Wang Junguo, Dou Xin, Liu Dingding, Song Panpan, Qian Xiaoyun, Wang Shoulin, Gao Xia
Department of Otolaryngology-Head and Neck Surgery, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, 321 Zhongshan Road, Gulou District, Nanjing, 210008, Jiangsu, People's Republic of China.
Department of Otolaryngology-Head and Neck Surgery, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, 210008, People's Republic of China.
Eur Arch Otorhinolaryngol. 2016 Jun;273(6):1477-80. doi: 10.1007/s00405-015-3770-y. Epub 2015 Sep 14.
The present study was aimed to investigate the effects of DNS on the structure of nasal cavity. The paranasal sinus coronal view CT of 108 patients with DNS and 129 hospitalized patients without DNS was retrospectively analyzed. The transverse diameter of nasal cavity (a), transverse diameter of nasal cavity and paranasal sinus (b), angle between maxillary and palatal bone, interalveolar distance, and maxillary rotation distance were measured. The ratio of a/b in experimental group was 0.367 ± 0.006 which was significantly (P = 0.0023) less than that in control group (0.391 ± 0.005). For the angle between maxillary and palatal bone, there was no significant difference found between DNS and control group for both right and left sides. The interalveolar distance was 40.75 mm in experimental group, and 38.8 mm in control (P = 0.0002). For the maxillary rotation distance, findings were considered as significant (P < 0.0001) in experimental group (11.25 mm) compared with control (10.1 mm). The present study demonstrates that long-term DNS affects the development of nasal cavity and paranasal sinus, as well as increases the interalveolar distance and maxillary rotation distance. These influences may be caused by the alteration of airflow inside the nasal cavities.
本研究旨在探讨鼻中隔偏曲(DNS)对鼻腔结构的影响。对108例鼻中隔偏曲患者和129例无鼻中隔偏曲的住院患者的鼻窦冠状位CT进行回顾性分析。测量鼻腔横径(a)、鼻腔及鼻窦横径(b)、上颌骨与腭骨夹角、牙槽间距离和上颌旋转距离。实验组a/b比值为0.367±0.006,显著低于对照组(0.391±0.005)(P=0.0023)。对于上颌骨与腭骨夹角,鼻中隔偏曲组与对照组左右两侧均无显著差异。实验组牙槽间距离为40.75mm,对照组为38.8mm(P=0.0002)。对于上颌旋转距离,实验组(11.25mm)与对照组(10.1mm)相比差异有统计学意义(P<0.0001)。本研究表明,长期鼻中隔偏曲会影响鼻腔和鼻窦的发育,并增加牙槽间距离和上颌旋转距离。这些影响可能是由鼻腔内气流改变引起的。