Symptoms related to anatomical variations of osteomeatal complex (OMC) in patients with sinonasal symptoms referred to ENT clinic of Loghman Hakim hospital between Sep 2014-Sep 2015
Researcher Bulletin of Medical Sciences,
Vol. 22 No. 1 (2017),
8 September 2018
Introduction: Headache or facial pain, nasal obstruction, nasal discharge, PND and hyposmia or anosmia are all symptoms of rhinosinusitis. Approximately 10% of people will experience these symptoms throughout their lives. Acute and chronic rhinosinusitis causes both symptomatic inflammation of the nasal and sinus mocusa. The role of anatomical variations of osteomedal complex (OMC) in development of these symptoms has so far been discussed. The purpose of this study is to determine the frequency of these disorders in the target population and determine their possible role in the occurrence of sinonasal symptoms.
Material and Methods: This is a descriptive cross-sectional study in which patients with sinonasal symptoms referred to the ENT clinic of Loghman Hakim hospital during the period of September 2014 to September 2015 were enrolled in the study and their CT scan in the coronal view, reviewed for the existence of different anatomical variations of osteomalacial unit. Their symptoms were recorded in the table of symptoms. At the end of the study, we searched for any relation between anatomical variation of OMC and sinonasal symptoms.
Results: A total of 100 patients were enrolled in the study, of which 66 were female and 34 were male. The most common symptoms in these patients were nasal obstruction 72%, headache 67%, nasal discharge 31% and hyposmia 29%. Nasal anatomical variations were also prevalent: nasal deviation 49.57%, nasal spur 25.21%, concha bollusa 23.5%, and Infraorbital cell 1.6%.
Conclusion: The incidence of headache was higher in a group of patients with septal deviation than those with other anatomical variations and this difference was significantly higher in the group with septal spur and septal deviation at the same time than other anatomical variants. The incidence of nasal obstruction in patients with septal deviation and patients with septal deviation and septal spur at the same time was significantly higher than other variances. There was no statistically significant relationship with the effect of other anatomical variations on sinonasal symptoms.
- Anatomical variation
- Osteomeatal complex
- Sinonasal symptoms
How to Cite
Adeel M , Rajput MS, Akhter S, Ikram M, Arain A, Khattak YJ : Anatomical variations of nose and para-nasal sinuses; CT scan review, J Pak Med Assoc. 2013 Mar;63(3):317-9..
Y.K.Maru ,V.Gupta : Anatomic variations of the bone in sinonasal CT , Indian Journal of otolaryngology and head and neck surgery Vol,53 No.2 april-June 2001.
Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol. 2005;11 (3): 145-9.
Carlotta Pipolo ,Sara Portaleone ,Giovanni Felisati : Nose and headache: what have we learned?, Neurol Sci (2011) 32 (Suppl 1):S131–S133.
Asif A. Wani ,Sohit Kanotra ,Mohammad Lateef , Rafi q Ahmad ,Sajad M. Qazi ,Shawkat Ahmad : CT scan evaluation of the anatomical variations of the ostiomeatal complex,Indian Journal of otolaryngology head&neck surgery (July-September 2009)61:163-168.
Satheesh Kumar Bhandary _ Shrinath D. Kamath P : Study of relationship of concha bullosa to nasal septal deviation and sinusitis, Indian Journal of otolaryngology head&neck surgery(July-September 2009)61:227-229.
Roger K. Cady, MD, and Curtis P. Schreiber : Sinus Problems as a Cause of Headache Refractoriness and Migraine Chronification , MDOtolaryngol Clin North Am 2004, 37:267–288
Nick S. Jones, MD, FRCS : Midfacial Segment Pain: Implications for Rhinitis and Sinusitis,. Current Allergy and Asthma Reports 2004, 4:187–192.
Mohammad Sadeghi•Babak Saedi•Yasser Ghaderi : Endoscopic Management of Contact Point Headache in Patients Resistant to Medical Treatment,. Indian J Otolaryngol Head Neck Surg(August 2013) 65(Suppl 2):S415–S420.
Jeferson Cedaro de Mendonça , Ivo Bussoloti Filho : Craniofacial pain and anatomical abnormalities of the nasal cavities, Rev Bras Otorrinolaringol.V.71, n.4, 526-34, jul./aug. 2005.
Hopkins C, Browne JP, Slack R, Lund V, Brown P : The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg. 2007 Oct;137(4):555-61.
Navid Ahmady Roozbahany,Semiramis Nasri: Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache, Auris Nasus Larynx 40 (2013) 177–183.
Satish Nair: Correlation between symptoms and radiological findings in patients of chronic rhinosinusitis: a modified radiological typing system; Rhinology, 47,181-186, 2009
Mecit Kantarci, R. Murat Karasen, Fatih Alper,Omer Onbas, Adnan Okur, Adem Karaman: Remarkable anatomic variations in paranasal sinus region and their clinical importance; European Journal of Radiology 50 (2004) 296–302
Xavier Pruna: Morpho-functional evaluation of osteomeatal complex in chronic sinusitis by coronal CT; Eur Radiol (2003) 13:1461–1468 DOI 10.1007/s00330-002-1644-3
Ahmet Kaygusuz • Mehmet Haksever •Davut Akduman • Su¨ndu.Aslan • Zeynep Sayar: Sinonasal Anatomical Variations: Their Relationship with Chronic Rhinosinusitis and Effect on the Severity of Disease—A Computerized Tomography Assisted Anatomical and Clinical Study; Indian J Otolaryngol Head Neck Surg (July–Sept 2014) 66(3):260–266
R. K. Mundra • Yamini Gupta • Richi Sinha • Alaknanda Gupta: CT Scan Study of Influence of Septal Angle Deviation on Lateral Nasal Wall in Patients of Chronic Rhinosinusitis; Indian J Otolaryngol Head Neck Surg (Apr–Jun 2014) 66(2):187–190
- Abstract Viewed: 0 times
- PDF Downloaded: 0 times