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电诊断方法在鼻中隔偏曲检测中的作用

Role of Electrodiagnostic Modalities in Detection of Nasal Septal Deviation.

作者信息

Daneshi Ahmad, Mohebbi Saleh, Mohebi Nafiseh, Mohebbi Alireza, Roomiani Maryam, Taheri Reza, Arab Maryam, Ghanbari Hadi

机构信息

ENT and Head and Neck Research Center and Department, Department of Otolaryngology, Head and Neck Surgery, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Department of Neurology Rasool Akram Medical Complex, Iran University of Medical Sciences (IUMS), Tehran, Iran.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):403-407. doi: 10.1007/s12070-023-04172-8. Epub 2023 Oct 23.

Abstract

Nasal Septal Deviation (NSD) is a common sign in otorhinolaryngology that can lead to facial asymmetry. In this case-control observational study, we assessed the role of EMG and NCS in the diagnosis of NSD and its effect on neuromuscular function. Participants were divided into two groups based on paranasal sinus computed tomography scan (PNS CT) results: NSD cases (n = 21) and controls without NSD (n = 13). EMG and NCS were performed on both groups to assess nasal alar muscles at the root of the zygomatic nerve. Our findings showed a significant correlation between NSD and EMG/NCS tests (-value = 000) and a significant association between septal deviation and nasal alar lateralization (-value = 000). EMG/NCS can be useful in assessing NSD by providing a better understanding of related neuromuscular structures and neuromuscular function of the nasal alar dilator muscles and aid in the diagnosis of NSD. Nasal Septal Deviation, EMG (electromyography), NCS (nerve conduction studies), Neuromuscular function, Facial asymmetry, Otorhinolaryngology, Paranasal sinus, Computed tomography, Nasal alar muscles, Zygomatic nerve, Nasal Obstruction, Nasal alar lateralization, Diagnosis.

摘要

鼻中隔偏曲(NSD)是耳鼻咽喉科的一种常见体征,可导致面部不对称。在这项病例对照观察研究中,我们评估了肌电图(EMG)和神经传导研究(NCS)在鼻中隔偏曲诊断中的作用及其对神经肌肉功能的影响。根据鼻窦计算机断层扫描(PNS CT)结果将参与者分为两组:鼻中隔偏曲病例组(n = 21)和无鼻中隔偏曲的对照组(n = 13)。对两组进行肌电图和神经传导研究,以评估颧神经根部的鼻翼肌肉。我们的研究结果显示鼻中隔偏曲与肌电图/神经传导研究之间存在显著相关性(P值 = 0.000),鼻中隔偏曲与鼻翼侧化之间存在显著关联(P值 = 0.000)。肌电图/神经传导研究通过更好地了解鼻翼扩张肌的相关神经肌肉结构和神经肌肉功能,有助于评估鼻中隔偏曲,并辅助鼻中隔偏曲的诊断。鼻中隔偏曲、肌电图(EMG)、神经传导研究(NCS)、神经肌肉功能、面部不对称、耳鼻咽喉科、鼻窦、计算机断层扫描、鼻翼肌肉、颧神经、鼻阻塞、鼻翼侧化、诊断。

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