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The relationship between septal deviation and concha bullosa

Year 2017, Volume: 27 Issue: 2, 74 - 78, 18.06.2017

Abstract

Objectives: This study aims to classify septal deviations according to the Mladina classification and to investigate the relationship between concha bullosa and septal deviation. Patients and Methods: A total of 407 patients 229 males, 178 females; mean age 30.9±13.3 years; range 14 to 69 years who admitted to our clinic with nasal obstruction, were identified to have deviation, and detected to have concha bullosa on computed tomography were included in the study. Patients’ age, gender, type of deviation according to the Mladina classification, side of deviation, side of concha bullosa and the dominant side in bilateral cases were recorded. Results: Rate of type 3 septal deviation 34.4% was higher than the other septal deviation types. We detected that septal deviation in patients of concha bullosa was to the opposite side at a rate of 83% and the deviations were type 3 at a rate of 47%. Conclusion: Concha bullosa may cause septal deviation, while septal deviation may cause concha bullosa as well. Both conditions affect each other physically. The fact that type 3 deviation is seen more frequently in this combination supports this finding.

References

  • Mladina R. The role of maxillar morphology in the development of pathological septal deformities. Rhinology 1987;25:199-205.
  • Subarić M, Mladina R. Nasal septum deformities in children and adolescents: a cross sectional study of children from Zagreb, Croatia. Int J Pediatr Otorhinolaryngol 2002;63:41-8.
  • Mladina R, Subarić M. Are some septal deformities inherited? Type 6 revisited. Int J Pediatr Otorhinolaryngol 2003;67:1291-4.
  • San T, San S, Gürkan E, Erdoğan B. Bilateral triple concha bullosa: a very rare anatomical variation of intranasal turbinates. Case Rep Otolaryngol 2014;2014:851508.
  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
  • 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;25:1613-8.
  • Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12:778-84.
  • Erbek S, Dursun E. Konka bülloza nedenli orta konka baş ağrısı sendromu. Kulak Burun Boğaz ve. Baş Boyun Cerrahisi Dergisi 2002;10:150-5.
  • Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 2005;11:145-9.
  • Wee JH, Kim DW, Lee JE, Rhee CS, Lee CH, Min YG, et al. Classification and prevalence of nasal septal deformity in Koreans according to two classification systems. Acta Otolaryngol 2012;132:52-7.
  • Rao JJ, Kumar EC, Babu KR, Chowdary VS, Singh J, Rangamani SV. Classification of nasal septal deviations-Relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg 2005;57:199-201.
  • Cingi C, Bayar Muluk N, Acar M, Skitarelić N, Markešić J, Vugrinec O, et al. International study of the incidence of particular types of septal deformities in chronic rhinosinusitis patients: the outcomes from five countries. Am J Rhinol Allergy 2014;28:404-13.
  • Stammberger H. Endoscopic and radiologic diagnosis, In: Stammberger H, editors. Functional Endoscopic Sinus Surgery: The Messerklinger Technique 1991;145-73.
  • Alper F, Karaşen RM, Kantarci M. A massive superior concha bullosa: case report and literature review. Rhinology 2004;42:38-40.
  • Yiğit O, Acioğlu E, Cakir ZA, Sişman AS, Barut AY. Concha bullosa and septal deviation. Eur Arch Otorhinolaryngol 2010;267:1397-401.
  • Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003;129:33-6.
  • Grymer LF, Melsen B. The morphology of the nasal septum in identical twins. Laryngoscope 1989;99:642-6.
  • Sazgar AA, Massah J, Sadeghi M, Bagheri A, Rasool E. The incidence of concha bullosa and the correlation with nasal septal deviation. B-ENT 2008;4:87-91.
  • Qian Y, Wang S. Relationship between nasal septal deviation and the bulbous type concha bullosa. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2014;28:767-9. [Abstract]

Septum deviasyonu ve konka bülloza arasındaki ilişki

Year 2017, Volume: 27 Issue: 2, 74 - 78, 18.06.2017

Abstract

Amaç: Bu çalışmada septum deviasyonları Mladina sınıflamasına göre sınıflandırıldı ve konka bülloza ile septum deviasyonu arasındaki ilişki araştırıldı.Hastalar ve Yöntemler: Kliniğimize burun tıkanıklığı ile başvuran, deviasyon saptanan ve bilgisayarlı tomografisinde konka bülloza bulunan 407 hasta 229 erkek, 178 kadın; ort. yaş 30.9±13.3 yıl; dağılım 14-69 yıl çalışmaya alındı. Hastaların yaşı, cinsiyeti, Mladina sınıflamasına göre septum deviasyon tipi, deviasyon tarafı, konka bülloza tarafı ve iki taraflı olgularda dominant taraf kaydedildi. Bulgular: Tip 3 septum deviasyonu oranı %34.4 diğer septal deviasyon tiplerinden daha yüksekti. Konka bülloza hastalarındaki septum deviasyonunun %83 oranında karşı tarafa ve deviasyonların %47 oranında tip 3 olduğu saptandı.Sonuç: Konka bülloza septum deviasyonuna neden olabilirken septum deviasyonu da konka büllozaya neden olabilir. Her iki durum birbirini fiziksel olarak etkilemektedir. Tip 3 deviasyonun bu kombinasyonda daha sık görülmesi bu bulguyu destekler niteliktedir

