Konka bülloza, septum deviasyonu ve maksiller sinüzit birlikteliğinin bilgisayarlı tomografi analizi
Semra Külekçi1, Çiğdem Kalaycık Ertugay2, Barış Naiboğlu3, Kaan Meriç4, Ebru Doğaner4, Shahrouz Sheideai3
1Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Istanbul
2Sağlık Bilimleri Üniversitesi Istanbul Eğitim Ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Istanbul
3Sağlık Bilimleri Üniversitesi Haydarpaşa Numune Eğitim Ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Istanbul
4Sağlık Bilimleri Üniversitesi Haydarpaşa Numune Eğitim Ve Araştırma Hastanesi, Radyoloji Kliniği, Istanbul
Keywords: Computed tomography, concha bullosa, septal deviation, sinusitis.
Abstract
OBJECTIVE: This study aims to investigate the association of concha bullosa (CB), nasal septal deviation (NSD), and maxillary sinusitis using paranasal sinus computed tomography (CT).
METHODS: We retrospectively reviewed the paranasal sinus CT findings of 205 patients (86 males, 119 females; mean age 38.2±14.7 years; range, 10-85 years) referred to the department of radiology. We performed CT to patients with possible complaints related to the sinonasal region. Patients with a history of nasal and/or paranasal surgery were excluded from the study. Coronal CT sections were examined for CB, NSD, mucosal thickening (MT) of maxillary sinus and maxillary sinus ostium.
RESULTS: There was a strong association between unilateral CB and contralateral NSD (p=0.02). There was no statistically significant association between MT and NSD (p=0.18). There was no significant association between MT, CB and NSD in terms of their sides. There was no association between MT and the width of maxillary sinus ostium.
CONCLUSION: Our study findings showed that CB was associated with contralateral NSD. Thus paranasal CT might be needed in patients with NSD before nasal septal surgery to investigate the presence of CB.