Septoplasti ameliyatı yapılan hastalarda nazal septum deviasyonunun maksiller sinüs hacmine etkisi

Year 2024, Volume: 21 Issue: 3, 330 - 335

Servet Erdemes , Müslüm Ayral , Osman Erdoğan , Mahmut Ağırtmış

https://doi.org/10.35440/hutfd.1486503

Abstract

Amaç: Bu çalışmada septoplasti uygulanan hastalarda nazal septal deviasyon ile maksiller sinüs hacmi arasındaki ilişkiyi belirlemeyi amaçladık.
Materyal ve metod: Eylül 2022 ile Eylül 2023 tarihleri arasında septoplasti ameliyatı geçiren 164 hastanın (80 kadın, 84 erkek) paranazal sinüs bilgisayarlı tomografisi (PNS BT) retrospektif olarak değerlendirildi. Bilateral maksiller sinüs hacmi (MSV) ve septal deviasyon açısı (SDA) bilgisayar programı kullanılarak hesaplandı. SDA sağ ve sol olarak ikiye ayrıldı ve hafif, orta ve şiddetli olarak da tanımlandı.
Bulgular: Sağ MSV ortalaması 14,34 ± 3,91 (7,45-23) ve sol MSV ortalaması 15,11 ± 4,29 (6,34-24,3) olarak ölçüldü. Tüm hastaların ortalama SDA 15,51 ± 5,22 (6.7-34) idi. Sağ ve sol MSV arasındaki fark, hafif septal deviasyonu olan hastalarda, orta ve şiddetli septal deviasyonu olan hastalara göre daha düşük ölçüldü (sırasıyla p=0,016, p=0,024). MSV' ye göre yapılan değerlendirmede septal deviasyon tarafına göre ipsilateral MSV, kontralateral MSV, total MSV ve sağ-sol MSV arasındaki fark değerleri erkeklerde kadınlara göre daha yüksek bulunmuştur (sırasıyla p=0,011, p=0,001), p=0,004, p<0,001,).
Sonuç: Nazal septal deviasyonun maksiller sinüs hacmi üzerine etkisini net olarak elde edemedik. Ancak kadınlarda MSV' nin erkeklere göre daha düşük olduğu bulundu.

Keywords

maksiller sinüs,, septum deviasyonu, sinüs hacmi

Ethical Statement

Çalışma etik onayı Harran Üniversitesi Etik Kurulu’ndan alındı (tarih: 27/11/2023, karar no: HRU/23.22.09). Çalışmamız Helsinki Bildirisi’nde belirtilen etik standartlara uygun planlanmıştır

Supporting Institution

Bu çalışma yazarların kendi çalışması olup, herhangi bir kurum ya da vakıftan maddi destek alınmamıştır

The effect of nasal septal deviation on maxillary sinus volume in patients undergoing septoplasty surgery

Abstract

Background: In this sudy, we aimed to determine the association between nasal septal deviation and maxillary sinus volume in patients undergoing septoplasty.
Materials and Methods: 164 paranasal sinus computed tomography (PNS CT) of the patients(80 female, 84 male) undergoing septoplasty surgery were retrospective evaluated between September 2022 and September 2023. Bilateral maxillary sinuses volüme (MSV) and septal deviation angle(SDA) were calculated using the computed program. SDA was divided into right and left, also was described as mild, moderate, or severe.
Results: The mean of right MSV was measured as 14.34 ± 3.91 (7.45-23) and the mean of left MSV was 15.11 ± 4.29 (6.34-24.3). The average SDA of all patients was 15.51 ± 5.22 (6.7-34). The difference between right and left MSV was measured lower in patients with mild septal deviation than in patients with moderate or severe septal deviation (p=0.016, p=0.024, respectively). In the evaluation made according to MSV, the difference values between ipsilateral MSV, contralateral MSV, total MSV and right-left MSV according to the side of septal deviation were found to be higher in men than in women (p=0.011, p=0.001, p=0.004, p<0.001, respectively).
Conclusion: We could not clearly obtain the effect of nasal septal deviation on maxillary sinus volume. However, MSV in women was found to be lower than in men

Keywords

maxillary sinus, septum deviation, sinus volume

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