Compensatory hypertrophy of the contralateral inferior turbinate in patients with unilateral nasal septal deviation. A computed tomography study
Journal Title: Otolaryngologia Polska - Year 2015, Vol 69, Issue 2
Abstract
Introduction: the compensatory hypertrophy of the inferior turbinate in patients with septal deviation to one of the nostrils is considered to protect the airways from the excess of air that could enter through the nostril and its potential negative effects such as dryness, alteration of air filtration, mucociliary flow, or lung involvement. Materials and methods: A prospective, longitudinal, non-randomized study. Patients were divided in two groups: 10 consecutive patients, with nasal septal deviation and compensatory hypertrophy of the inferior turbinate in the contralateral nasal cavity (10 non-hypertrophied turbinates as control and 10 contralateral hypertrophied turbinates as study cases), and the second group with 5 patients without any nasal pathology (10 turbinates without any obvious pathology). In both groups CT scans of the nasal region were performed. A comparison of patients with nasal septal deviation with compensatory hypertrophy of the inferior turbinate in the contralateral nasal cavity and with nonpathological inferior turbinate was carried out. Results: When analyzing the groups of patients with septal deviation, the contralateral hypertrophied turbinate and the non-hypertrophied turbinate side, we found a significant hypertrophy in the anterior portion of the inferior turbinate, at the level of the medial mucosa (P = 0.002) and bone (P = 0.001) in the group of patients with contralateral hypertrophied turbinate. However, when we compared the contralateral hypertrophic turbinate with the turbinate of patients without septal deviation, we found a significant difference in all volumes of the medial and lateral mucosa and the bone portion (P = 0.001, P = 0.005). Conclusion: Surgical correction of the nasal septum and lateralization or reduction of the volume of the inferior turbinate (which may include the medial mucosa, head or part of the bone) is necessary in order to improve air passage into the nasal valve.
Authors and Affiliations
Carlos Chiesa Estomba, Teresa Rivera Schmitz, Carla C Ossa Echeverri, Frank A Betances Reinoso, Alejandra Osorio Velasquez, Carmelo Santidrian Hidalgo
Keywords
Related Articles
- EP ID EP76566
- DOI DOI: 10.5604/00306657.1149568
- Views 65
- Downloads 0
Wpływ upośledzonej drożności nosa na jakość tworzonego głosu
Aim: The aim of researches was estimation of quality of voice after operations correcting of the nasal septum deviation. Materials and methods: With researches one embraced 40 men in two groups (group I: 20–30 of years o...
Analiza trudności we wczesnej diagnostyce audiologicznej dzieci
Wstęp: Optymalnym okresem do przeprowadzenia diagnostyki zaburzeń słuchu są pierwsze trzy miesiące życia dziecka, a odpowiednia terapia oraz wdrożenie leczenia i/lub rehabilitacji powinno być rozpoczęte przed ukończeniem...
Head and neck phlegmons — diagnosis and treatment — own observations
SUMMARY Introduction: Head and neck phlegmons are rare diseases, however they are associated with high risk of mortality. They can derive from different structures of the described anatomical area. They are often odontog...
Results of radical surgery in group of 355 patients with advanced laryngeal cancer
Introduction: The aim of the study was to evaluate the results of radical surgery in group of 355 patients with advanced laryngeal cancer. Material and method: The paper presents results of treatment in group of 355 pati...
Is endoscopic neck surgery the future direction in neck treatment?
The aim of the paper is to present the minimally invasive endoscopic video-assisted surgery for the neck on the basis of current literature. The different techniques include pure endoscopic procedures, open video-assiste...