Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

January E. Gelera; Devendra Ojar; 임재현; 위지혜; 김정훈; 이재서

Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

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Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

자료유형: 학술저널

저자정보: January E. Gelera Devendra Ojar 임재현 위지혜 김정훈 이재서

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제10권 제4호 KCI Accredited Journals

발행연도: 2017.1

수록면: 338 - 343 (6page)

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Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases

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Objectives. This study aims to determine the anatomical changes occurring in the nasal septal body (NSB) among patients with sinonasal disease and compares the measurements obtained from patients without sinonasal disease. Methods. This was a retrospective study involving review of 405 (93 without and 212 with sinonasal disease) plain paranasal sinus computed tomography (PNS CT) on coronal view at a tertiary training hospital, which was done consecutively from January 2014 to December 2015. NSB measurements from 3 areas were done: anterior part (A), located anterior and superior to inferior turbinate; middle or widest (M) part, located anterior to middle turbinate and superior to inferior turbinate and posterior (P) part, located within the anterior 1/3 of middle turbinate not going beyond the crista galli. Posterior part of septum (sP) was measured at the area of horizontal attachment of middle turbinate to the lateral nasal wall and superior turbinate to represent the less vasoactive part of the septum. Demographic data and NSB diameters were also analyzed. Results. The mean NSB diameter measurements were significantly larger among the diseased group (disease vs. control; A: 6.88 mm vs. 5.92 mm, P=0.001; M: 12.74 mm vs. 10.47 mm, P=0.001; P: 8.35 mm vs. 6.79 mm, P=0.001). A similar observation in sP part (3.35 mm vs. 2.54 mm, P=0.014) was noted. When grouped by age, among the control group, older subjects had considerable decrease in NSB size in all points of measurements except for sP (P>0.05). Such reduction in size is noticeable for those in their 4th, 5th, 6th, and 7th decades of life. For the diseased group, a trend of increasing NSB and sP size was noted as the subjects are getting older. However, only the anterior part (A) of NSB reached statistical significance (P=0.016). Conclusion. With aging we expect nasal mucosal atrophy among normal subjects. However, patients with chronic sinonasal disease showed thickened nasal mucosa. Further study for the reversibility of thickened mucosa is needed.

#Nasal Septal Body #Nasal Septal Swell Body

참고문헌 (21)

참고문헌 신청

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