Farklı iskeletsel maloklüzyonlara sahip bireylerde nazal septum deviasyonlarinin varliğinin değerlendirilmesi

Yıl 2024, , 88 - 93, 04.09.2024

Sema Kaya , Murat Tunca

https://doi.org/10.17214/gaziaot.1259499

Öz

AMAÇ: Bu araştırmada farklı iskeletsel maloklüzyona sahip bireylerde septum deviasyonu varlığının değerlendirilmesi amaçlanmaktadır.
GEREÇ VE YÖNTEM: Araştırma Sınıf I, Sınıf II ve Sınıf III iskeletsel maloklüzyonun her birinde 53 birey olmak üzere toplam 159 bireyin konik ışınlı bilgisayarlı tomografi görüntüleri üzerinde gerçekleştirildi. Nasal septum deviasyonu hafif (tip 1; <9°), orta (tip 2; 9-15°) ve şiddetli (tip 3; >15°) olmak üzere üç grupta incelendi. Ayrıca farklı maloklüzyonlarda konka bülloza varlığı değerlendirildi.
Veriler istatistiksel olarak Ki-kare testi ve tek yönlü varyans analiz (ANOVA) ile analiz edildi. İskeletsel maloklüzyonlar ve deviasyon tipleri arasındaki ilişki ise Cramèr’s V analizi ile tespit edildi.
BULGULAR: Sınıf I iskeletsel maloklüzyona sahip bireylerde tip 2 ile tip 3 arasında Sınıf II iskeletsel maloklüzyona sahip bireylerde ise tip 1 ile tip 3 arasında istatistiksel bakımdan anlamlı farklar bulunmaktadır (sırasıyla p=0.046; p<0.01). Sınıf III iskeletsel maloklüzyona sahip bireylerde ise deviasyon tipleri arasında farklılık gözlenmemiştir. Ayrıca iskeletsel maloklüzyonlar ile deviasyon tipleri arasında
zayıf bir korelasyon tespit edilmiştir (Cramèr’s V =0.213). Konka bülloza ve deviasyon tarafı bakımından gruplar arasında anlamlı bir farklılık gözlenmedi (p=0.215).
SONUÇ: Sınıf I ve II iskeletsel maloklüzyona sahip bireylerde deviasyon tipi bakımından anlamlı farklılık gözlense de deviasyon şiddetinin artması ile iskeletsel maloklüzyonlar arasında zayıf bir korelasyonun olduğu gözlendi.

Anahtar Kelimeler

konka bülloza, iskeletsel malokluzyon, nazal septum

Evaluation of the presence of nasal septum deviations in individuals with different skeletal malocclusions

Öz

OBJECTIVE: The aim of this study was to evaluate the presence of deviated septum in individuals with different skeletal malocclusions.
MATERIALS AND METHOD: The study was performed on cone beam computed tomography images of a total of 159 individuals, 53 in each Class I, Class II, and Class III skeletal malocclusion. Nasal septum deviation was analysed in three groups as mild (type 1; <9°), moderate (type 2; 9-15°), and severe (type3; >15°). In addition, the presence of concha bullosa in different skeletal
malocclusions was evaluated. The data were analyzed statistically using the Chi-square test and One-way Analysis of Variance (ANOVA). The relationship betweenskeletal malocclusions and types of deviation was determined using Cramèr’s V analysis.
RESULTS: There are statistically significant differences between type 2 and type 3 in individuals with Class I skeletal malocclusion and between type 1 and type 3 in individuals with Class II skeletal malocclusion (p=0.046; p<0.01 respectively). In individuals with Class
III skeletal malocclusion, no difference was observed between deviation types. In addition, a weak correlation was found between skeletal malocclusion and deviation types (Cramèr’s V = 0.213). No significant difference was observed between the groups in terms of concha bullosa and deviation side (p=0.215).
CONCLUSION: Although a significant difference was observed in terms of deviation type in individuals with Class I and II skeletal malocclusion, a weak correlation was observed between the increase in deviation severity and skeletal malocclusions.

