongue-pressure habits which cause shifts in the alveolar ridge, genetic and environmental factors [2]

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