Research Article

Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?

Volume: 1 Number: 2 August 1, 2018
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?

Abstract

Objective: Septoplasty is the most common surgical procedure in patients with nasal obstruction caused by septum deviation. Anterior rhinoscopy and endoscopic nasal examination used to be the gold standard procedures performed to determine the septum deviation. However, many otolaryngologists nowadays perform a paranasal sinus computed tomography (CT) scan as a preoperative procedure for the evaluation of nasal anatomy and other sinonasal pathologies that may accompany it. The aim of this study was to evaluate whether a surgical procedure was performed in addition to septoplasty after a paranasal sinus CT in cases, in which septoplasty was decided during a routine otorhinolaryngology examination. Material and Methods: Patients who applied to the ENT outpatient clinic because of nasal congestion during the last year, were planned to have septoplasty after the nasal examination, and who accepted the operation were enrolled in the study. We investigated whether the planned surgical procedure changed after concomitant sinus pathologies were detected in CT. Results: A total of 378 patients, 113 female (29.9%) and 265 male (70.1%), were included in the study. A total of 247 patients (65.3%) had undergone only the septoplasty procedure, whereas 54 patients (14.3%) had septoplasty + inferior concha reduction, 44 (11.6%) patients had septoplasty + lateral middle concha resection due to concha bullosa, 33 (8.7%) had septoplasty + endoscopic sinus surgery due to chronic sinusitis, polyposis, or osteoma. Conclusion: We believe that sinonasal pathologies that cannot be determined a preoperative physical examination pre-operative CT is needed to detect any other deformities to correct by complimentary surgery added to septoplasty..

Keywords

References

  1. Karatas D, Yuksel F, Sentürk M, Doğan M. The Contribution of Computed Tomography to Nasal Septoplasty. J Craniofac Surg 2013; 24: 1549-51.
  2. Ardeshirpour F, McCarn KE, McKinney AM, Odland R, Yueh B, Hilger PA. Computed Tomography Scan Does Not Correlate With Patient Experience of Nasal Obstruction. Laryngoscope 2016; 126: 820-5.
  3. Wotman M, Kacker A. What Are the Indications for the Use of Computed Tomography Before Septoplasty? Laryngoscope 2016; 126: 1268-70.
  4. Lee DC, Shin JH, Kim SW, Kim SW, Kim BG, Kang JM, et al. Anatomical analysis of nasal obstruction; nasal cavity of patients complaining of stuff nose. Laryngoscope 2013; 123: 1381-4.
  5. Gunbey E, Gunbey HP, Uygun S, Karabulut H, Cingi C. Is preoperative paranasal sinus computed tomography necessary for every patient undergoing septoplasty? Int Forum Allergy Rhinol 2015; 5: 839-45.
  6. Sedaghat AR, Kieff DA, Bergmark RW, Cunnane ME, Busaba NY. Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings. Int Forum Allergy Rhinol 2015; 5: 258-62.
  7. Kayalioglu G, Oyar O, Govsa F. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology 2000; 38: 108-13.
  8. Duvoisin B, Landry M, Chapuis L, Krayenbuhl M, Schnyder P. Low-dose CT and inflammatory disease of the paranasal sinuses. Neuroradiology 1991; 33: 403-6.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Ümit Küçüktepe This is me
0000-0002-9403-6930
Türkiye

Publication Date

August 1, 2018

Submission Date

January 24, 2018

Acceptance Date

February 19, 2018

Published in Issue

Year 2018 Volume: 1 Number: 2

DOI

https://doi.org/10.5152/ejra.2018.59561

IZ

https://izlik.org/JA67NM88UM

Cite

RIS / Bibtex
APA
Eyigör, H., Küçüktepe, Ü., Yılmaz, M. D., Osma, Ü., Durmuş, E., Erol, B., Renda, L., & Tarık Selçuk, Ö. (2018). Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery? European Journal of Rhinology and Allergy, 1(2), 43-46. https://doi.org/10.5152/ejra.2018.59561
AMA
1.Eyigör H, Küçüktepe Ü, Yılmaz MD, et al. Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery? Eur J Rhinol Allergy. 2018;1(2):43-46. doi:10.5152/ejra.2018.59561
Chicago
Eyigör, Hülya, Ümit Küçüktepe, Mustafa Deniz Yılmaz, et al. 2018. “Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?”. European Journal of Rhinology and Allergy 1 (2): 43-46. https://doi.org/10.5152/ejra.2018.59561.
EndNote
Eyigör H, Küçüktepe Ü, Yılmaz MD, Osma Ü, Durmuş E, Erol B, Renda L, Tarık Selçuk Ö (August 1, 2018) Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery? European Journal of Rhinology and Allergy 1 2 43–46.
IEEE
[1]H. Eyigör et al., “Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?”, Eur J Rhinol Allergy, vol. 1, no. 2, pp. 43–46, Aug. 2018, doi: 10.5152/ejra.2018.59561.
ISNAD
Eyigör, Hülya - Küçüktepe, Ümit - Yılmaz, Mustafa Deniz - Osma, Üstün - Durmuş, Emin - Erol, Bekir - Renda, Levent - Tarık Selçuk, Ömer. “Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?”. European Journal of Rhinology and Allergy 1/2 (August 1, 2018): 43-46. https://doi.org/10.5152/ejra.2018.59561.
JAMA
1.Eyigör H, Küçüktepe Ü, Yılmaz MD, Osma Ü, Durmuş E, Erol B, Renda L, Tarık Selçuk Ö. Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery? Eur J Rhinol Allergy. 2018;1:43–46.
MLA
Eyigör, Hülya, et al. “Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery?”. European Journal of Rhinology and Allergy, vol. 1, no. 2, Aug. 2018, pp. 43-46, doi:10.5152/ejra.2018.59561.
Vancouver
1.Hülya Eyigör, Ümit Küçüktepe, Mustafa Deniz Yılmaz, Üstün Osma, Emin Durmuş, Bekir Erol, Levent Renda, Ömer Tarık Selçuk. Is Performing the Paranasal Sinus CT Before the Septal Operation Change the Indication of Surgery? Eur J Rhinol Allergy. 2018 Aug. 1;1(2):43-6. doi:10.5152/ejra.2018.59561

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