Prevalence of Nasal Septal Deviation, Concha bullosa, and Infundibular Size and their Association with Maxillary Sinusitis by Computed Tomography in Filipinos with Paranasal Sinus Disease
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 5 No. 1 (2019),
22 September 2019
,
Page 1-6
https://doi.org/10.22037/orlfps.v5i1.16580
Abstract
Background: Data are limited regarding anatomic variations of the paranasal sinuses (PNS) in the Filipinos. Although several studies have described the relationship between concha bullosa as well as nasal septal deviation and PNS disease, only few have investigated the relationship between the infundibular size and maxillary sinusitis.
Aim: This study aims to report the prevalence of nasal septal deviation, concha bullosa, and infundibular size, and to determine their association with CT-confirmed maxillary sinusitis in Filipino patients.
Methods: We retrospectively reviewed CT-scans of 200 patients from June 2015 to June 2016. Examinations requested intended to evaluate the symptoms referable to sinonasal disease. The presence of maxillary sinusitis, concha bullosa, nasal septal deviation, and infundibular size were recorded. Anatomic variants and infundibular size as well as their relationship with maxillary sinusitis were evaluated using logistic regression.
Results: Maxillary sinusitis was diagnosed in 98 (49%) patients, and in 146 of 400 (36.5%) sinuses. Concha bullosa was reported in 74 (37%) and nasal septal deviation in 130 (65%) patients. Most of the septal deviations were <9 degrees (93.8%), and none were severe. A greater proportion of males had maxillary sinusitis (p=0.017). Patients with maxillary sinusitis had a larger infundibular size compared to patients without sinusitis (p=0.017). Only male gender (p=0.004) and infundibular size (p=0.023) had an association with maxillary sinusitis.
Conclusion: No association was seen between nasal septal deviation or concha bullosa and maxillary sinusitis. Increase in infundibular size led to increased odds of maxillary sinusitis, though the results should be interpreted with caution due to differences in group characteristics.
- Computed Tomography
- CT
- Concha Bullosa
- Nasal Septal Deviation
- Paranasal Sinus
How to Cite
References
Aring A, Chan M. Acute Rhinosinusitis in Adults. Am Fam Physician. 2011; 83 (9): 1057-1063.
Shi JB, Fu QL, Zhang H, Cheng L, Wang YJ, Zhu DD, Lv W, Liu SX, Li PZ, Ou CQ, Xu G. Epidemiology of chronic rhinosinusitis: results from a cross-sectional survey in seven Chinese cities. Allergy. 2015;70:533-9.
Ameri AA, Eslambolchi A, Bakhshandeh H. Anatomic varaints of the paranasal sinuses and chronic sinusitis. Iran J Radiol. 2005;2(4 Pt 1):121-4.
Stackpole SA, Edelstein DR. The anatomic relevance of the Haller cell in sinusitis. Am J Rhinol. 2014;11(3):219-23.
Zinreich S, Albayram S, Benson M, Oliverio P. The Ostiomeatal Complex and Functional Endoscopic Surgery. In: Som PM, Curtin H, eds. Head and Neck Imaging. Mosby;2003:149-73.
Hansen J, ed. Netter’s Clinical Anatomy, 3rd ed. Philadephia; 2014.
Ono N, Kase K, Homma H, Kusunoki T, Ikeda K. Maxillary sinus infundibulum narrowing influences sinus abnormalities in spite of the presence or absence of allergy. Acta Otolaryngol. 2011;131(11):1193-7.
Santos C, Jarin PS. Computed tomographic analysis of paranasal sinus anatomic variations among Filipinos. Philipp J Otolaryngol Head Neck Surg. 2004;19(3-4):155-60.
Rak KM, Newell JD, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: Significance of mucosal thickening. Am J Roentgenol. 1991;156(2):381-4.
Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. Am J Neuroradiol. 2004;25(9):1613-8.
Bhattacharyya N. Do maxillary sinus retention cysts reflect obstructive sinus phenomena? Arch Otolaryngol Head Neck Surg. 2000;126(11): 69-1371.
Kapusuz Gencer Z, Ozkırış M, Okur A, Karaçavuş S, Saydam L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhinolaryngol. 2013 Nov;270(12):3069-73.
Hansen J, Schmidt H, Rosborg J , Lund E. Predicting acute maxillary sinusitis in general proctive population. Brit Med J. 1995;311 (6999): 233-6.
Shoib S, Viswanatha B. Association between symptomatic deviated nasal septum and sinusitis. Res Otolaryngol. 2016;5(1):1-8.
B. Yehouessi-Vignikin, S.-J. Vodouhe. Sinusites maxillaires : 1752 cas en ORL au CNHU de Cotonou, Bénin. Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale. 2013;130(4):189-94.
Bahemmat N, Hadian H. The frequency of nasal septal deviation and concha bullosa and their relationship with maxillary sinusitis based on CBCT finding. International journal of medical research and health sciences. 2016:5(11):152-6.
Smith K, Edwards P, Saini T, Norton N. The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent. 2010;2010:pii: 404982.
Madani S, Modanluo M, Hashemi S. The incidence of nasal septal deviation and its relation with chronic rhinosinusitis in patients undergoing functional endoscopic sinus surgery. 2015: J Pak Med Assoc. 2015 Jun;65(6):612-4.
Mohebbi A, Ahmadi A, Etemadi M, Safdarian M, Ghourchian S. An epidemiologic study of factors associated with nasal septum deviation by computed tomography scan: a cross sectional study. BMC Ear Nose Throat Disord. 2012 Dec 17;12:15.
Babbel R, Harnsberger H, Sonkens J, Hunt S. Recurring patterns of inflammatory sinonasal disease demonstrated on screening sinus CT. Am J Neuroradiol. 1992;13(3):903-12.
Sharma S, Jehan M, Kumar A. Measurements of maxillary sinus volume and dimensions by computed tomography scan for gender determination. Jour Anat Soc Ind. 2014;63:36-42.
Lee S, Lane A. Chrionic rhinosinusitis as a multifactorial inflammatory disorder. Curr Infect Dis Rep. 2011 Apr;13(2):159-68.
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