Aydın Salih, Taskin Umit, Orhan Israfil, Altas Bengül, Oktay Mehmet Faruk, Toksöz Mehmet, Albayrak Ramazan
Otorhinolaryngology Department, Bagcilar Education and Research Hospital, Merkez mah. Mimar sinan cad no: 6 Güngören, Istanbul, Turkey.
Otorhinolaryngology Department, Sütçü İmam Medical Faculty, Kahramanmaraş, Turkey.
Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3347-52. doi: 10.1007/s00405-014-3460-1. Epub 2014 Dec 23.
The aim of this study was to evaluate the relationship between the maxillary sinus volumes and the nasal septal deviation angles in patients with antrochoanal polyps (ACP). 76 patients who underwent ACP surgery were included in the study. Of those 36 patients who had multislice computed tomography (MSCT) were evaluated to calculate maxillary sinus volume. The records of paranasal MSCT of 36 healthy people without any paranasal sinus diseases or surgery constituted age- and gender-matched healthy controls. Maxillary sinüs volumes and septal deviation angles were calculated using the paranasal MSCT volume-rendering technique. Thirty-six patients in the ACP group were compared with 36 polyp side-matched healthy people. The mean age was 16.6 ± 6.7 years in both groups. Statistically, the mean value of the maxillary sinus volume was significantly higher in the ACP group compared with the ACP side-matched control group (15.1 ± 4.6 versus 12.0 ± 3.5 mm(3)) (p = 0.002). Furthermore, the mean value of the maxillary sinus volume in the non-polyp side (14.2 ± 4.7 mm(3)) was statistically higher in the ACP group compared with the side-matched control group volume (11.9 ± 3.8 mm(3)) (p = 0.024). In addition, Fifty-three of 76 ACP patients had septal deviation. While the septal deviation was on the same side with the ACP in 17 patients, it was on the opposite side in 36 patients. In conclusion, the maxillary sinus volumes increased in ACP patients compared with the healthy control group. Many patients had nasal septal deviation on the opposite side of the ACP.
本研究旨在评估上颌窦容积与上颌窦后鼻孔息肉（ACP）患者鼻中隔偏曲角度之间的关系。76例行ACP手术的患者纳入本研究。其中36例行多层螺旋计算机断层扫描（MSCT）的患者被评估以计算上颌窦容积。36例无鼻窦疾病或手术史的健康人的鼻窦MSCT记录构成年龄和性别匹配的健康对照组。采用鼻窦MSCT容积再现技术计算上颌窦容积和鼻中隔偏曲角度。将ACP组的36例患者与36例息肉侧匹配的健康人进行比较。两组的平均年龄均为16.6±6.7岁。统计学上，与ACP侧匹配的对照组相比，ACP组上颌窦容积的平均值显著更高（15.1±4.6对12.0±3.5mm³）（p = 0.002）。此外，与侧匹配的对照组容积（11.9±3.8mm³）相比，ACP组非息肉侧上颌窦容积的平均值（14.2±4.7mm³）在统计学上更高（p = 0.024）。另外，76例ACP患者中有53例存在鼻中隔偏曲。其中17例患者的鼻中隔偏曲与ACP在同一侧，36例患者的鼻中隔偏曲与ACP在相反侧。总之，与健康对照组相比，ACP患者的上颌窦容积增加。许多患者的鼻中隔偏曲在ACP的对侧。
