Kalsotra Gopika, Saroch Pallavi, Gupta Anchal, Kalsotra Parmod, Saraf Aditya
Department of Otorhinolaryngology and Head and Neck Surgery, Government Medical College, Jammu, Jammu and Kashmir 180001 India.
Department of Radiodiagnosis and Imaging, Government Medical College, Jammu, Jammu and Kashmir India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1762-1766. doi: 10.1007/s12070-023-03710-8. Epub 2023 Apr 7.
To study the effect of variations in deviation of the nasal septum and their impact on maxillary sinus volume and occurrence of sinusitis. This prospective observational study was conducted in the department of ENT, Head &Neck surgery GMC Jammu from August 2021 to November 2022. 130 patients (90 males, 40 females), with age range of 18-47 years with DNS were included in the study. Grade of DNS was classified according to Mladina's classification and volume of maxillary sinus was calculated using geometric formula by performing 256 slice CT Scan. In our study mean age of the males was 32.8 ± 6.99 years and females was 33.7 ± 7.26 years with Male: Female ratio of 9:4.Patients with grade 1 DNS had mean maxillary sinus volume of 9.9 ± 1.97 cu mm while patients with grade 7 DNS had mean maxillary sinus volume of 3.8 ± 1.47 cu mm. Thus, with the increasing grade of DNS, the OMC blockage increased towards the side of DNS and so the occurrence of maxillary sinusitis. The study showed that with high grade DNS, the maxillary sinus volume decreases on the side of septum deviation and there is association of blocked OMC with increasing grade of DNS. The incidence of maxillary sinusitis findings on the side of septum deviation was significantly increased.
研究鼻中隔偏曲的变化及其对上颌窦容积和鼻窦炎发生的影响。这项前瞻性观察性研究于2021年8月至2022年11月在查谟政府医学院耳鼻喉头颈外科进行。纳入研究的130例患者（90例男性，40例女性）年龄在18 - 47岁，均患有鼻中隔偏曲（DNS）。根据姆拉迪纳分类法对DNS进行分级，并通过进行256层CT扫描，使用几何公式计算上颌窦容积。在我们的研究中，男性的平均年龄为32.8±6.99岁，女性为33.7±7.26岁，男女比例为9:4。1级DNS患者的上颌窦平均容积为9.9±1.97立方毫米，而7级DNS患者的上颌窦平均容积为3.8±1.47立方毫米。因此，随着DNS分级的增加，鼻道复合体（OMC）阻塞向DNS侧增加，上颌窦炎的发生率也随之增加。研究表明，在高度DNS时，鼻中隔偏曲侧的上颌窦容积减小，并且OMC阻塞与DNS分级增加有关。鼻中隔偏曲侧上颌窦炎的发生率显著增加。
