Jun Beom Cho, Kim Sung Won, Kim Soo Whan, Cho Jin Hee, Park Yong Jin, Yoon He Ro
Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 65-1 Geumo-dong, Uijeongbu, Gyeonggi-do, 480-717, Korea.
Eur Arch Otorhinolaryngol. 2009 Jul;266(7):975-80. doi: 10.1007/s00405-008-0855-x. Epub 2008 Nov 11.
Many otolaryngologists perform septoplasty with or without turbinate surgery and the surgical method relies largely on the surgeon's clinical judgment. This study used computed tomography (CT) of the sinuses of 20 patients to examine the correlation between a unilateral deviated nasal septum and compensatory hypertrophy of the contralateral inferior turbinate to suggest guidelines for septal and turbinate surgery. The thickness of the mucosa and conchal bone, the projection angle of the conchal bone, and the distances between the conchal bone, and lateral nasal line and median line were measured. The volume of the inferior turbinate was measured from the three-dimensional reconstruction. Each measurement was compared with those of the nasal cavity on the contralateral and of normal control subjects. The inferior turbinate on the concave side had a significantly greater volume, including the thickness of medial mucosa and the thickness and projection angle of conchal bone. Septoplasty and concomitant inferior turbinate surgery to manipulate conchal bone and soft tissues are necessary for treatment of those patients with unilateral nasal septal deviation and compensatory hypertrophy of the contralateral inferior turbinate.
许多耳鼻喉科医生在进行鼻中隔成形术时会同时或不同时进行鼻甲手术，手术方法很大程度上依赖于外科医生的临床判断。本研究对20例患者的鼻窦进行计算机断层扫描（CT），以检查单侧鼻中隔偏曲与对侧下鼻甲代偿性肥大之间的相关性，从而为鼻中隔和鼻甲手术提供指导原则。测量了黏膜和鼻甲骨质的厚度、鼻甲骨质的投影角度以及鼻甲骨质与鼻侧线和中线之间的距离。通过三维重建测量下鼻甲的体积。将每项测量结果与对侧鼻腔及正常对照受试者的测量结果进行比较。凹侧的下鼻甲体积明显更大，包括内侧黏膜厚度、鼻甲骨质厚度和投影角度。对于那些患有单侧鼻中隔偏曲和对侧下鼻甲代偿性肥大的患者，进行鼻中隔成形术并同时进行下鼻甲手术以处理鼻甲骨质和软组织是必要的。
