The effect of nasal septal deviation on maxillary sinus volume in patients undergoing septoplasty surgery

Öz

Background: In this sudy, we aimed to determine the association between nasal septal deviation and maxillary sinus volume in patients undergoing septoplasty. Materials and Methods: 164 paranasal sinus computed tomography (PNS CT) of the patients(80 female, 84 male) undergoing septoplasty surgery were retrospective evaluated between September 2022 and September 2023. Bilateral maxillary sinuses volüme (MSV) and septal deviation angle(SDA) were calculated using the computed program. SDA was divided into right and left, also was described as mild, moderate, or severe. Results: The mean of right MSV was measured as 14.34 ± 3.91 (7.45-23) and the mean of left MSV was 15.11 ± 4.29 (6.34-24.3). The average SDA of all patients was 15.51 ± 5.22 (6.7-34). The difference between right and left MSV was measured lower in patients with mild septal deviation than in patients with moderate or severe septal deviation (p=0.016, p=0.024, respectively). In the evaluation made according to MSV, the difference values between ipsilateral MSV, contralateral MSV, total MSV and right-left MSV according to the side of septal deviation were found to be higher in men than in women (p=0.011, p=0.001, p=0.004, p<0.001, respectively). Conclusion: We could not clearly obtain the effect of nasal septal deviation on maxillary sinus volume. However, MSV in women was found to be lower than in men

Anahtar Kelimeler

• maxillary sinus
• septum deviation
• sinus volume

Septoplasti ameliyatı yapılan hastalarda nazal septum deviasyonunun maksiller sinüs hacmine etkisi

Öz

Amaç: Bu çalışmada septoplasti uygulanan hastalarda nazal septal deviasyon ile maksiller sinüs hacmi arasındaki ilişkiyi belirlemeyi amaçladık. Materyal ve metod: Eylül 2022 ile Eylül 2023 tarihleri arasında septoplasti ameliyatı geçiren 164 hastanın (80 kadın, 84 erkek) paranazal sinüs bilgisayarlı tomografisi (PNS BT) retrospektif olarak değerlendirildi. Bilateral maksiller sinüs hacmi (MSV) ve septal deviasyon açısı (SDA) bilgisayar programı kullanılarak hesaplandı. SDA sağ ve sol olarak ikiye ayrıldı ve hafif, orta ve şiddetli olarak da tanımlandı. Bulgular: Sağ MSV ortalaması 14,34 ± 3,91 (7,45-23) ve sol MSV ortalaması 15,11 ± 4,29 (6,34-24,3) olarak ölçüldü. Tüm hastaların ortalama SDA 15,51 ± 5,22 (6.7-34) idi. Sağ ve sol MSV arasındaki fark, hafif septal deviasyonu olan hastalarda, orta ve şiddetli septal deviasyonu olan hastalara göre daha düşük ölçüldü (sırasıyla p=0,016, p=0,024). MSV' ye göre yapılan değerlendirmede septal deviasyon tarafına göre ipsilateral MSV, kontralateral MSV, total MSV ve sağ-sol MSV arasındaki fark değerleri erkeklerde kadınlara göre daha yüksek bulunmuştur (sırasıyla p=0,011, p=0,001), p=0,004, p<0,001,). Sonuç: Nazal septal deviasyonun maksiller sinüs hacmi üzerine etkisini net olarak elde edemedik. Ancak kadınlarda MSV' nin erkeklere göre daha düşük olduğu bulundu.

