Research Article
BibTex RIS Cite

Examining the relation between Concha Bullosa types and Septum Deviation and Maxillary Sinusitis: Analysis of 293 Paranasal Computed Tomography

Year 2019, Volume: 3 Issue: 1, 49 - 53, 25.04.2019
https://doi.org/10.30565/medalanya.469534

Abstract

Aim: The purpose of the present study is to examine the relation between lamellar, bulbous and extensive-type Concha Bullous (CB) and Maxillary Sinusitis and Septum Deviation (SD), which are the 3 types of the Middle Concha Pneumatization. 

Patients and Method: The Computed Tomography (CT) images of 293 patients (586 sides), who had paranasal CT examination with the suspicion of sinonasal pathology, and who applied to the Otorhinolaryngology Clinic of Tokat State Hospital between January 1, 2017 and July 1, 2017, were evaluated in this retrospective study. The relation between CB types, Maxillary Sinusitis and SD was examined with statistical methods. 

Results: At least one CB was determined in a total of 120 paranasal CTs. While bilateral CB was determined in 74 patients (61.66%), unilateral CB was determined in 56 patients (38.33%). No statistically significant differences were detected between the patients who had lamellar type and those who did not have this, between the patients who had bulbous type and those who did not have this, between the patients who had extensive type and those who did not have this in terms of maxillary sinusitis presence (p>0,05; p>0,05; p>0,05, respectively). In patients with lamellar type CB, SD was detected less compared to other types at a significant level (p<0.05). There were no statistically significant differences between the patients who had bulbous type and extensive-type in terms of SD presence (p>0.05; p>0.05, respectively). 













Conclusion: While no relations were detected between the frequency of maxillary sinusitis presence according to the CB types; SD was found to be more in the bulbous and extensive types than in lamellar type. 

References

  • 1. Kalaiarasi R, Ramakrishnan V, Poyyamoli S. Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study. Int Arch Otorhinolaryngol. 2018 ;22(3):297-302. PMID: 29983772
  • 2. Lee HY, Kim CH, Kim JY, Kim JK, Song MY, Yang HJ, et al. Surgical anatomy of the middle turbinate. Clin Anat 2006;19 (6):493–6. PMID:16258979
  • 3. Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003; 41(2): 103-106.
  • 4. Clerico DM. Pneumatized superior turbinate as a cause of referred migraine headache. Laryngoscope 1996;106(7):874–9. PMID: 8667986
  • 5. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1):56–64. PMID: 1984551
  • 6. Rak KM, Newell JD II, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR Am J Roentgenol 1991;156(02):381–4. PMID: 1898819
  • 7. Hekmatnia A, Shirvani F, Mahmoodi F, Hashemi M.Association of anatomic variations with antrochoanal polyps in paranasal sinus computed tomography scan. J Res Med Sci. 2017; 27(1);22:3. PMID: 28400825
  • 8. Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr. 1988;12(5):778-84. PMID: 3170840
  • 9. Lloyd GAS. CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery. J Laryngol Otol 1990; 104(6):477-81. PMID: 2376707
  • 10. Lloyd GAS, Lund VJ, Scadding GK. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991;105(3):181- 185. PMID: 2019802
  • 11. Karki S , Pokharel M , Suwal S , Poudel R. Prevalence of Anatomical Variations of the Sinonasal Region and their Relationship with Chronic Rhinosinusitis. Kathmandu Univ Med J (KUMJ). 2016; 14(56):342-6. PMID: 29336423
  • 12. Balikci HH, Gurdal MM, Celebi S, Ozbay I, Karakas M. Relationships among concha bullosa, nasal septal deviation, and sinusitis: Retrospective analysis of 296 cases.. Ear Nose Throat J. 2016;95(12):487-491. PMID: 27929597
  • 13. Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004;25(9):1613-1618. PMID: 15502150
  • 14. Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003; 129(1):33-36. PMID: 12869913
  • 15. Ünlü HH, Akyar S, Çaylan R, Nalça Y. Concha bullosa. J Otolaryngol 1994; 23(1):23-27. PMID: 8170015
  • 16. Hatipoğlu HG, Cetin MA, Yüksel E.Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol. 2005;11(3):145-9. PMID: 16206055
  • 17. Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital. 2009 ;29(1):21-6. PMID: 19609378
  • 18. Stammberger H, Posawetz W. Functional endoscopic sinus surgery. European Archives of Oto-Rhino-Laryngology 1990; 247(2):63–76. PMID: 2180446
  • 19. Bhandary SK, Kamath P SD. Study of relationship of concha bullosa to nasal septal deviation and sinusitis. Indian J Otolaryngol Head Neck Surg. 2009;61(3):227-9. PMID: 23120641

Konka Büllöza tipleri ile septum deviasyonu ve maksiller sinüzit arasındaki ilişkinin araştırılması: 293 paranazal bilgisayarlı tomografinin analizi

Year 2019, Volume: 3 Issue: 1, 49 - 53, 25.04.2019
https://doi.org/10.30565/medalanya.469534

Abstract

Amaç: Bu çalışmanın amacı orta konka pnömatizasyonunun 3 tipi olan lamellar, bülböz ve ekspensive tip konka büllöza (KB) ile maksiller sinüzit ve septum deviasyonu (SD) arasındaki ilişkiyi araştırmaktır. 

