Sireci Federico, Cascio Filippo, Lorusso Francesco, Gazia Francesco, Immordino Angelo, Gallina Salvatore, Campofiorito Valerio, Comparetto Andrea, Gerardi Ignazio, Dispenza Francesco
Otorhinolaryngology Section, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C), University of Palermo, Via del Vespro, 133, 90127 Palermo, Italy.
Department of Otorhinolaryngology, Papardo Hospital, Contrada Papardo, 98158 Messina, Italy.
J Clin Med. 2025 Mar 28;14(7):2337. doi: 10.3390/jcm14072337.
: The aim of this study is to analyze the correlation between the nasal anatomical variants and the clinical and radiological features of odontogenic sinusitis to demonstrate their possible involvement in the genesis of the disease. : This is a retrospective multicentric study of 70 patients with odontogenic sinusitis (OS). Before surgery, all patients performed the classic and mini 22-item Sino-Nasal Outcome Test (SNOT-22 and SNOT-8) and Lund-Mackay Score (LMS). Each nasal anatomical anomaly was collected, including paradoxical middle turbinate (PMT), chonca bullosa (CB), and nasal septal deviation (NSD) on the same side as the sinusitis. : The patients presented a significantly higher SNOT-22 and SNOT-8 score only in case of association with NSD and PMT/CB. Logistic regression showed that the variables were significantly associated ( = 0.02 and 0.04). No significant correlation was found between LMS and anatomical variations. : This study showed that nasal anatomical variables are correlated with SNOT-22 and SNOT-8. Having a combination of NSD and CB or PMT, on the same side as an OS, is related to a worse quality of life in patients affected by this disease. Regarding the radiological features of OS, no significant correlation was found between LMS and anatomical variations.
本研究的目的是分析鼻腔解剖变异与牙源性鼻窦炎的临床和放射学特征之间的相关性，以证明它们可能参与该疾病的发生。 这是一项对70例牙源性鼻窦炎（OS）患者进行的回顾性多中心研究。手术前，所有患者均进行了经典的22项和简化的8项鼻鼻窦结局测试（SNOT-22和SNOT-8）以及伦德-麦凯评分（LMS）。收集了每个鼻腔解剖异常情况，包括与鼻窦炎同侧的反常中鼻甲（PMT）、泡状鼻甲（CB）和鼻中隔偏曲（NSD）。 仅在与NSD以及PMT/CB相关联的情况下，患者的SNOT-22和SNOT-8评分才显著更高。逻辑回归显示这些变量具有显著相关性（P = 0.02和0.04）。未发现LMS与解剖变异之间存在显著相关性。 本研究表明，鼻腔解剖变量与SNOT-22和SNOT-8相关。在患有OS的同侧同时存在NSD与CB或PMT，与受该疾病影响患者的生活质量较差有关。关于OS的放射学特征，未发现LMS与解剖变异之间存在显著相关性。
