Yazici A, Er H C
Department of Otorhinolaryngology, Faculty of Medical, University of Gaziantep, Gaziantep, Turkey.
Department of Radiology, University of Gaziantep, Gaziantep, Turkey.
Niger J Clin Pract. 2019 Sep;22(9):1196-1200. doi: 10.4103/njcp.njcp_497_18.
Septoplasty is one of the frequently applied nasal surgical procedures. There is still no gold standart objective method to evaluate the patients whom suffers from nasal blockage. To evaluate the septoplasty candidate with a Paranasal Computerised Tomography (PNCT) is one of the most discussed topic in the otorhinolaryngology surgical philosophy.
In this study, we aim to interpret the value of nasal valve areas measured by PNCT for both septoplasty candidates and the control population. We believe that this information could be useful for the evaluation of patients before undergoing a septoplasty procedure.
600 coronal and axial tomography sections performed between May 2014 and February 2018 at the University Of Gaziantep Radiology Dept. were assessed. These tomography sections were divided into two groups called the septoplasty and the control. The septoplasty group was made up of three hundred paranasal sinus tomography images scanned before patients' septoplasty operations. The control group was created by screening 300 maxillofacial tomography's which were taken due to the suspicion of trauma at the University Of Gaziantep Emergency Clinic between May 2014 and January 2018.
There were 192 (64%) patients with left nasal septal deviation and 108 (36%) patients with right nasal septal deviation. The Independent Sample T-Test revealed that the mean internal nasal valve angle in the left septoplasty group was significantly lower than that of the control group (P < 0.005). A comparison of the right side nasal values revealed a significant statistical change according to the Independent Sample T-Test between the value of the right septoplasty and the control groups (P < 0.005).
The sectional areas of nasal tomography images may show different values. However, it is still difficult to say that the clinical application of tomography images could be used as one of the indication criteria for the septoplasty procedure.
鼻中隔成形术是常用的鼻部外科手术之一。目前仍没有评估鼻塞患者的金标准客观方法。利用鼻窦计算机断层扫描（PNCT）评估鼻中隔成形术候选患者是耳鼻喉科手术理念中讨论最多的话题之一。
在本研究中，我们旨在解读通过PNCT测量的鼻瓣区对鼻中隔成形术候选患者和对照组人群的价值。我们认为该信息对评估鼻中隔成形术患者术前情况可能有用。
评估了2014年5月至2018年2月在加济安泰普大学放射科进行的600例冠状位和轴位断层扫描图像。这些断层扫描图像分为鼻中隔成形术组和对照组。鼻中隔成形术组由300例患者鼻中隔成形术前扫描的鼻窦断层图像组成。对照组通过筛选2014年5月至2018年1月在加济安泰普大学急诊诊所因疑似外伤而拍摄的300例颌面断层扫描图像创建。
有192例（64%）患者存在左侧鼻中隔偏曲，108例（36%）患者存在右侧鼻中隔偏曲。独立样本t检验显示，左侧鼻中隔成形术组的平均鼻内瓣角显著低于对照组（P < 0.005）。右侧鼻值比较显示，根据独立样本t检验，右侧鼻中隔成形术组与对照组的值之间存在显著统计学差异（P < 0.005）。
鼻断层扫描图像的截面积可能显示不同的值。然而，仍难以说断层扫描图像的临床应用可作为鼻中隔成形术的指征标准之一。
