Examining the relation between Concha Bullosa types and Septum Deviation and Maxillary Sinusitis: Analysis of 293 Paranasal Computed Tomography

Yıl 2019, Cilt: 3 Sayı: 1, 49 - 53, 25.04.2019

Ceyhun Aksakal

https://doi.org/10.30565/medalanya.469534

Öz

Aim: The purpose of the present study is to examine the relation between lamellar, bulbous and extensive-type Concha Bullous (CB) and Maxillary Sinusitis and Septum Deviation (SD), which are the 3 types of the Middle Concha Pneumatization. 

Patients and Method: The Computed Tomography (CT) images of 293 patients (586 sides), who had paranasal CT examination with the suspicion of sinonasal pathology, and who applied to the Otorhinolaryngology Clinic of Tokat State Hospital between January 1, 2017 and July 1, 2017, were evaluated in this retrospective study. The relation between CB types, Maxillary Sinusitis and SD was examined with statistical methods. 

Results: At least one CB was determined in a total of 120 paranasal CTs. While bilateral CB was determined in 74 patients (61.66%), unilateral CB was determined in 56 patients (38.33%). No statistically significant differences were detected between the patients who had lamellar type and those who did not have this, between the patients who had bulbous type and those who did not have this, between the patients who had extensive type and those who did not have this in terms of maxillary sinusitis presence (p>0,05; p>0,05; p>0,05, respectively). In patients with lamellar type CB, SD was detected less compared to other types at a significant level (p<0.05). There were no statistically significant differences between the patients who had bulbous type and extensive-type in terms of SD presence (p>0.05; p>0.05, respectively). 

Conclusion: While no relations were detected between the frequency of maxillary sinusitis presence according to the CB types; SD was found to be more in the bulbous and extensive types than in lamellar type. 

Anahtar Kelimeler

Sinusitis, concha bullosa, deviated nasal septum

Konka Büllöza tipleri ile septum deviasyonu ve maksiller sinüzit arasındaki ilişkinin araştırılması: 293 paranazal bilgisayarlı tomografinin analizi

Öz

Amaç: Bu çalışmanın amacı orta konka pnömatizasyonunun 3 tipi olan lamellar, bülböz ve ekspensive tip konka büllöza (KB) ile maksiller sinüzit ve septum deviasyonu (SD) arasındaki ilişkiyi araştırmaktır. 

Hastalar ve Yöntem: Bu retrospektif çalışmada Tokat Devlet Hastanesinde 1 ocak 2017 ile 1 temmuz 2017 arasında başvurmuş ve sinonazal patoloji şüphesi ile Paranazal BT tetkiki yapılmış 293 (586 taraf) hastanın Bilgisayarlı Tomografi (BT) görüntüleri değerlendirilmiştir. KB tipleri ile maksiller sinüzit ve SD arasındaki ilişki istatistiksel yöntemlerle araştırılmıştır. 

Bulgular: Bilateral KB 74 (%61,66) hastada tespit edilirken unilateral KB 56 (%38,33) hastada tespit edilmiştir. Lamellar tipin bulunduğu hastalarla, bulunmadığı hastalar arasında, bülböz tipin bulunduğu hastalarla, bulunmadığı hastalar arasında, ekstensiv tipin bulunduğu hastalarla, bulunmadığı hastalar arasında maksiller sinüzit varlığı açısından istatistiksel fark bulunamamıştır (sırasıyla, p>0,05; p>0,05; p>0,05). Lamellar tip KB’si bulunanlarda SD diğer tiplere göre istatistiksel olarak anlamlı derecede daha az bulunmuştur (p<0,05). Bülböz tipin ve ekstensivin tipin bulunduğu hastalarla bulunmadığı hastalar arasında SD varlığı açısından istatistiksel fark yoktur (sırasıyla, p>0,05;p>0,05). 

Sonuç: KB nin tiplerine göre maksiller sinüzit varlığının sıklığı arasında ilişki bulunmazken SD bülböz ve ekstensiv tipte lamellar tipe göre daha fazla bulunmuştur. 

Anahtar Kelimeler

Nazal septum deviasyonu, Konka Büllöza, Sinüzit

Kaynakça

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