An often neglected area in crooked nose: middle turbinate pneumatization

Özdoğan, Fatih; Özel, Halil Erdem; Esen, Erkan; Altıparmak, Erdem; Genç, Selahattin; Selçuk, Adın

doi:10.1016/j.bjorl.2016.06.006

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…Statistically signi cant relationship was found between sinusitis, septal deviation,concha bullosa, nasal obstruction, postnasal discharge and epistaxis in previous studies. Also, it was reported that precise knowledge of these relationships is crucial in clinical practice for safer and effective surgery [8, 14,18]. In our study, nasal septum deviation was classi ed into three types and concha bullosa was identi ed as present or absent on the axial plane.…”

Section: Discussionmentioning

confidence: 88%

“…Some studies have shown that there are many variations of the shape and number of the SPF [5]. The morphometry of the SPF and the relationship between the SPF variations and the position of the middle turbinate have been investigated in many studies [14,18]. On the other hand, the septal deviation and the pneumatization of the middle turbinate (concha bullosa) may lead to nasal obstruction, persistent headache, postnasal discharge, and epistaxis, which may affect the localization of the SPF.…”

Section: Introductionmentioning

confidence: 99%

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Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Şeker¹,

Açar²,

Çiçekcibaşı³

et al. 2022

Preprint

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Purpose This study aimed to investigate the effect of anatomical variations in the sphenopalatine foramen and the lateral nasal wall on sphenopalatine foramen-related morphometric measurements. Methods Temporal bone multidetector computed tomography records of 153 patients were evaluated. Morphometric measurements were made between the fixed anatomical landmarks and the sphenopalatine foramen. Number, shape, localization variation of the sphenopalatine foramen, concha bullosa, and septum deviation were noted. Results No significant difference was detected between the right-left sides for all distances measured except SPF-CA and SPF-BL and most of the measurements were higher in males. In addition, statistical analysis of the obtained morphometric data was performed according to age groups. Classified the shape of the sphenopalatine foramen five types and reported that the most common irregularly shaped (37.3%). In our study, 91.2% single, 7.8% double, and 1% triple sphenopalatine foramen were detected. The location of sphenopalatine foramen was reported as the most common type I. No statistically significant relationship could be determined between morphometric data and septum deviation types. SPF-NF, SPF-ML, OSPF-ANS, and HSPF-ANS measurements were found to be significantly smaller in the presence of concha bullosa, whereas SPFA was found to be higher. Conclusion This study revealed a significant relationship between the morphometric measurements of the sphenopalatine foramen and concha bullosa, while septum deviation types did not affect morphometric results. For a safer and more effective surgery with prevention of iatrogenic complications, a surgeon should be aware of this correlation, especially in endoscopic sphenopalatine foramen approaches.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Şeker¹,

Açar²,

Çiçekcibaşı³

et al. 2022

Preprint

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“…Crooked or deviated nose is a deviation of the nose from the straight vertical position of the face and preoperative paranasal computed tomography is essential for patients with a crooked nose even if they do not have concomitant sinonasal diseases like allergy and chronic sinusitis [5] (Figure 8).…”

Section: Discussionmentioning

confidence: 99%

“…Middle turbinate pneumatization also called concha bullosa or bullous middle turbinate is one of the possible etiologic factors in nasal obstruction, recurrent sinusitis, and headache [5]. Bullous middle turbinate is one of the most common anatomical variations present in the nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Evaluation of Paranasal Computed Tomography Reports of Patients Requesting Rhinoplasty for the Presence of Septal Deviation and Inferior Turbinate Hypertrophy: Retrospective Clinical Case Series Study

Mh¹

2019

Austin J Surg

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Background: A successful outcome in rhinoplasty should improve not only the aesthetic appearance of the nose but also the physiologic function of the nasal cavity. Nasal obstruction in many patients is caused by a deviated nasal septum and/or inferior turbinate hypertrophy. Preoperative proper diagnosis of these conditions is very important in planning cosmetic nasal surgery.Methods: Paranasal computed tomography reports of 119 patients requesting cosmetic nasal surgery were evaluated for the presence of septal deviation and inferior turbinate hypertrophy.Results: In 62 patients (52.10%) there was septal deviation with concave side facing the left nasal cavity and in 46 patients (38.65%) there was septal deviation with concave side facing the right nasal cavity. In only 11 patients (9.24%) there was no finding suggesting septal deviation. In 113 patients (94.96%) there was inferior turbinate hypertrophy. In only 6 patients (5.04%) there was no sign of inferior turbinate hypertrophy on paranasal computed tomography scan. Conclusion:Despite the fact that radiologic imaging is usually not a standard part of the workup in patients who are candidates for rhinoplasty, preoperative paranasal computed tomography is essential to detect the presence of concomitant pathologies like septal deformities, inferior turbinate enlargement, bullous middle turbinate and chronic sinusitis. Preoperative paranasal computed tomography is a very valuable method to assess internal nasal structures especially for plastic surgeons who do not have endoscopic instruments to examine nasal cavities.

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“…3 The middle turbinate should be noted if there is presence of a concha bullosa, i.e., extensive pneumatization of the middle turbinate, as this has been associated with leading to significant septal deviation and causing the dorsum to become crooked over time. 11 Turbinate comments should include the following: presence of concha bullosa, inferior turbinate hypertrophy, bone thickness, asymmetry, and presence of synechiae or adhesions to the septum.…”

Section: Turbinatesmentioning

confidence: 99%

The RhinoCEROS Guidelines: A Practical Tool for Reporting Nasal Anatomy on Computed Tomography Pertaining to Rhinoplasty

McIntosh¹,

Stutterheim²,

Randall³

et al. 2023

Facial Plast Surg

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Cone-beam computed tomography is gaining popularity worldwide due to an increasingly diffuse and affordable in-office availability. It is becoming more commonplace for rhinoplasty surgeons to utilize this imaging as tool for preoperative assessment, however there is inconsistency among radiologists commenting on specific structures of the nose or nasal cavity as there is currently no standardized reporting protocol. The goal of this paper is to present clear guidelines for radiologists to report relevant nasal anatomy in the context of preoperative rhinoplasty evaluation. We have proposed the RhinoCEROS Guidelines, which stands for: • Rhinoplasty Cephalometric Evaluation for Radiologic pre-Operative Systematization. This guideline highlights the primary aspects of nasal anatomy on computed tomography(CT) that affect rhinoplasty outcomes and will provide radiologists with a straight forward template for reporting this increasingly popular use for CT scan.

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An often neglected area in crooked nose: middle turbinate pneumatization

Abstract: This study revealed a link between crooked nose and BMT.

Cited by 5 publications

References 13 publications

Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Preoperative Evaluation of Paranasal Computed Tomography Reports of Patients Requesting Rhinoplasty for the Presence of Septal Deviation and Inferior Turbinate Hypertrophy: Retrospective Clinical Case Series Study

The RhinoCEROS Guidelines: A Practical Tool for Reporting Nasal Anatomy on Computed Tomography Pertaining to Rhinoplasty

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