Assessment of the correlation between nasal septal deviation and compensatory hypertrophy of the middle turbinate

Abstract

The aim of the study was to investigate the relationship between nasal septal deviation and the middle turbinate hypertrophy using computed tomography. In this retrospective analysis, we examined 77 patients with nasal septal deviation. The mucosal and bone structures of the middle turbinate and the angle of the septum were measured using radiological analysis. Measurements of the middle turbinate on the convex side were compared to those on the concave side. Measurements of the bony and mucosal structure area of the middle turbinate were significantly greater than those on the concave side. The dimensions of medial mucosa thickness and bone thickness were not significantly different between the convex and concave sides. No significant correlation was found between the angle of deviation and other parameters. The present findings suggest that compensatory middle turbinate hypertrophy was caused both by conchal bone growth and mucosal hypertrophy in patients with nasal septal deviation.

Nasal septal angle deviation: effect on lateral wall in nasal obstruction

“…8 There was no evidence of ipsilateral middle turbinate hypertrophy in any of the three groups, rather the increasing angle of septal deviation was associated with increase in the incidence of contralateral middle turbinate hypertrophy, which is in consonance with the study results of Demir et al who found that the measurements of the bony and mucosal structure of the contralateral middle turbinate were greater and statistically significant. 9 The measurements of the bony and mucosal thickness of inferior turbinate by Orhanet al, revealed statistically significant difference between the ipsilateral and contralateral side in patients of deviated nasal septum, which is in consonance to our study results ( Figure 2). 10 Our study shows higher incidence of bulbous type concha on the contralateral side (11.3%) as compared to the ipsilateral side (8.6%) among the three groups, parallel to the study results of Stallman et al 4 Elahi et al, evaluated the association of septal deviation and chronic sinus disease and concluded that the increasing angle of septal deviation is associated with bilateral sinus disease, contralateral middle turbinate abnormalities and prominent ethmoidal bulla.…”

Rhinitis 2020: A practice parameter update

“…212 It may cause bilateral or unilateral congestion and is often associated with nasal valve collapse and compensatory turbinate hypertrophy. [212][213][214] The importance and effectiveness of septoplasty for NSD does not appear to be universally accepted. 215,216 Nasal valve collapse.…”

Short term subjective outcomes of lateral fracture as a complementary treatment of coblation turbinoplasty in traumatized nose

“…In other cases, these nasal infl ammatory processes result a dilatation of the venous sinuses or fi brosis with a non-effectivity of medical therapy [2]. In traumatic septal deviation, a common condition is inferior turbinate compensatory hypertrophy [3]. This condition is not only caused by mucosal enlargement, but also by bony hypertrophy of the inferior turbinate itself [4].…”