Anahtar Kelimeler

concha bullosa, skeletal malocclusion., nasal septum

Kaynakça

• 1. Agrawal A, Chaturvedi TP, Raghav M. Oropharyngeal Airway: The Orthodontist Perspective. Int J Orthod Milwaukee 2016;27:51-6.
• 2. Shetty S, Al-Bayatti S, Alam MK, Al-Rawi NH, Kamath V, Tippu SR, vd. Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study. PeerJ 2022;10:14032.
• 3. Festa P, Mansi N, Varricchio AM, Savoia F, Calì C, Marraudino C, vd. Association between upper airway obstruction and malocclusion in mouth-breathing children. Acta Otorhinolaryngol Ital 2021;41:436-42.
• 4. Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinol 2003;41:103-6.
• 5. Uygur K, Tüz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003;129:33-6.
• 6. Yildirim I, Okur E. The prevalence of nasal septal deviation in children from Kahramanmaras, Turkey. Int J Pediatr Otorhinolaryngol 2003;67:1203-6.
• 7. Pereira PAA, Canellas JV, Souza RB, Tiwana PS, Medeiros PJ, Ritto FG. Three-segment versus 2-segment surgically assisted rapid maxillary expansion. Oral Surg Oral Med Oral Pathol Oral Radiol 2022;133:264-70.
• 8. Ballanti F, Baldini A, Ranieri S, Nota A, Cozza P. Is there a correlation between nasal septum deviation and maxillary transversal deficiency? A retrospective study on prepubertal subjects. Int J Pediatr Otorhinolaryngol 2016;83:109-12.
• 9. Farronato G, Giannini L, Galbiati G, Maspero C. RME: influences on the nasal septum. Minerva Stomatol 2012;61:125-34.
• 10. Vig KW. Nasal obstruction and facial growth: the strength of evidence for clinical assumptions. Am J Orthod Dentofacial Orthop 1998;113:603-11.
• 11. Stellzig-Eisenhauer A, Meyer-Marcotty P. Interaction between otorhinolaryngology and orthodontics: correlation between the nasopharyngeal airway and the craniofacial complex. Laryngo- Rhino- Otologie 2010;89:72-8.
• 12. McNamara JA. Maxillary transverse deficiency. Am J Orthod Dentofacial Orthop 2000;117:567-70. 13. Mossaz-Joëlson K, Mossaz CF. Slow maxillary expansion: a comparison between banded and bonded appliances. Eur J Orthod 1989;11:67-76.
• 14. Laptook T. Conductive hearing loss and rapid maxillary expansion. Report of a case. Am J Orthod 1981;80:325-31.
• 15. D’Ascanio L, Lancione C, Pompa G, Rebuffini E, Mansi N, Manzini M. Craniofacial growth in children with nasal septum deviation: a cephalometric comparative study. Int J Pediatr Otorhinolaryngol 2010;74:1180-3.
• 16. Rodrigues MM, Passeri LA, Monnazzi MS, Gabrielli MFR, Gabrielli MAC, Pereira-Filho VA. Evaluation of Nasal Obstruction in Various Sagittal Skeletal Deformity of Jaws. J Craniofac Surg 2017;28:790-2.
• 17. Florez BM, Tagawa DT, Inoue DP, Yamashita HK, Aidar LA de A, Dominguez GC. Associations between skeletal discrepancies, breathing pattern, and upper airway obstruction in Class III malocclusions. Int J Pediatr Otorhinolaryngol 2023;166:111471.
• 18. Codari M, Zago M, Guidugli GA, Pucciarelli V, Tartaglia GM, Ottaviani F, vd. The nasal septum deviation index (NSDI) based on CBCT data. Dentomaxillofac Radiol 2016;45:20150327.
• 19. Moshfeghi M, Abedian B, Ghazizadeh Ahsaie M, Tajdini F. Prevalence of Nasal Septum Deviation Using Cone-Beam Computed Tomography: A Cross-Sectional Study. Contemp Clin Dent 2020;11:223-8.
• 20. Vanarsdall RL. Transverse dimension and long-term stability. Semin Orthod 1999;5:171-80.
• 21. Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years. Angle Orthod 1981;51:115-50.
• 22. Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol 1997;26:236-40.
• 23. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41:1149-60.
• 24. Enlow DH, Hans MG. Essentials of facial growth. Philadelphia: Saunders; 1996;303.
• 25. Teixeira J, Certal V, Chang ET, Camacho M. Nasal Septal Deviations: A Systematic Review of Classification Systems. Plast Surg Int 2016;27089123.
• 26. Lin JK, Wheatley FC, Handwerker J, Harris NJ, Wong BJF. Analyzing nasal septal deviations to develop a new classification system: a computed tomography study using MATLAB and OsiriX. JAMA Facial Plast Surg 2014;16:183-7.
• 27. Salihoglu M, Cekin E, Altundag A, Cesmeci E. Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation. Rhinol 2014;52:122-6.
• 28. de Aguiar Vidigal T, Martinho Haddad FL, Gregório LC, Poyares D, Tufik S, Azeredo Bittencourt LR. Subjective, anatomical, and functional nasal evaluation of patients with obstructive sleep apnea syndrome. Sleep Breath 2013;17:427-33.
• 29. Gruszka K, Aksoy S, Różyło-Kalinowska I, Gülbeş MM, Kalinowski P, Orhan K. A comparative study of paranasal sinus and nasal cavity anatomic variations between the Polish and Turkish Cypriot Population with CBCT. Head Face Med 2022;18:37.
• 30. Šidlauskienė M, Smailienė D, Lopatienė K, Čekanauskas E, Pribuišienė R, Šidlauskas M. Relationships between Malocclusion, Body Posture, and Nasopharyngeal Pathology in Pre-Orthodontic Children. Med Sci Monit 2015;21:1765-73.
• 31. Dastan F, Ghaffari H, Shishvan HH, Zareiyan M, Akhlaghian M, Shahab S. Correlation between the upper airway volume and the hyoid bone position, palatal depth, nasal septum deviation, and concha bullosa in different types of malocclusion: A retrospective cone-beam computed tomography study. Dent Med Probl 2021;58:509-14.
• 32. Unlü HH, Akyar S, Caylan R, Nalça Y. Concha bullosa. J Otolaryngol 1994;23(1):23-7.
• 33. Kajan Z, Khademi J, Nemati S, Niksolat E. The Effects of Septal Deviation, Concha Bullosa, and Their Combination on the Depth of Posterior Palatal Arch in Cone-Beam Computed Tomography. J Dent (Shiraz) 2016;17:26-31.
• 34. 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.