The Journal of laryngology and otology · 2025
Comparison of different nasal septal areas between patients with and without nasal obstruction.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Giotakis Aris I, Widmann Gerlig, Riechelmann Felix, Riechelmann Herbert, Heppt Helen
Аннотация
OBJECTIVES: We intended to investigate the deviation of septal swell body, perpendicular plate, septal spur and vomer in patients with and without nasal obstruction.
METHODS: We compared the deviation of these septal areas in computed tomography scans of patients scheduled for nasal surgical procedures (cases) and of patients without clinically relevant nasal obstruction (controls).
RESULTS: Septal swell body was similarly deviated between 56 cases (median value: 6.5 mm) and 56 controls (6.4 mm; p > 0.2). Septal spur was more deviated in cases (5.6 mm) than in controls (4.7 mm; p < 0.001). The deviation of perpendicular plate (found in 28/112 subjects) did not differ significantly between cases (3.0 mm) and controls (2.2 mm; p > 0.2). The deviation of vomer (found in 71/112 subjects) was larger in cases (7.1 mm) than in controls (4.3 mm; p = 0.001).
CONCLUSION: Septal spur, vomer and perpendicular plate were more frequent causes of nasal obstruction compared to septal swell body.
METHODS: We compared the deviation of these septal areas in computed tomography scans of patients scheduled for nasal surgical procedures (cases) and of patients without clinically relevant nasal obstruction (controls).
RESULTS: Septal swell body was similarly deviated between 56 cases (median value: 6.5 mm) and 56 controls (6.4 mm; p > 0.2). Septal spur was more deviated in cases (5.6 mm) than in controls (4.7 mm; p < 0.001). The deviation of perpendicular plate (found in 28/112 subjects) did not differ significantly between cases (3.0 mm) and controls (2.2 mm; p > 0.2). The deviation of vomer (found in 71/112 subjects) was larger in cases (7.1 mm) than in controls (4.3 mm; p = 0.001).
CONCLUSION: Septal spur, vomer and perpendicular plate were more frequent causes of nasal obstruction compared to septal swell body.