An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 11 , ISSUE 1 ( January-April, 2019 ) > List of Articles

RESEARCH ARTICLE

Symptomatic Septal Deviation: Its Nasal Endoscopy and Computed Tomography-aided Correlation with Chronic Rhinosinusitis

Shruti Tandon, Vijay Giridher, Akash Juneja

Keywords : Angle of septal deviation, Deviated nasal septum, Lateral wall variant, Prevalence of chronic rhinosinusitis, Prospective study, Rhinosinusitis

Citation Information : Tandon S, Giridher V, Juneja A. Symptomatic Septal Deviation: Its Nasal Endoscopy and Computed Tomography-aided Correlation with Chronic Rhinosinusitis. Int J Otorhinolaryngol Clin 2019; 11 (1):5-8.

DOI: 10.5005/jp-journals-10003-1325

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To evaluate the nasal septal deviation by measuring the angle of deviation and study its relation with sinus diseases and lateral nasal wall anomalies, by diagnostic endoscopy (DNE) and computed tomography (CT), in patients of chronic rhinosinusitis (CRS). Materials and methods: A prospective study was carried out on 90 patients with nasal complaints and deviated septum, attending the Department of Otorhinolaryngology, from January 2015 to August 2016. Patients were diagnosed to have CRS clinically and were subjected to DNE and CT scans. The maximum angle of septal deviation was calculated in coronal cuts. The side and sites of rhinosinusitis and lateral wall anatomical variants were identified. Results: The prevalence of CRS was 73%, with males more affected than females (1.8:1). Left-sided and C-shaped DNS were most common. Fifty-two percent patients suffering from CRS had septal angle of deviation between 7° and 12°, and 46% had more than 12°. Maxillary sinus was the most commonly involved sinus. Concha bullosa (32%) was the most common variant noted. Occurrence of medialized uncinate process was found to be increasing on the ipsilateral side of deviated septum with increasing angle of deviation. Conclusion: In patients with chronic sinusitis, most of the angles were deviated between 7° and 12°. The mean deviation was 12.92°. Majority of patient with chronic rhinosinusitis had a concurrent variation along with the deviated nasal septum. No correlation was found between the side of deviated nasal septum and side of maxillary sinusitis. No correlation was noted between the anatomical variants of lateral nasal wall with increasing angle of deviation. Clinical significance: Our study emphasizes the multifactorial etiology behind CRS with plausible role of genetic factors, environmental influence, allergic factors, and hormonal influence, etc., in its causation.


PDF Share
  1. Anon JB, Jacobs MR, Poole MD, et al. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg 2004;130(1 Suppl):1–45. DOI: 10.1016/j.otohns.2003.12.003.
  2. Pleis JR, Lucas JW, Ward BW. Summary health statistics for U.S. adults: National Health Interview Survey, 2008. Vital Health Stat 2009;10(242):1–157.
  3. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1 Pt 1):56–64. DOI: 10.1288/00005537-199101000-00010.
  4. Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 1988;134:3–23. DOI: 10.1177/00034894880970S501.
  5. Poorey VK, Gupta N. Endoscopic and computed tomographic evaluation of influence of nasal septal deviation on lateral wall of nose and its relation to sinus disease. Indian J Otolaryngol Head Neck Surg 2014;66(3):330–335. DOI: 10.1007/s12070-014-0726-2.
  6. Sood VP. Nasal and sinus endoscopy. Indian J Otolaryngol 1990;42(4):143–146.
  7. Sinha DK. Nasal and sinus endoscopy in opaque maxillary antrum. Indian J Otolaryngol Head Neck Surg 1993;45(3):145–146. DOI: 10.1007/BF03054717.
  8. Moorthy PNS, Kolloju S, Madhira S, et al. Clinical study on deviated nasal septum and its associated pathology. Int J Otolaryngol Head Neck Surg 2014;3:75–81. DOI: 10.4236/ijohns.2014.32016.
  9. Shoib SM, Viswanatha B. Association between symptomatic deviated nasal septum and sinusitis: a prospective study. Res Otolaryngol 2016;5(1):P1–P8.
  10. Calhoun KH, Waggenspack GA, Simpson CB, et al. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 1991;104(4):480–483. DOI: 10.1177/019459989110400409.
  11. Kennedy DW, Senior BA. Endoscopic sinus surgery. A review. Otolaryngol Clin North Am 1997;30(3):313–330.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.