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Nazal septum deviasyonu olan pediatrik hastalarda maksiller sinüsün volümetrik analizi

Yıl 2015, Cilt: 5 Sayı: 3, 107 - 112, 14.01.2016

Öz

Amaç: Nazal hava akımını azaltan ve oksijenasyonu bozan septal deviasyon gibi sebepler, maksiller sinüs hacmini etkileyebilir. Çalışmamızda, retrospektif olarak nazal septal deviasyonların maksiller sinüs hacmini nasıl etkilediğini araştırmayı amaçladık.

Yöntem: Kulak burun boğaz polikliniğinde kronik başağrısı etiyolojisini aydınlatmak üzere paranazal sinüs bilgisayarlı tomografisi çekilen ve intrakraniyal bir sebep bulunamayan 103’ü erkek ve 124’ü kız olmak üzere toplam 227 olgu, nazal septal deviasyonu olup ilave sinonazal bulgusu olmayanlar ile nazal septal deviasyonu ve ilave sinonazal bulgularından hiçbiri olmayanlar olarak iki gruba ayrıldı. Maksiller sinüs hacmi gruplarda her olgu için hesaplandı. Nazal septum deviasyonu ile maksiller sinüs hacmi arasındaki ilişki araştırıldı.

Bulgular: Çalışmamızda nazal septum deviasyonu olan grubun maksiller sinüs hacimleri ile (29.34±7.46 cm3) ve nazal septum deviasyonu olmayan grubun maksiller hacimleri (27.89±8.51 cm3) arasında istatistiksel fark olmadığı tespit edildi (p>0.05). Nazal septal deviasyon açısı ne olursa olsun sağ, sol ve toplam maksiller sinüs hacimlerinin etkilenmediği gözlendi. Hem sol hem de sağ taraşı nazal septum deviasyonunun sağ, sol ve toplam maksiller sinüs hacimlerine herhangi bir etkisi yoktu.

Sonuç: Nazal septum deviasyonu olan ve olmayan pediatrik yaş grubundaki çocukların maksiller sinüs hacimleri arasında herhangi bir fark gözlenmemiştir. Nazal septum deviasyonu varlığı veya şiddetininde maksiller sinüs hacminin üzerinde herhangi bir etkisi olmadığı sonucuna varılmıştır.

Anahtar sözcükler: Maksiller sinüs hacmi, nazal septal deviasyon, bilgisayarlı tomografi.

