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Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

Published online by Cambridge University Press:  29 June 2012

A Y Korkut ,
F Islim ,
S Gulseven Ciftci ,
R Dogan ,
O Gedikli ,
V Kahya  and
G Gunes
A Y Korkut*
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
F Islim
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
S Gulseven Ciftci
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
R Dogan
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
O Gedikli
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
V Kahya
Affiliation:
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
G Gunes
Affiliation:
Department of Radiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
*
Address for correspondence: Dr Arzu Yasemin Korkut, Atakoy 9, Kisim, D7/B, D15 34156, Istanbul, Turkey Fax: 00 90 212 617 3091 E-mail: dryaseminkorkut@yahoo.com
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Abstract

Objective:

To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.

Methods:

The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.

Results:

The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).

Conclusion:

The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

Keywords

Nasal SeptumTurbinatesAnatomyNasal ObstructionComputed Tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 784 - 788
Copyright
Copyright © JLO (1984) Limited 2012

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References

1 Lai, VW, Corey, JP. The objective assessment of nasal patency. Ear Nose Throat J 1993;72:395–6, 399–400Google Scholar
2 Li, KK, Powell, NB, Riley, RW, Troell, RJ, Guilleminault, C. Radiofrequency volumetric reduction of the palate: an extended follow-up study. Otolaryngol Head Neck Surg 2000;122:410–14CrossRefGoogle ScholarPubMed
3 Berger, G, Hammel, I, Berger, R, Avraham, S, Ophir, D. Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 2000;110:2100–5Google Scholar
4 Rohrich, RJ, Krueger, JK, Adams, WP Jr, Marple, BF. Rationale for submucous resection of hypertrophied inferior turbinates in rhinoplasty: an evolution. Plast Reconstr Surg 2001;108:536–46CrossRefGoogle ScholarPubMed
5 Egeli, E, Demirci, L, Yazici, B, Harputluoglu, U. Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope 2004;114:113–17Google Scholar
6 Berger, G, Gass, S, Ophir, D. The histopathology of the hypertrophic inferior turbinate. Arch Otolaryngol Head Neck Surg 2006;132:588–94Google Scholar
7 Pollock, RA, Rohrich, RJ. Inferior turbinate surgery: an adjunct to successful treatment of nasal obstruction in 408 patients. Plast Reconstr Surg 1984;74:227–34CrossRefGoogle ScholarPubMed
8 Courtiss, EH, Goldwyn, RM, O'Brien, JJ. Resection of obstructing inferior nasal turbinates. Plast Reconstr Surg 1978;62:249–57Google Scholar
9 Hilberg, O, Grymer, LF, Pedersen, OF, Elbrønd, O. Turbinate hypertrophy. Evaluation of the nasal cavity by acoustic rhinometry. Arch Otolaryngol Head Neck Surg 1990;116:283–9Google Scholar
10 Bingham, B, Wang, RG, Hawke, M, Kwok, P. The embryonic development of the lateral nasal wall from 8 to 24 weeks. Laryngoscope 1991;101:992–7CrossRefGoogle ScholarPubMed
11 Neskey, D, Eloy, JA, Casiano, RR. Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am 2009;42:193–205 CrossRefGoogle ScholarPubMed
12 Grymer, LF, Pallisgaard, C, Melsen, B. The nasal septum in relation to the development of the nasomaxillary complex: a study in identical twins. Laryngoscope 1991;101:863–8Google Scholar
13 Gupta, A, Mercurio, E, Bielamowicz, S. Endoscopic inferior turbinate reduction: an outcomes analysis. Laryngoscope 2001;111:1957–9Google Scholar
14 Rakover, Y, Rosen, G. A comparison of partial inferior turbinectomy and cryosurgery for hypertrophic inferior turbinates. J Laryngol Otol 1996;110:732–5Google Scholar
15 Fairbanks, DNF, Kaliner, M. Nonallergic rhinitis and infection. In: Cummings, CW, Fredrickson, JM, Harker, AL, Krause, CJ, Richardson, MA, Schuller, DE, eds. Otolaryngology Head Neck Surgery, 3rd edn. St Louis: Mosby, 1998;2:910–20Google Scholar
16 Jun, BC, Kim, SW, Kim, SW, Cho, JH, Park, YJ, Yoon, HR. Is turbinate surgery necessary when performing a septoplasty? Eur Arch Otorhinolaryngol 2009;266:975–80Google Scholar
17 Kim, DH, Park, HY, Kim, HS, Kang, SO, Park, JS, Han, NS et al. Effect of septoplasty on inferior turbinate hypertrophy. Arch Otolaryngol Head Neck Surg 2008;134:419–23Google Scholar