Karataş Duran, Yüksel Faith, Şentürk Mehmet, Doğan M
From *the Clinic of Ear Nose and Throat, Melikgazi Medical Center, Kayseri; †Department of Otolaryngology, Isparta Goverment Hospital, Isparta; ‡Department of Otolaryngology, Bursa Çekirge Goverment Hospital, Bursa; and §Department of Otolaryngology, Kayseri Training and Research Hospital, Kayseri, Turkey.
J Craniofac Surg. 2013 Sep;24(5):1549-51. doi: 10.1097/SCS.0b013e3182902729.
The aim of this study was to determine the contribution of computed tomography (CT) scanning to nasal septoplasty.
The study included 76 patients, on whom septoplasty was planned to be performed because of deviated nasal septum. The patients were divided into 2 groups: those who had a CT scan (group 1, study group) and those who did not have a CT scan (group 2, control group) before septoplasty. Pathologic anatomic structures accompanying deviated septum and surgical interventions performed in addition to septoplasty were determined. The patients were asked the degree of improvement in nasal air passage obstruction, and 2 groups were compared with each other.
Group 1 included 40 patients, and group 2 had 36 patients. In group 1, the pathologic findings determined along with deviated septum were concha bullosa in 14 patients, retention cyst of the maxillary sinus in 2 patients, paradox middle nasal concha in 2 patients, inferior concha hypertrophy in 18 patients, frontal osteoma in 1 patient, antrochoanal polyp in 1 patient, and chronic sinusitis (maxillary, ethmoidal, frontal) in 7 patients. Lateral resection was performed for concha bullosa; out-fracture with submucosal cauterization was performed on the patients with inferior concha hypertrophy, and endoscopic sinus surgery was performed for the patients with chronic sinusitis and antrochoanal polyp.
Computed tomography is able to recognize some pathologic findings that cannot be found on physical examination and is helpful to decide the location and the type of the surgery. Additional surgical interventions owing to CT performed before the septoplasty are much more helpful to relieve the patient's nasal air passage obstruction.
本研究的目的是确定计算机断层扫描（CT）对鼻中隔成形术的作用。
该研究纳入76例因鼻中隔偏曲计划行鼻中隔成形术的患者。患者被分为两组：鼻中隔成形术前进行CT扫描的患者（第1组，研究组）和未进行CT扫描的患者（第2组，对照组）。确定鼻中隔偏曲伴随的病理解剖结构以及除鼻中隔成形术外所进行的手术干预。询问患者鼻气道阻塞的改善程度，并对两组进行比较。
第1组有40例患者，第2组有36例患者。在第1组中，与鼻中隔偏曲一起确定的病理发现为：泡状鼻甲14例、上颌窦潴留囊肿2例、反常中鼻甲2例、下鼻甲肥大18例、额骨瘤1例、鼻窦后鼻孔息肉1例、慢性鼻窦炎（上颌窦、筛窦、额窦）7例。对泡状鼻甲进行外侧切除术；对下鼻甲肥大患者行黏膜下烧灼外折术，对慢性鼻窦炎和鼻窦后鼻孔息肉患者行鼻内镜鼻窦手术。
计算机断层扫描能够识别一些体格检查中无法发现的病理发现，并有助于决定手术的位置和类型。鼻中隔成形术前因CT检查而进行的额外手术干预对缓解患者鼻气道阻塞更有帮助。
