Matschke R G, Fiebach A
HNO. 1985 Dec;33(12):541-4.
It is generally assumed that there is a relation between nasal obstruction due to deformities of the nasal septum and disease of the paranasal sinuses. We investigated patients with septal deviation and rhinomanometrically determined nasal obstruction and checked the sinuses before septal surgery by radiography, ultrasonography, and endoscopy. The results of our investigation on 150 unselected patients during 1983 support the hypothesis. We found that non-invasive diagnostic methods, i.e. radiography and ultrasound were sufficiently reliable. Furthermore we found that more men are afflicted with deformities of the nasal septum than women. Nearly half of the number of patients needed therapy for the paranasal sinuses. Therefore preoperative diagnosis of sinusitis is essential before nasal septum surgery.
一般认为,鼻中隔畸形导致的鼻阻塞与鼻窦疾病之间存在关联。我们对鼻中隔偏曲患者进行了研究,通过鼻阻力测量法测定鼻阻塞情况,并在鼻中隔手术前通过放射摄影、超声检查和内窥镜检查对鼻窦进行检查。我们在1983年对150例未经挑选的患者进行的调查结果支持了这一假设。我们发现,非侵入性诊断方法,即放射摄影和超声检查足够可靠。此外,我们发现患鼻中隔畸形的男性比女性多。近一半的患者需要对鼻窦进行治疗。因此,在鼻中隔手术前对鼻窦炎进行术前诊断至关重要。