THE RELATIONSHIP OF NASAL SEPTUM DEVIATION WITH FACIAL ASYMMETRY

Öz

OBJECTIVE: Facial asymmetry is the size or ratio mismatch between the two sides of the face. Nasal morphology and maxillary bone have important anatomical connections due to close embryological development. Some studies have shown a positive relationship between nasal septal deviation (NSD) and facial asymmetry. The aim of this study was to determine the presence of orbital and ocular asymmetry and investigating their relationship with nontraumatic NSD.

MATERIAL AND METHODS: Thirty-four patients who underwent a paranasal sinüs computed tomography (CT) examination without face or head trauma, nasal bone fracture and previous history of septal surgery were evaluated retrospectively. NSD angle was measured in CT. The anterior diameter of the eyeball was measured. The relationship between these was investigated by spearman correlation test.

RESULTS: The right orbital floor angle and proptosis increased significantly in those with right deviation. There was a relationship between the left proptosis and orbital floor angle at the left deviation but it was not statistically significant. When partial correlation was made in terms of age, the orbital floor angle and proptosis were correlated with deviation angle in both right and left sides.

CONCLUSIONS: Non-traumatic nasal septal deviation seems to be associated with growth differences in the bones around the nasal septum.

Anahtar Kelimeler

• Facial asymmetry,Nasal septal deviation,Computed tomography

NAZAL SEPTUM DEVİASYONUNUN FASİYAL ASİMETRİ İLE İLİŞKİSİ

Öz

AMAÇ: Fasiyal asimetri yüzün iki tarafı arasındaki boyut veya oran uyumsuzluğudur. Nazal morfoloji ve maksiller kemik yakın embriyolojik gelişim nedeniyle önemli anatomik bağlantılara sahiptir. Bazı araştırmalar nazal septum deviasyonu (NSD) ve yüz asimetrisi arasında pozitif bir ilişki olduğunu göstermiştir. Bu çalışmada, orbital ve oküler asimetri varlığının nontravmatik NSD ile ilişkisinin araştırılması amaçlanmıştır.

GEREÇ VE YÖNTEM: Yüz veya kafa travması, burun kemiği kırığı ve önceden septal cerrahi öyküsü olmayan, paranazal sinüs bilgisayarlı tomografi (BT) tetkiki yapılmış 34 hasta retrospektif olarak incelendi. NSD açısı, sert damak ile orbita tabanı arasındaki açı ve interzigomatik hatta göre göz küresinin anterior yarıçapı ölçüldü. Bunlar arasındaki ilişki spearman korelasyon testi ile incelendi.

BULGULAR: Sağ deviasyon olanlarda sağ orbita tabanındaki eğim ve proptozis istatistiksel olarak anlamlı olarak artış gösterdi. Sola deviasyon olanlarda sol proptozis ve orbita tabanındaki eğim arasında korelasyon mevcut olup istatistiksel olarak anlamlı değildi. Yaş açısından kısmi korelasyon yapıldığında hem sağ hem de solda deviasyon açısıyla orbita tabanındaki eğim ve proptozis ilişkiliydi.

SONUÇ: Travma dışı nazal septal deviasyonun, nazal septumun çevresindeki kemiklerin büyüme farklılıkları ile ilişkili olabileceği gösterilmiştir.

Anahtar Kelimeler

• Fasiyal asimetri,Nazal Septum Deviasyonu,BT

Kaynakça

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