The relationship between septal deviation and concha bullosa

Yıl 2017, Cilt: 27 Sayı: 2, 74 - 78, 18.06.2017

Sanem Okşan Erkan Zeynel Abidin Erkan Birgül Tuhanioğlu Süheyl Haytoğlu Zekiye Güney

Öz

Objectives: This study aims to classify septal deviations according to the Mladina classification and to investigate the relationship between concha bullosa and septal deviation. Patients and Methods: A total of 407 patients 229 males, 178 females; mean age 30.9±13.3 years; range 14 to 69 years who admitted to our clinic with nasal obstruction, were identified to have deviation, and detected to have concha bullosa on computed tomography were included in the study. Patients’ age, gender, type of deviation according to the Mladina classification, side of deviation, side of concha bullosa and the dominant side in bilateral cases were recorded. Results: Rate of type 3 septal deviation 34.4% was higher than the other septal deviation types. We detected that septal deviation in patients of concha bullosa was to the opposite side at a rate of 83% and the deviations were type 3 at a rate of 47%. Conclusion: Concha bullosa may cause septal deviation, while septal deviation may cause concha bullosa as well. Both conditions affect each other physically. The fact that type 3 deviation is seen more frequently in this combination supports this finding.

Anahtar Kelimeler

Concha bullosa, Mladina classification, septal deviation

Septum deviasyonu ve konka bülloza arasındaki ilişki

Öz

Amaç: Bu çalışmada septum deviasyonları Mladina sınıflamasına göre sınıflandırıldı ve konka bülloza ile septum deviasyonu arasındaki ilişki araştırıldı.Hastalar ve Yöntemler: Kliniğimize burun tıkanıklığı ile başvuran, deviasyon saptanan ve bilgisayarlı tomografisinde konka bülloza bulunan 407 hasta 229 erkek, 178 kadın; ort. yaş 30.9±13.3 yıl; dağılım 14-69 yıl çalışmaya alındı. Hastaların yaşı, cinsiyeti, Mladina sınıflamasına göre septum deviasyon tipi, deviasyon tarafı, konka bülloza tarafı ve iki taraflı olgularda dominant taraf kaydedildi. Bulgular: Tip 3 septum deviasyonu oranı %34.4 diğer septal deviasyon tiplerinden daha yüksekti. Konka bülloza hastalarındaki septum deviasyonunun %83 oranında karşı tarafa ve deviasyonların %47 oranında tip 3 olduğu saptandı.Sonuç: Konka bülloza septum deviasyonuna neden olabilirken septum deviasyonu da konka büllozaya neden olabilir. Her iki durum birbirini fiziksel olarak etkilemektedir. Tip 3 deviasyonun bu kombinasyonda daha sık görülmesi bu bulguyu destekler niteliktedir

Anahtar Kelimeler

Konka bülloza, Mladina sınıflaması, septum deviasyonu

Kaynakça

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