Hastalar ve Yöntem: Bu retrospektif çalışmada Tokat Devlet Hastanesinde 1 ocak 2017 ile 1 temmuz 2017 arasında başvurmuş ve sinonazal patoloji şüphesi ile Paranazal BT tetkiki yapılmış 293 (586 taraf) hastanın Bilgisayarlı Tomografi (BT) görüntüleri değerlendirilmiştir. KB tipleri ile maksiller sinüzit ve SD arasındaki ilişki istatistiksel yöntemlerle araştırılmıştır. 

Bulgular: Bilateral KB 74 (%61,66) hastada tespit edilirken unilateral KB 56 (%38,33) hastada tespit edilmiştir. Lamellar tipin bulunduğu hastalarla, bulunmadığı hastalar arasında, bülböz tipin bulunduğu hastalarla, bulunmadığı hastalar arasında, ekstensiv tipin bulunduğu hastalarla, bulunmadığı hastalar arasında maksiller sinüzit varlığı açısından istatistiksel fark bulunamamıştır (sırasıyla, p>0,05; p>0,05; p>0,05). Lamellar tip KB’si bulunanlarda SD diğer tiplere göre istatistiksel olarak anlamlı derecede daha az bulunmuştur (p<0,05). Bülböz tipin ve ekstensivin tipin bulunduğu hastalarla bulunmadığı hastalar arasında SD varlığı açısından istatistiksel fark yoktur (sırasıyla, p>0,05;p>0,05). 













Sonuç: KB nin tiplerine göre maksiller sinüzit varlığının sıklığı arasında ilişki bulunmazken SD bülböz ve ekstensiv tipte lamellar tipe göre daha fazla bulunmuştur. 

References

  • 1. Kalaiarasi R, Ramakrishnan V, Poyyamoli S. Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study. Int Arch Otorhinolaryngol. 2018 ;22(3):297-302. PMID: 29983772
  • 2. Lee HY, Kim CH, Kim JY, Kim JK, Song MY, Yang HJ, et al. Surgical anatomy of the middle turbinate. Clin Anat 2006;19 (6):493–6. PMID:16258979
  • 3. Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003; 41(2): 103-106.
  • 4. Clerico DM. Pneumatized superior turbinate as a cause of referred migraine headache. Laryngoscope 1996;106(7):874–9. PMID: 8667986
  • 5. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1):56–64. PMID: 1984551
  • 6. Rak KM, Newell JD II, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR Am J Roentgenol 1991;156(02):381–4. PMID: 1898819
  • 7. Hekmatnia A, Shirvani F, Mahmoodi F, Hashemi M.Association of anatomic variations with antrochoanal polyps in paranasal sinus computed tomography scan. J Res Med Sci. 2017; 27(1);22:3. PMID: 28400825
  • 8. Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr. 1988;12(5):778-84. PMID: 3170840
  • 9. Lloyd GAS. CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery. J Laryngol Otol 1990; 104(6):477-81. PMID: 2376707
  • 10. Lloyd GAS, Lund VJ, Scadding GK. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991;105(3):181- 185. PMID: 2019802
  • 11. Karki S , Pokharel M , Suwal S , Poudel R. Prevalence of Anatomical Variations of the Sinonasal Region and their Relationship with Chronic Rhinosinusitis. Kathmandu Univ Med J (KUMJ). 2016; 14(56):342-6. PMID: 29336423
  • 12. Balikci HH, Gurdal MM, Celebi S, Ozbay I, Karakas M. Relationships among concha bullosa, nasal septal deviation, and sinusitis: Retrospective analysis of 296 cases.. Ear Nose Throat J. 2016;95(12):487-491. PMID: 27929597
  • 13. Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004;25(9):1613-1618. PMID: 15502150
  • 14. Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003; 129(1):33-36. PMID: 12869913
  • 15. Ünlü HH, Akyar S, Çaylan R, Nalça Y. Concha bullosa. J Otolaryngol 1994; 23(1):23-27. PMID: 8170015
  • 16. Hatipoğlu HG, Cetin MA, Yüksel E.Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol. 2005;11(3):145-9. PMID: 16206055
  • 17. Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital. 2009 ;29(1):21-6. PMID: 19609378
  • 18. Stammberger H, Posawetz W. Functional endoscopic sinus surgery. European Archives of Oto-Rhino-Laryngology 1990; 247(2):63–76. PMID: 2180446
  • 19. Bhandary SK, Kamath P SD. Study of relationship of concha bullosa to nasal septal deviation and sinusitis. Indian J Otolaryngol Head Neck Surg. 2009;61(3):227-9. PMID: 23120641
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Research Article
Authors

Ceyhun Aksakal 0000-0001-9770-1513

Publication Date April 25, 2019
Submission Date October 11, 2018
Acceptance Date February 9, 2019
Published in Issue Year 2019 Volume: 3 Issue: 1

Cite

Vancouver Aksakal C. Konka Büllöza tipleri ile septum deviasyonu ve maksiller sinüzit arasındaki ilişkinin araştırılması: 293 paranazal bilgisayarlı tomografinin analizi. Acta Med. Alanya. 2019;3(1):49-53.

9705

This Journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.