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鼻中隔偏曲患者上颌窦容积的影像学关联:一项系统评价与荟萃分析。

Radiographic Association of Maxillary Sinus Volume in Patients with Deviated Nasal Septum: A Systematic Review and Meta-analysis.

作者信息

Dhole Apeksha, Ramteke Anwesha, Motwani Mukta

机构信息

VSPM Dental College and Research Centre, Plot no 271, Flat no 7,Vivek Apartment, Central Bazar Road, Ramdaspeth, Nagpur, Maharashtra India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4929-4936. doi: 10.1007/s12070-024-04761-1. Epub 2024 Jun 12.

Abstract

The nasal septum, composed of bone and cartilage, maintains nasal alignment and airflow. Deviation, common but potentially problematic, can lead to symptoms like congestion and sinusitis. Maxillary sinus, a key paranasal sinus, influences airflow and drainage. Nasal septum deviation can alter maxillary sinus volume, affecting airflow dynamics and drainage. Cone beam computed tomography (CBCT) and CT imaging are essential for assessing these conditions accurately, providing detailed 3D images and aiding in diagnosis and treatment planning. The study aims to review the radiographic association of maxillary sinus volume in patients with deviated nasal septum. The present review has been registered with PROSPERO-An international prospective register of systematic review CRD42023467988. Eligibility criteria: Studies from 2013 to 2022, in English, on maxillary sinus volume in deviated nasal septum patients. Exclusions: Animal studies, case reports, non-English articles. The Meta-analysis found that consistent association between nasal septum deviation and reduced maxillary sinus volume and no publication bias. The radiographic association of maxillary sinus volume in patients with deviated nasal septum was found to be statistically meaningful.

摘要

鼻中隔由骨和软骨组成,维持鼻腔的对齐和气流。鼻中隔偏曲很常见,但可能会引发问题,可导致鼻塞和鼻窦炎等症状。上颌窦是主要的鼻窦之一,影响气流和引流。鼻中隔偏曲可改变上颌窦的容积,影响气流动力学和引流。锥形束计算机断层扫描(CBCT)和CT成像对于准确评估这些情况至关重要,可提供详细的三维图像,有助于诊断和治疗规划。本研究旨在回顾鼻中隔偏曲患者上颌窦容积的影像学关联。本综述已在国际前瞻性系统评价注册库PROSPERO注册,注册号为CRD42023467988。纳入标准:2013年至2022年发表的、英文的、关于鼻中隔偏曲患者上颌窦容积的研究。排除标准:动物研究、病例报告、非英文文章。荟萃分析发现鼻中隔偏曲与上颌窦容积减小之间存在一致关联,且无发表偏倚。鼻中隔偏曲患者上颌窦容积的影像学关联具有统计学意义。

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