RETROSPECTIVE EVALUATION OF THE RELATIONSHIP BETWEEN VOLUMES OF PARANASAL SINUSES, PRESENCE OF RHINOSINUSITIS AND NASAL SEPTUM DEVIATIONS ON CBCT IMAGES

Year 2019, Volume: 29 Issue: 4, 550 - 555, 15.10.2019

Burcu Kirşan Büyükkoçak Candan Semra Paksoy

https://doi.org/10.17567/ataunidfd.554331

Cited By: 1

Abstract

ABSTRACT

Aim: The aim of this study is to evaluate the relationship between nasal
septum deviations, volumes of paranasal sinuses and Lund-Mackay scores related
with the presence of rhinosinusitis in cone-beam computed tomography images,
which is currently been used in dental radiology.

Material and method: CBCT images of 130 patients aged between 18 and 79
years with paranasal sinus area in our study were evaluated retrospectively.
The correlation between the Lund-Mackay scores related with the presence of
rhinosinusitis, the paranasal sinus volumes and nasal septum deviations which
is an anatomic variation commonly seen in the community were examined.

Results:
Of the 130 patients who constituted the study group, 103 (%79.2) had nasal
septum deviations, 53 (%51.5) to the right and 50 (%48.5) to the left. The
total Lund-Mackay scores of individuals with nasal septum deviation were
significantly higher than those without nasal septum deviation (p≤0.05). According to the results of our study, right and left
maxillary, frontal, sphenoid and ethmoid sinus volumes were 13.6 cm³, 14.5 cm³,
6.2 cm³, 9.7 cm³, 8.7 cm³ respectively.

Conclusion: As an
alternative of Computed Tomography, which is accepted as gold standard to
evaluate the relationship between nasal septum deviation and paranasal sinus
volume with the presence of rhinosinusitis, Cone Beam Computerized Tomography,
which allows a 3-dimensional radiological examination with a lower dose of
radiation, may be used instead.

Keyword

Paranazal Sinüslerin Hacimleri, Rinosinüzit Varlığı
ve Nasal Septum Deviasyonları Arasındaki İlişkinin KIBT Görüntülerinde
Retrospektif Olarak Değerlendirilmesi

Amaç:
Çalışmanın amacı, günümüzde diş hekimliği radyolojisinde
kullanılan Konik Işınlı Bilgisayarlı Tomografi görüntülerinde nazal septum
deviasyonları ve paranazal sinüslerin hacimleri ile Lund-Mackay skorları ve
buna bağlı rinosinüzit varlığı arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Çalışmamızda
paranazal sinus bölgesinin görüntü alanı içinde bulunduğu, yaşları 18 ile 79
arasında değişen 130 hastaya ait KIBT görüntüsü retrospektif olarak
değerlendirilmiştir. Toplumda yaygın olarak görülen anatomik varyasyon olan
nazal septum deviasyonu ile paranazal sinus hacimleri ve Lund-Mackay skorları ile
buna bağlı rinosinüzit varlığı arasındaki ilişki incelenmiştir.

Bulgular:
Çalışma grubunu oluşturan 130 hastanın,
53’ü (%51,5) sağa, 50’si (48,5) sola olmak üzere 103’ünde (%79,2) nazal septum
deviasyonu bulunmuştur. Nazal septum deviasyonu olan bireylerin toplam
Lund-Mackay skorları ve buna bağlı rinosinüzit varlığı, deviasyonu olmayanlara
göre anlamlı düzeyde yüksek bulunmuştur (p≤0.05). Çalışmamızın sonuçlarına
göre, sağ ve sol maksiller, frontal, sphenoid ve etmoid sinus hacimleri sırasıyla
13.6 cm³, 14.5 cm³, 6.2 cm³, 9.7 cm³, 8.7 cm³
bulunmuştur.

Sonuç: Nazal
septum deviasyonu ve paranazal sinüs hacminin rinosinüzit varlığı ile
arasındaki ilişkinin değerlendirilmesinde
altın standart olarak kabul edilen
Bilgisayarlı Tomografiye alternatif olarak; daha düşük radyasyon dozuyla 3
boyutlu incelemeye olanak sağlayan Konik Işınlı Bilgisayarlı Tomografi tercih
edilebilir.

