Computed Tomographic Findings of Nasal and Paranasal Sinuses in Patients Scheduled for Rhinoplasty in Shahid Mostafa Khomeini Hospital during 2011-13

Yıl 2019, Cilt: 9 Sayı: 3, 199 - 205, 20.12.2019

Mehdi Abbasi Mohammadebrahim Yarmohammadi Poopak Izadi

https://doi.org/10.32448/entupdates.646313

Öz

Objective:
Rhinoplasty is done to improve the morphology of the nose whilst also restoring
its physiological function. Currently it is possible to perform rhinoplasty and
endoscopic sinus surgery simultaneously. The need has therefore arisen to
evaluate anatomical variation within the nose and paranasal sinuses in
symptom-free patients who are scheduled for rhinoplasty. Coronal computed
tomography (CT) is the standard method used to evaluate the nose and paranasal
sinuses. We aimed to evaluate the frequency of anatomical variation noted
within the nose and paranasal sinuses on coronal CT in patients scheduled for
rhinoplasty.

Methods: This
is a descriptive, cross-sectional, retrospective study of CT findings in 84
patients who underwent rhinoplasty at Mostafa Khomeini Hospital, Shahed
University, Tehran between 2011-13. The CT findings were evaluated in three
different predefined categories: nasal septal, nasal turbinate, and paranasal
sinuses abnormalities.

Results: The
study involved 84 individuals, consisting of 26 men and 58 women. The most
frequent findings in the nasal septum category were nasal septal deviation
(69.04%) and nasal septal spur (33.33%), whereas concha bullosa (45.23%) and
inferior turbinate hypertrophy were the most frequent abnormality in the nasal
turbinates category. Mucosal thickening of the sinuses (45.23%) and partial
opacification of the sinuses (21.42%) were the most common findings in the
paranasal sinuses.

Conclusion:
The high frequency of anatomical variation, inflammatory and congenital
abnormal findings in CT images of the paranasal sinuses in patients scheduled
for rhinoplasty indicates that preoperative CT examination may be useful in
avoiding multiple surgical operations and in reducing costs. 

Anahtar Kelimeler

Rhinoplasty, computed tomography, nasal septum, nasal concha, paranasal sinuses

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