Kucybała Iwona, Janik Konrad Adam, Ciuk Szymon, Storman Dawid, Urbanik Andrzej
Students' Scientific Group at the Department of Diagnostic Imaging, Chair of Radiology, Jagiellonian University Medical College, Cracow, Poland.
Department of Diagnostic Imaging, Jagiellonian University Medical College, Cracow, Poland.
Pol J Radiol. 2017 Mar 4;82:126-133. doi: 10.12659/PJR.900634. eCollection 2017.
The aim of the study was to assess if the presence of nasal septal deviation and concha bullosa is connected with the development of sinuses and the incidence of inflammation within them.
MATERIAL/METHODS: We retrospectively analysed 214 patients who underwent paranasal sinus computed tomography. There were 125 females and 89 males, the mean age being 47.67±16.74 years (range 18-97). Exclusion criteria included: age under 18 years, prior sinonasal surgery and S-shaped septum.
Mean volume of the right maxillary sinus was 17.794 cm, while for the left one it was 17.713 cm. Nasal septal deviation was found in 79.9% of computed tomography examinations and concha bullosa was observed in 42.1% of the patients' examinations. There was an association between the presence of unilateral or dominant concha bullosa and contralateral direction of septal deviation [right-sided (p=0.039), left-sided (p=0.003)]. There was higher incidence of bilateral maxillary sinusitis in patients with septal deviation (p=0.007). Bilateral concha bullosa did not influence the incidence of bilateral maxillary sinusitis (p=0.495). Neither septal deviation (right sided: p=0.962; left-sided: p=0.731), nor unilateral/dominant concha bullosa (right: p=0.512; left: p=0,430) affected the asymmetry in volumes of maxillary sinuses. Bilateral concha bullosa was connected with larger volume of maxillary sinuses (right sinus: p=0.005; left sinus: p=0.048).
Nasal septal deviation, contrary to concha bullosa, has influence on the development of maxillary sinusitis. There is a connection between the presence of concha bullosa and direction of septal deviation. Only bilateral concha bullosa affects maxillary sinus volumes.
本研究旨在评估鼻中隔偏曲和泡状鼻甲的存在是否与鼻窦发育及其中炎症的发生率相关。
材料/方法：我们回顾性分析了214例行鼻窦计算机断层扫描的患者。其中女性125例，男性89例，平均年龄为47.67±16.74岁（范围18 - 97岁）。排除标准包括：年龄在18岁以下、既往鼻窦手术史和S形鼻中隔。
右侧上颌窦平均容积为17.794立方厘米，左侧为17.713立方厘米。在79.9%的计算机断层扫描检查中发现鼻中隔偏曲，在42.1%的患者检查中观察到泡状鼻甲。单侧或优势泡状鼻甲的存在与鼻中隔偏曲的对侧方向之间存在关联[右侧（p = 0.039），左侧（p = 0.003）]。鼻中隔偏曲患者双侧上颌窦炎的发生率更高（p = 0.007）。双侧泡状鼻甲不影响双侧上颌窦炎的发生率（p = 0.495）。鼻中隔偏曲（右侧：p = 0.962；左侧：p = 0.731）和单侧/优势泡状鼻甲（右侧：p = 0.512；左侧：p = 0.430）均不影响上颌窦容积的不对称性。双侧泡状鼻甲与较大的上颌窦容积相关（右侧鼻窦：p = 0.005；左侧鼻窦：p = 0.048）。
与泡状鼻甲相反，鼻中隔偏曲对上颌窦炎的发展有影响。泡状鼻甲的存在与鼻中隔偏曲方向之间存在关联。只有双侧泡状鼻甲会影响上颌窦容积。