Kaynakça

  • Lawson W, Patel ZM, Lin FY. The development and patholog- ic processes that influence maxillary sinus pneumatization. Anat Rec (Hoboken) 2008;291:1554–63.
  • Laine FJ, Smoker WR. The osteomeatal unit and endoscopic surgery: anatomy, variations and imaging finding in inflammato- ry diseases. AJR Am J Roentgenol 1992;159:849–57.
  • Mafee MF. Preoperative imaging anatomy of nasal-ethmoid complex for functional endoscopic sinus surgery. Radiol Clin North Am 1993;31:1–19.
  • Lorkiewicz-Muszyƒska D, Kociemba W, Rewekant A, et al. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. Int J Pediatr Otorhinolaryngol 2015; 79:1393–400.
  • Gosau M, Rink D, Driemel O, Draenert FG. Maxillary sinus anatomy: a cadaveric study with clinical implications. Anat Rec (Hoboken) 2009;292:352–4.
  • Guimarães RE, Dos Anjos GC, Becker CG, Becker HM, Crosara PF, Galvão CP. Absence of nasal air flow and maxillary sinus development. Braz J Otorhinolaryngol 2007;73:161–4.
  • Shapiro R, Schorr S. A consideration of the systemic factors that influence frontal sinus pneumatization. Invest Radiol 1980;15: 191–202
  • Fatua C, Puisoru M, Rotaru M, Truta AM. Morphometric eval- uation of the frontal sinus in relation to age. Ann Anat 2006;188: 275–80.
  • Kapusuz Gencer Z, Ozkırış M, Okur A, Karaçavuş S, Saydam L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhino- laryngol 2013;270:3069–73.
  • Kawarai Y, Fukushima K, Ogawa T, et al. Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol Suppl 1999;540:45–9.
  • Orhan I, Ormeci T, Aydin S, et al. Morphometric analysis of the maxillary sinus in patients with nasal septum deviation. Eur Arch Otorhinolaryngol 2014;271:727–32.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol1997;26:236–40.
  • Apuhan T, Yıldırım YS, Özaslan H. The developmental relation between adenoid tissue and paranasal sinus volumes in 3-dimen- sional computed tomography assessment. Otolaryngol Head Neck Surg 2011;144:964–71.
  • Jun BC, Song SW, Park CS, Lee DH, Cho KJ, Cho JH. The analysis of maxillary sinus aeration according to aging process; vol- ume assessment by three-dimensional reconstruction by high-res- olutional CT scanning. Otolaryngol Head Neck Surg 2005;132: 429–34.
  • Shah RK, Dhingra JK, Carter BL, Rebeiz EE. Paranasal sinus development: a radiolographic study. Laryngoscope 2003;113: 205–9.
  • Scuderi AJ, Harnsberger HR, Boyer RS. Pneumatization of the paranasal sinuses: normal features of importance to the accurate interpretation of CT scans and MRI images. AJR Am J Roentgenol 1993;160:1101–4.
  • Sánchez Fernández JM, Anta Escuredo JA, Sánchez Del Rey A, Santaolalla Montoya F. Morphometric study of the paranasal sinus- es in normal and pathological conditions. Acta Otolaryngol 2000; 120:273–8.
  • Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using comput- er tomography images: a stereological study. Auris Nasus Larynx 2007;34:191–5.
  • Pirner S, Tingelhoff K, Wagner I, et al. CT-based manual seg- mentation and evaluation of paranasal sinuses. Eur Arch Otorhino- laryngol 2009;266:507–18.
  • Odita JC, Akamaguna AI, Ogisi FO, Amu OD, Ugbodaga CI. Pneumatisation of the maxillary sinus in normal and sympto- matic children. Pediatr Radiol1986;16:365–7.
  • Barghouth G, Prior JO, Lepori D, Duvoisin B, Schnyder P, Gudinchet F. Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. Eur Radiol 2002;12:1451–8.
  • Poorey VK, Gupta N. Endoscopic and computed tomographic evaluation of influence of nasal septal deviation on lateral wall of nose and its relation to sinus diseases. Indian J Otolaryngol Head Neck Surg 2014;66:330–5.
  • Stallman JS, Lobo JN, Som PM. The incidence of concha bul- losa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004;25:1613–8.
  • Oshima H, Nomura K, Sugawara M, Arakawa K, Oshima T, Katori Y. Septal deviation is associated with maxillary sinus fun- gus ball in male patients. Tohoku J Exp Med 2014;232:201–6.
  • Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryn- gol Ital 2012;32:244–51.
  • Shin SH, Heo WW. Effects of unilateral naris closure on the nasal and maxillary sinus mucosa in rabbit. Auris Nasus Larynx 2005;32:139–43.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND3.0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ. Volumetric analysis of the maxillary sinus in pedi
  • atric patients with nasal septal deviation. ENT Updates 2015;5(3):107–112.

Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation

Yıl 2015, Cilt: 5 Sayı: 3, 107 - 112, 14.01.2016

Öz

Objective: Reasons such as nasal deviation, which reduces airflow in
nose and impairs oxygenation, may affect the maxillary volume. In
this study, we aimed to perform a retrospective study between the
degree of nasal septal deviations and maxillary sinus volume.
Methods: The files of 103 male and 124 female patients (total n=227)
who applied to otorhinolaryngology clinic with nasal septal deviation
without coexisting sinonasal morbidity were investigated, and compared with those without nasal septal deviation and coexisting sinonasal
morbidity. Three-dimensional paranasal sinus CTs were performed for
the diagnosis (CTs were found to be normal, and etiology of chronic
intracranial headache could not be determined) and they were evaluated retrospectively. Maxillary sinus volume was calculated for each case
in the groups. The relationship between nasal septal deviation and maxillary sinus volume was evaluated.
Results: Our study determined that there was statically no significant
difference between the maxillary volumes of the group with
(29.34±7.46 cm3
) or without nasal septal deviation (27.89±8.51 cm3
)
(p>0.05). No matter what the right nasal septal deviation angle is, it
did not affect the right, left and total maxillary sinus volumes. Both
left- and right-sided nasal septal deviations did not have any effect on
the right, left and total maxillary volumes.
Conclusion: Any difference was not observed between the maxillary
sinus volumes of the children in the pediatric age group with and
without nasal septal deviations, and it was concluded that the existence or severity of the septal deviation did not have any effect on the
maxillary sinus volume. 

Kaynakça

  • Lawson W, Patel ZM, Lin FY. The development and patholog- ic processes that influence maxillary sinus pneumatization. Anat Rec (Hoboken) 2008;291:1554–63.
  • Laine FJ, Smoker WR. The osteomeatal unit and endoscopic surgery: anatomy, variations and imaging finding in inflammato- ry diseases. AJR Am J Roentgenol 1992;159:849–57.
  • Mafee MF. Preoperative imaging anatomy of nasal-ethmoid complex for functional endoscopic sinus surgery. Radiol Clin North Am 1993;31:1–19.
  • Lorkiewicz-Muszyƒska D, Kociemba W, Rewekant A, et al. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. Int J Pediatr Otorhinolaryngol 2015; 79:1393–400.
  • Gosau M, Rink D, Driemel O, Draenert FG. Maxillary sinus anatomy: a cadaveric study with clinical implications. Anat Rec (Hoboken) 2009;292:352–4.
  • Guimarães RE, Dos Anjos GC, Becker CG, Becker HM, Crosara PF, Galvão CP. Absence of nasal air flow and maxillary sinus development. Braz J Otorhinolaryngol 2007;73:161–4.
  • Shapiro R, Schorr S. A consideration of the systemic factors that influence frontal sinus pneumatization. Invest Radiol 1980;15: 191–202
  • Fatua C, Puisoru M, Rotaru M, Truta AM. Morphometric eval- uation of the frontal sinus in relation to age. Ann Anat 2006;188: 275–80.
  • Kapusuz Gencer Z, Ozkırış M, Okur A, Karaçavuş S, Saydam L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhino- laryngol 2013;270:3069–73.
  • Kawarai Y, Fukushima K, Ogawa T, et al. Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol Suppl 1999;540:45–9.
  • Orhan I, Ormeci T, Aydin S, et al. Morphometric analysis of the maxillary sinus in patients with nasal septum deviation. Eur Arch Otorhinolaryngol 2014;271:727–32.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol1997;26:236–40.
  • Apuhan T, Yıldırım YS, Özaslan H. The developmental relation between adenoid tissue and paranasal sinus volumes in 3-dimen- sional computed tomography assessment. Otolaryngol Head Neck Surg 2011;144:964–71.
  • Jun BC, Song SW, Park CS, Lee DH, Cho KJ, Cho JH. The analysis of maxillary sinus aeration according to aging process; vol- ume assessment by three-dimensional reconstruction by high-res- olutional CT scanning. Otolaryngol Head Neck Surg 2005;132: 429–34.
  • Shah RK, Dhingra JK, Carter BL, Rebeiz EE. Paranasal sinus development: a radiolographic study. Laryngoscope 2003;113: 205–9.
  • Scuderi AJ, Harnsberger HR, Boyer RS. Pneumatization of the paranasal sinuses: normal features of importance to the accurate interpretation of CT scans and MRI images. AJR Am J Roentgenol 1993;160:1101–4.
  • Sánchez Fernández JM, Anta Escuredo JA, Sánchez Del Rey A, Santaolalla Montoya F. Morphometric study of the paranasal sinus- es in normal and pathological conditions. Acta Otolaryngol 2000; 120:273–8.
  • Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using comput- er tomography images: a stereological study. Auris Nasus Larynx 2007;34:191–5.
  • Pirner S, Tingelhoff K, Wagner I, et al. CT-based manual seg- mentation and evaluation of paranasal sinuses. Eur Arch Otorhino- laryngol 2009;266:507–18.
  • Odita JC, Akamaguna AI, Ogisi FO, Amu OD, Ugbodaga CI. Pneumatisation of the maxillary sinus in normal and sympto- matic children. Pediatr Radiol1986;16:365–7.
  • Barghouth G, Prior JO, Lepori D, Duvoisin B, Schnyder P, Gudinchet F. Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. Eur Radiol 2002;12:1451–8.
  • Poorey VK, Gupta N. Endoscopic and computed tomographic evaluation of influence of nasal septal deviation on lateral wall of nose and its relation to sinus diseases. Indian J Otolaryngol Head Neck Surg 2014;66:330–5.
  • Stallman JS, Lobo JN, Som PM. The incidence of concha bul- losa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004;25:1613–8.
  • Oshima H, Nomura K, Sugawara M, Arakawa K, Oshima T, Katori Y. Septal deviation is associated with maxillary sinus fun- gus ball in male patients. Tohoku J Exp Med 2014;232:201–6.
  • Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryn- gol Ital 2012;32:244–51.
  • Shin SH, Heo WW. Effects of unilateral naris closure on the nasal and maxillary sinus mucosa in rabbit. Auris Nasus Larynx 2005;32:139–43.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND3.0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ. Volumetric analysis of the maxillary sinus in pedi
  • atric patients with nasal septal deviation. ENT Updates 2015;5(3):107–112.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Mehmet Şentürk

