mid blac sea j health sci

Middle Black Sea Journal of Health Science

2149-7796

Ordu University

10.19127/mbsjohs.815984

Health Care Administration

Sağlık Kurumları Yönetimi

Radiologic analysis of correlations between sinonasal anatomical variations in patients with nasal septal deviation

https://orcid.org/0000-0002-8164-4056

Karalı

Elif

BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ

https://orcid.org/0000-0001-9554-8922

Güneş

Akif

ABANT IZZET BAYSAL UNIVERSITY

https://orcid.org/0000-0002-0202-8555

Dağıstan

Emine

ABANT IZZET BAYSAL UNIVERSITY

https://orcid.org/0000-0003-1996-1568

Coşgun

Zeliha

ABANT IZZET BAYSAL UNIVERSITY

https://orcid.org/0000-0002-6088-1415

Ural

Ahmet

ABANT IZZET BAYSAL UNIVERSITY

https://orcid.org/0000-0003-2183-7080

Kalaycıoğlu

Oya

ABANT IZZET BAYSAL UNIVERSITY

12 31 2020

6 3 340 351 10 24 2020 12 04 2020

2015

Middle Black Sea Journal of Health Science

Objective: This study aims to analyze the sinonasal anatomical variations accompanying the nasal septal deviation, the correlations between these variations, and their relationship with the septal deviation angle.Methods: In this retrospective study, preoperative paranasal computed tomography (CT) scans of 206 patients who underwent septoplasty between January 2015 and December 2019 were examined. In CT scans, different nasal septal deviation types, Keros classification, optic nerve type, ethmoid air cell variants, nasal concha variants, paranasal sinus pneumatization variants, and the correlation between accessory pneumatization variants and their relationship with the septal deviation angle were analyzed.Results: In patients with nasal septal deviation, supraorbital ethmoid cell, anterior clinoid process pneumatization and onodi cell were more frequent compared to the literature. Any significant correlation between the nasal septal deviation angle and the presence of sinonasal variants was not detected (p > 0.05). Correlations were significant between the presence of Frontal sinus hypoplasia and Haller cell (ϕ = -0.142, p = 0.042), Supraorbital Ethmoid cell (ϕ = -0.173, p = 0.013) and Paradoxal middle concha (ϕ = 0.152, p = 0.029).Conclusion: Careful examination of paranasal CTs before craniomaxillofacial surgeries is important to determine sinonasal anatomic variants, to determine the appropriate treatment plan and to prevent possible complications peroperatively.

Nasal septal deviation Paranasal computerized tomography Anatomic variation Supraorbital ethmoid cell Anterior clinoid process

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