Effect of nasal septal deviation on total ethmoid cell volume

Background: The aim of this study was to evaluate the effect of nasal septal deviation (NSD) on ethmoid cell volume and to determine whether there was any correlation between NSD grade and ethmoid cell volume. Methods: Forty computerized tomography (CT) scans from patients with rhinosinusitis symptoms with NSD were evaluated. Septal deviations were classified into three groups according to the degree of deviation on CT. Ethmoid cell volumes were measured and the relationship between NSD and ethmoid cell volume was investigated. Results: There was a moderate but significant negative correlation between the septal deviation angle and the percentage of the ethmoid cell volumes (p = 0.001, r = −0.5152, r2 = 0.2654). Total ethmoid cell volume on the ipsilateral side compared with the contralateral side was found to decrease as the degree of NSD increased. Conclusions: Nasal septal deviation affects the total ethmoid cell volume of the nasal cavity. The results of our study underline the role of ethmoid cell volume in the compensation mechanism equalizing the nasal cavity airflow changes due to NSD.

[1]  E. Okur,et al.  The prevalence of nasal septal deviation in children from Kahramanmaras, Turkey. , 2003, International journal of pediatric otorhinolaryngology.

[2]  H. Doğru,et al.  The correlation between septal deviation and concha bullosa , 2003, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[3]  R. Kutlu,et al.  The relationship between the concha bullosa, nasal septal deviation and sinusitis. , 2003, Rhinology.

[4]  R. Mladina,et al.  Nasal septum deformities in children and adolescents: a cross sectional study of children from Zagreb, Croatia. , 2002, International journal of pediatric otorhinolaryngology.

[5]  F. Gudinchet,et al.  Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves , 2002, European Radiology.

[6]  P. Rombaux,et al.  Is septal deviation a risk factor for chronic sinusitis? Review of literature. , 2001, Acta oto-rhino-laryngologica Belgica.

[7]  A. Komatsuzaki,et al.  A CT Study of the Course of Growth of the Maxillary Sinus: Normal Subjects and Subjects with Chronic Sinusitis , 1998, ORL.

[8]  S. Frenkiel,et al.  Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. , 1997, The Journal of otolaryngology.

[9]  N. Jones,et al.  A study of the CT findings in 100 patients with rhinosinusitis and 100 controls. , 1997, Clinical otolaryngology and allied sciences.

[10]  H. Jung,et al.  Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. , 1995, Rhinology.

[11]  A. Berger,et al.  Incidence and treatment of deviation of nasal septum in newborns. , 1991, Ear, nose, & throat journal.

[12]  David S. Parsons,et al.  Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery , 1991, The Laryngoscope.

[13]  H. Stammberger,et al.  Functional Endoscopic Sinus Surgery: The Messerklinger Technique , 1991 .

[14]  H. Stammberger,et al.  Headaches and Sinus Disease: The Endoscopic Approach , 1988, The Annals of otology, rhinology & laryngology. Supplement.