İsa Azgın Bu kişi benim

Ramazan Öcal Bu kişi benim

Engin Umut Sakarya Bu kişi benim

İbrahim Güler Bu kişi benim

Gültekin Övet Bu kişi benim

Necat Alataş Bu kişi benim

İsmet Tolu Bu kişi benim

Yayımlanma Tarihi 14 Ocak 2016
Gönderilme Tarihi 14 Ocak 2016
Yayımlandığı Sayı Yıl 2015 Cilt: 5 Sayı: 3

Kaynak Göster

APA Şentürk, M., Azgın, İ., Öcal, R., Sakarya, E. U., vd. (2016). Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation. ENT Updates, 5(3), 107-112.
AMA Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ. Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation. ENT Updates. Ocak 2016;5(3):107-112.
Chicago Şentürk, Mehmet, İsa Azgın, Ramazan Öcal, Engin Umut Sakarya, İbrahim Güler, Gültekin Övet, Necat Alataş, ve İsmet Tolu. “Volumetric Analysis of the Maxillary Sinus in Pediatric Patients With Nasal Septal Deviation”. ENT Updates 5, sy. 3 (Ocak 2016): 107-12.
EndNote Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ (01 Ocak 2016) Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation. ENT Updates 5 3 107–112.
IEEE M. Şentürk, İ. Azgın, R. Öcal, E. U. Sakarya, İ. Güler, G. Övet, N. Alataş, ve İ. Tolu, “Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation”, ENT Updates, c. 5, sy. 3, ss. 107–112, 2016.
ISNAD Şentürk, Mehmet vd. “Volumetric Analysis of the Maxillary Sinus in Pediatric Patients With Nasal Septal Deviation”. ENT Updates 5/3 (Ocak 2016), 107-112.
JAMA Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ. Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation. ENT Updates. 2016;5:107–112.
MLA Şentürk, Mehmet vd. “Volumetric Analysis of the Maxillary Sinus in Pediatric Patients With Nasal Septal Deviation”. ENT Updates, c. 5, sy. 3, 2016, ss. 107-12.
Vancouver Şentürk M, Azgın İ, Öcal R, Sakarya EU, Güler İ, Övet G, Alataş N, Tolu İ. Volumetric analysis of the maxillary sinus in pediatric patients with nasal septal deviation. ENT Updates. 2016;5(3):107-12.