References

  • Mladina R. The role of maxillar morphology in the development of pathological septal deformities. Rhinology 1987;25:199-205.
  • Subarić M, Mladina R. Nasal septum deformities in children and adolescents: a cross sectional study of children from Zagreb, Croatia. Int J Pediatr Otorhinolaryngol 2002;63:41-8.
  • Mladina R, Subarić M. Are some septal deformities inherited? Type 6 revisited. Int J Pediatr Otorhinolaryngol 2003;67:1291-4.
  • San T, San S, Gürkan E, Erdoğan B. Bilateral triple concha bullosa: a very rare anatomical variation of intranasal turbinates. Case Rep Otolaryngol 2014;2014:851508.
  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
  • 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;25:1613-8.
  • Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12:778-84.
  • Erbek S, Dursun E. Konka bülloza nedenli orta konka baş ağrısı sendromu. Kulak Burun Boğaz ve. Baş Boyun Cerrahisi Dergisi 2002;10:150-5.
  • Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 2005;11:145-9.
  • Wee JH, Kim DW, Lee JE, Rhee CS, Lee CH, Min YG, et al. Classification and prevalence of nasal septal deformity in Koreans according to two classification systems. Acta Otolaryngol 2012;132:52-7.
  • Rao JJ, Kumar EC, Babu KR, Chowdary VS, Singh J, Rangamani SV. Classification of nasal septal deviations-Relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg 2005;57:199-201.
  • Cingi C, Bayar Muluk N, Acar M, Skitarelić N, Markešić J, Vugrinec O, et al. International study of the incidence of particular types of septal deformities in chronic rhinosinusitis patients: the outcomes from five countries. Am J Rhinol Allergy 2014;28:404-13.
  • Stammberger H. Endoscopic and radiologic diagnosis, In: Stammberger H, editors. Functional Endoscopic Sinus Surgery: The Messerklinger Technique 1991;145-73.
  • Alper F, Karaşen RM, Kantarci M. A massive superior concha bullosa: case report and literature review. Rhinology 2004;42:38-40.
  • Yiğit O, Acioğlu E, Cakir ZA, Sişman AS, Barut AY. Concha bullosa and septal deviation. Eur Arch Otorhinolaryngol 2010;267:1397-401.
  • Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003;129:33-6.
  • Grymer LF, Melsen B. The morphology of the nasal septum in identical twins. Laryngoscope 1989;99:642-6.
  • Sazgar AA, Massah J, Sadeghi M, Bagheri A, Rasool E. The incidence of concha bullosa and the correlation with nasal septal deviation. B-ENT 2008;4:87-91.
  • Qian Y, Wang S. Relationship between nasal septal deviation and the bulbous type concha bullosa. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2014;28:767-9. [Abstract]
There are 19 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Sanem Okşan Erkan This is me

Zeynel Abidin Erkan This is me

Birgül Tuhanioğlu This is me

Süheyl Haytoğlu This is me

Zekiye Güney This is me

Publication Date June 18, 2017
Published in Issue Year 2017 Volume: 27 Issue: 2

Cite

APA Erkan, S. O., Erkan, Z. A., Tuhanioğlu, B., Haytoğlu, S., et al. (2017). The relationship between septal deviation and concha bullosa. The Turkish Journal of Ear Nose and Throat, 27(2), 74-78.
AMA Erkan SO, Erkan ZA, Tuhanioğlu B, Haytoğlu S, Güney Z. The relationship between septal deviation and concha bullosa. Tr-ENT. June 2017;27(2):74-78.
Chicago Erkan, Sanem Okşan, Zeynel Abidin Erkan, Birgül Tuhanioğlu, Süheyl Haytoğlu, and Zekiye Güney. “The Relationship Between Septal Deviation and Concha Bullosa”. The Turkish Journal of Ear Nose and Throat 27, no. 2 (June 2017): 74-78.
EndNote Erkan SO, Erkan ZA, Tuhanioğlu B, Haytoğlu S, Güney Z (June 1, 2017) The relationship between septal deviation and concha bullosa. The Turkish Journal of Ear Nose and Throat 27 2 74–78.
IEEE S. O. Erkan, Z. A. Erkan, B. Tuhanioğlu, S. Haytoğlu, and Z. Güney, “The relationship between septal deviation and concha bullosa”, Tr-ENT, vol. 27, no. 2, pp. 74–78, 2017.
ISNAD Erkan, Sanem Okşan et al. “The Relationship Between Septal Deviation and Concha Bullosa”. The Turkish Journal of Ear Nose and Throat 27/2 (June 2017), 74-78.
JAMA Erkan SO, Erkan ZA, Tuhanioğlu B, Haytoğlu S, Güney Z. The relationship between septal deviation and concha bullosa. Tr-ENT. 2017;27:74–78.
MLA Erkan, Sanem Okşan et al. “The Relationship Between Septal Deviation and Concha Bullosa”. The Turkish Journal of Ear Nose and Throat, vol. 27, no. 2, 2017, pp. 74-78.
Vancouver Erkan SO, Erkan ZA, Tuhanioğlu B, Haytoğlu S, Güney Z. The relationship between septal deviation and concha bullosa. Tr-ENT. 2017;27(2):74-8.