Tao Z, Zhang J, Yang Q, Xiao B, Kong Y
Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital, Wuhan University, Wuhan 430060, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2001 Apr;36(2):132-4.
To explore the influence of the deviated septum on the development of ostiomeatal complex (OMC).
Nasal endoscopic examination and CT scan of the paranasal sinuses of 103 patients with nasal septal deviation were analyzed. The differences of anatomic variations in OMC between ipsilateral and contralateral sides in relation to the direction of septal deviation. The incidence of sinusitis on either side of the deviated septum was evaluated.
On the side opposite to the deviated septum, the incidence of middle and inferior turbinate hypertrophy was higher than that of the deviated side(P < 0.05). The width of agger nasi and ethmoid bulla was on the contralateral side larger than that of the ipsilateral side (P < 0.01). The incidence of paradoxical curvature of middle turbinate on the ipsilateral side was higher than that of contralateral side (P < 0.01). Other anatomic variations showed no significant differences between two sides of the deviated septum (P > 0.05), nor was there any difference between the incidence of sinusitis on the two sides.
Some compensatory changes in middle and inferior turbinates and lateral nasal-wall on the opposite side to the deviation might be caused by the deviated septum.
探讨鼻中隔偏曲对窦口鼻道复合体（OMC）发育的影响。
对103例鼻中隔偏曲患者的鼻窦进行鼻内镜检查和CT扫描分析。根据鼻中隔偏曲方向，分析OMC同侧与对侧解剖变异的差异。评估鼻中隔偏曲两侧鼻窦炎的发生率。
在鼻中隔偏曲的对侧，中鼻甲和下鼻甲肥大的发生率高于偏曲侧（P < 0.05）。鼻丘和筛泡的宽度对侧大于同侧（P < 0.01）。同侧中鼻甲反常曲线的发生率高于对侧（P < 0.01）。鼻中隔偏曲两侧的其他解剖变异无显著差异（P > 0.05），两侧鼻窦炎的发生率也无差异。
鼻中隔偏曲可能导致偏曲对侧的中鼻甲、下鼻甲及鼻侧壁出现一些代偿性改变。
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