Anahtar Kelimeler

• maksiller sinüs,
• septum deviasyonu
• sinüs hacmi

Kaynakça

1. 1. Apuhan T, Yıldırım YS, Özaslan H. The developmental relation between adenoid tissue and paranasal sinus vol-umes in 3-dimensional computed tomography assessment. Otolaryngology--Head and Neck Surgery. 2011;144(6):964-71.
2. 2. Demir UL, Akca M, Ozpar R, Albayrak C, Hakyemez B. Ana-tomical correlation between existence of concha bullosa and maxillary sinus volume. Surgical and Radiologic Anat-omy. 2015;37:1093-8.
3. 3. Marquez S, Lawson W, Schaefer S, Laitman J. Anatomy of the nasal accessory sinuses. Minimally invasive surgery of the head, neck, and cranial base Lippincott, Philadelphia, PA. 2002:153-93.
4. 4. D’Ascanio L, Lancione C, Pompa G, Rebuffini E, Mansi N, Manzini M. Craniofacial growth in children with nasal sep-tum deviation: a cephalometric comparative study. Interna-tional journal of pediatric otorhinolaryngology. 2010;74(10):1180-3.
5. 5. Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviat-ed septum. Journal of Otolaryngology. 1997;26(4).
6. 6. Scuderi AJ, Harnsberger HR, Boyer RS. Pneumatization of the paranasal sinuses: normal features of importance to the accurate interpretation of CT scans and MR images. AJR American journal of roentgenology. 1993;160(5):1101-4.
7. 7. Erdem T, Aktas D, Erdem G, Miman MC, Ozturan O. Maxil-lary sinus hypoplasia. Rhinology. 2002;40(3):150-3.
8. 8. Whyte A, Boeddinghaus R. The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofacial Radiology. 2019;48(8):20190205.

9. 9. Cupero TM, Middleton CE, Silva AB. Effects of functional septoplasty on the facial growth of ferrets. Archives of Otolaryngology–Head & Neck Surgery. 2001;127(11):1367-9.
10. 10. Earwaker J. Anatomic variants in sinonasal CT. Radi-ographics. 1993;13(2):381-415.
11. 11. 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 Oto-laryngol 2012;132 Suppl 1:S52-7.
12. 12. Al-Rawi NH, Uthman AT, Abdulhameed E, Al Nuaimi AS, Seraj Z. Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: a cone-beam computed tomography study. Imaging Sci Dent. 2019;49:45-51.
13. 13. 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 Otorhinolaryngol. 2013;270:3069-73.
14. 14. Kucybalˊa I, Janik KA, Ciuk S, Storman D, Urbanik A. Nasal septal deviation and concha bullosa - do they have an im-pact on maxillary sinus volumes and prevalence of maxil-lary sinusitis? Pol J Radiol. 2017;82:126-33.
15. 15. Park IH, Song JS, Choi H, Kim TH, Hoon S, Lee SH et al. Volumetric study in the development of paranasal sinuses by CT imaging in Asian: a pilot study. Int J Pediatr Otorhino-laryngol. 2010;74(12):1347-50.
16. 16. Som PM, Lawson W, Fatterparker GM, Zinreich SJ. Embryo-logy, anatomy, physiology and imaging of the sinosal cavi-ties. Som PM, Curtin HD. Head and Neck Imaging. Çin: Mosby Elsevier 2011. p. 119, 23, 5.
17. 17. Przystańska A, Kulczyk T, Rewekant A, Sroka A, Jończyk-Potoczna K, Lorkiewicz-Muszyńska D, et al. Introducing a simple method of maxillary sinus volume assessment based on linear dimensions. Ann Anat 2018; 215: 47–51.
18. 18. Pirner S, Tingelhoff K, Wagner I, Westphal R, Rilk M, Wahl FM, Bootz F, Eichhorn KW (2009) CT-based manual seg-mentation and evaluation of paranasal sinuses. Eur Arch Otorhinolaryngol. 266:507–18.
19. 19. Ariji Y, Kuroki T, Moriguchi S, Ariji E, Kanda S. Age changes in the volume of the human maxillary sinus: a study using computed tomography. Dentomaxillofac Radiol. 1994;23(3):163-8.
20. 20. Jun BC, Song SW, Park CS, Lee DH, Cho KJ, Cho JH. The analysis of maxillary sinus aeration according to aging pro-cess; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Otolaryngol Head Neck Surg. 2005;132(3):429-34.
21. 21. Kim J, Song SW, Cho JH, Chang KH, Jun BC. Comparative study of the pneumatization of the mastoid air cells and paranasal sinuses using three-dimensional reconstruction of computed tomography scans. Surg Radiol Anat. 2010;32(6):593-9.