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Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

Published online by Cambridge University Press:  29 June 2012

A Y Korkut ,
F Islim ,
S Gulseven Ciftci ,
R Dogan ,
O Gedikli ,
V Kahya  and
G Gunes
A Y Korkut*
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
F Islim
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
S Gulseven Ciftci
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
R Dogan
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
O Gedikli
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
V Kahya
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
G Gunes
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
*
Address for correspondence: Dr Arzu Yasemin Korkut, Atakoy 9, Kisim, D7/B, D15 34156, Istanbul, Turkey Fax: 00 90 212 617 3091 E-mail: [email protected]
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Abstract

Objective:

To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.

Methods:

The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.

Results:

The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).

Conclusion:

The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

Keywords

Nasal SeptumTurbinatesAnatomyNasal ObstructionComputed Tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 784 - 788
Copyright
Copyright © JLO (1984) Limited 2012

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