Anahtar
Kelimeler: KIBT,
nazal septum deviasyonu, paranazal sinüslerin hacmi, Lund-Mackay Skorlaması,
kronik rinosinüzits:
CBCT, nasal septum deviation, volume of paranasal sinuses, Lund-Mackay Score,
chronic rhinosinusitis.

Keywords

CBCT, nasal septum deviation, volume of paranasal sinuses, Lund-Mackay Score

References

• 1. Warwick R, Williams PL. Gray’s Anatomy. 35thEd, Philadelphia: W.B. Saunders; 1973.
• 2. Sanchez Fernandez JM, Anta Escuredo JA, Sanchez Del Rey A, Santaolalla Montoya F. Morphometric study of the paranasal sinuses in normal and pathological conditions. Acta Otolaryngologica. 2000; 120:273-278.
• 3. Younis R.T, Anand V.K, Davidson B. The role of computed tomography and magnetic resonance imaging in patients with sinusitis with complications. Laryngoscope. 2002; 112:224-229.
• 4. Guldner C, Ningo A, Voigt J, Diogo I, Heinrichs J, Weber R, Wilhelm T, Fibeich M. Potential of dosage reduction in cone-beam-computed tomography (CBCT) for radiological diagnostics of the paranasal sinuses. Eur Arch Otorhinolaryngol. 2013; 270:1307-1315.
• 5. Çakur B, Sümbüllü MA, Yılmaz AB. Relationship among hypertrophy of inferior turbinate, deviation of nasal septum and antral retention cyst. J Dent Fac Atatürk Uni. 2011; 21:5-9.
• 6. Bhandary S K, Kamath P S. Study of relationship of concha bullosa to nasal septal deviation and sinusitis. Indian J Otolaryngol Head Neck Surg. 2009; 61:227-229.
• 7. Dutra LD, Marchiori E. Tomografia computadorizada helicoidal dos seios paranasais na criança: avaliação das sinusopatias inflamatórias. Radiol Bras. 2002; 35:161-169.
• 8. Calhoun K, Waggenspack G. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg. 1991; 104:480-483.
• 9. Smith KD, Edwards PC, Saini TS, Norton NS. The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent. 2010; 2010:1-5, doi:10.1155/2010/404982.
• 10. Şerifoglu I, Oz I I, Damar M, Buyukuysal M C, Tosun A, Tokgoz O. Relationship between the degree and direction of nasal septum deviation and nasal bone morphology. Head Face Med.2017; 13:1-6, doi:10.1186/s13005-017-0136-2.
• 11. Saylisoy S, Acar M, San T, Karabag A, Bayar Muluk N, Cingi C. Is there a relationship between cribriform plate dimensions and septal deviation angle? Eur Arch Otorhinolaryngol. 2014; 271:1067-1071.
• 12. Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris nasus larynx. 2007; 34:191-195.
• 13. Kennedy DW. Diagnosis and treatment of recurrent sinusitis, JAMA. 2000; 284:1240.
• 14. Zinreich J. Rhinosinusitis: radiologic diagnosis. Otolaryngol Head Neck Surg. 1997; 117:27-34.
• 15. Lund V J, Kennedy D W. Staging for rhinosinusitis. Otolaryngol Head Neck Surg. 1997; 117:35–40.
• 16. Metson R, Gliklich R, Stankiewicz JA. Comparison of sinus computed tomography staging systems. Otolaryngol Head Neck Surg. 1997; 117:372-379.
• 17. Ashraf N, Bhattacharyya N. Determination of the “incidental” Lund score for the staging of chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2001; 125:483-486.
• 18. Woo WK, Shin WC, Jung DK, Lee YB, Lee SD. The usefulness of cone beam computed tomography in endoscopic sinus surgery. J Rhinol. 2012; 19:45–49.
• 19. Varshosaz M, Sharifi S. Cone beam volumetric tomography versus conventional computed tomography in evaluation of paranasal sinuses. Tehran Univ Med J. 2010; 68:406-411.