Background Nasal septum deviation (NSD) can cause serious anatomical and clinical complications. It can change the breathing pattern and thus alter the anatomy of the airway structures. Despite its importance, the association between NSD with the nasopharynx volume (NPV) has not been assessed before. Therefore, we aimed to investigate it for the first time. Methods Archival CBCTs of 202 patients older than 17 years and without any history of trauma or pathology of the nasopharynx and without any orthodontic/orthognathic treatments were evaluated (129 women, 73 men, mean age: 36.24 ± 14.61 years). All included CBCTs must have been taken with a 12 × 8 field of view and fully covered the nasopharynx areas. The extent of NSD (°) and NPV (mm3) were measured. NSDs were categorized as mild (NSD ˂ 9°), moderate (9 ≤ NSD ≤ 15°), and severe (NSD ˃ 15°). Associations between sex, age, NSD, and nasopharynx volume were assessed using independent-samples t test, chi-square, one-way ANOVA, Tamhane post hoc test, Pearson and point-biserial correlation coefficients, and multiple linear regressions (α = 0.05). Results Mean NSDs were 11.27 ± 4.69° (range 1–19.5), 11.58 ± 4.63°, and 10.70 ± 4.76° in the sample, females, and males, respectively (P > 0.05). Of females, 27.9%, 40.3%, and 31.8% had mild, moderate, and severe NSDs. These were 35.6%, 39.7%, and 24.7% in males (P > 0.05). Mean NPVs were 4.88 ± 1.49, 4.80 ± 1.43, and 5.04 ± 1.60 mm3 in the sample, females, and males, respectively (P > 0.05). Mean NPVs were 6.41 ± 1.21, 4.87 ± 0.73, and 3.30 ± 0.65 mm3 in mild, moderate, and severe NSD groups (all P values = 0.000). Mean ages were 27.06 ± 6.49, 29.80 ± 9.64, and 54.73 ± 8.45 years in mild, moderate, and severe NSD groups (severe group being older than the other two groups, P = 0.000). NSD was strongly, negatively correlated with NPV (R = − 0.793, P = 0.000). Sex was not correlated with NPV or NSD (P ≥ 0.189). Age was negatively and positively correlated with NPV and NSD, respectively (P = 0.000). Modeling NSD (β = −0.776, P = 0.000) as a predictor for NPV rendered age effect insignificant (P > 0.05). Conclusions It was found, for the first time, that the more deviated the nasal septum, the smaller the nasopharynx volume. Aging might increase NSD and through it, reduce the nasopharynx volume. Sex might not affect NSD or NPV.
Introduction: this study aimed at determining gender and age by mandibular anatomy landmarks in computed tomography with Cone-Beam (CBCT). Methodology: this cross sectional study was performed on 147 CBCT images available in archive of radiology in the dentistry department of Ahvaz Jondi Shapoor medical science university. In this research, we assessed parameters including SMEF: Distance from mental foramen to the highest point of alveolar crest ridge, BIAC: distance from lowest point of IAC to the most anterior tangent point of buccal mandibular plate, LIAC: distance from the lowest IAC point to the most posterior tangent point o mandibular lingual plate, IMEF: distance from the lowest mental hole border to the lowest tangent point on inferior mandibular border, D2: distance from the lowest IAC canal border to the lowest tangent point on inferior mandibular border and gonial angle: junction of inferior mandibular border and posterior ramus border. Data were analysed by SPSS software 20th version and Spearman correlation coefficient tests, one-way variance analysis, Kruskal-Wallis, independent t, and Uman Withney. Results: SMEF level was significantly different in groups and in 25-34 group it was significantly higher than under 25 group. In right side it was significantly higher than female. IMEF had no significant difference in age groups and in both side it was higher in male than female. BIAC in both sides had no significant difference. LIAC in both sides an in different ages had no significant difference in male and female. D2 had no significant difference in both sides. But in a group with patients older than 55 it was significantly higher than 45-54 group. In addition, in left side it was higher in male than female there was no significant difference in gonial angle in different groups in left side with in right side there was significant difference in different age groups. But there was no significant difference in gender. Conclusion: evaluated indices in this research are not ry accurate to forecast age and gender and they cannot be used as accurate tools in estimating age and gender of people.
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