Department of ENT, Istanbul Medipol University, Istanbul, Turkey,
Eur Arch Otorhinolaryngol. 2014 Apr;271(4):727-32. doi: 10.1007/s00405-013-2617-7. Epub 2013 Jul 6.
The aim of this study was to evaluate the relationship between nasal septum deviation, which is common in the general population, and maxillary sinus volume. A retrospective assessment was made for 96 patients with nasal septum deviation without coexisting sinonasal morbidity and compared to 60 healthy individuals. A three-dimensional reconstruction of computed tomography images was used to assess a total of 312 maxillary sinus volumes. Septal deviation angles and volumes were also measured to standardize and determine the severity of the septal deviations. Septal deviations were right-sided in 36.5% of the cases (n = 35) and left-sided in 63.5% (n = 61). Deviation angles varied between 5° and 24.4°, with a mean value of 12.9 ± 5.0. The mean value for the deviation volume was 4.6 ± 1.5 cm(3) (range 1.7-9.4). The right and left maxillary sinus volumes were 11.8 ± 4.7 cm(3) and 11.5 ± 4.4 cm(3), respectively, in control group. Statistically significant discrepancy was observed between the ipsilateral and contralateral maxillary sinus volumes, in regard to the side of the septal deviation in study group. Maxillary sinus volumes were found to be significantly smaller on the ipsilateral side of septal deviation compared with the contralateral side.
本研究旨在评估鼻中隔偏曲（一种常见的人群现象）与上颌窦容积之间的关系。对 96 例无合并鼻-鼻窦疾病的鼻中隔偏曲患者进行回顾性评估，并与 60 例健康个体进行比较。通过对 CT 图像进行三维重建，共评估了 312 例上颌窦容积。还测量了鼻中隔偏曲的角度和体积，以标准化并确定鼻中隔偏曲的严重程度。鼻中隔偏曲在右侧的占 36.5%（n = 35），在左侧的占 63.5%（n = 61）。偏曲角度在 5°至 24.4°之间，平均值为 12.9±5.0。偏曲体积的平均值为 4.6±1.5 cm³（范围 1.7-9.4）。对照组右侧和左侧上颌窦容积分别为 11.8±4.7 cm³和 11.5±4.4 cm³。在研究组中，鼻中隔偏曲的同侧和对侧上颌窦容积存在统计学显著差异。与对侧相比，鼻中隔偏曲同侧的上颌窦容积明显较小。
