Advertisement

Comparison of Inferior Turbinate and Uncinate Process Angulation with Normal Population in Patients with Septal Spur

  • Hacer BaranEmail author
  • Elif Elibol
  • Adin Selcuk
Original Article
  • 2 Downloads

Abstract

The presence of septal spur may cause various pathologies by affecting the development of the inferior turbinate, osteomeatal unit and uncinate process. We aimed to compare the changes of the angle with inferior turbinate and the maxillary medial wall of the uncinate process in patients with septal spur by normal population. In the study, 138 patients with septal spur and unilateral septum deviation and 83 patients without septum deviation were evaluated retrospectively. The angles of the inferior turbinate and the uncinate process with the medial wall of the maxilla were measured at the ostemaetal unit level. The changes of the inferior turbinate and the uncinate process with the maxilla medial wall compared to the opposite side of the deviated side and the normal population were compared. Angle of the inferior turbinate with the medial wall of the maxilla is significantly smaller in the side with septum deviation to the side without septum deviation and normal population and significantly large in the side without septum deviation to normal population. Angle of the uncinate process with the medial wall of the maxilla is significantly large in the side with septum deviation to the side without septum deviation and normal population and significantly smaller in the side without septum deviation to normal population. Presence of septum base crest are thought to cause structural changes at the inferior turbinate and the uncinate process. We recommend to break the inferior turbinate at the concave side in patients with basal crest.

Keywords

Nasal turbinate Septal spur Uncinate process Computed tomography 

Notes

Acknowledgements

All authors have confirm that the paper is not under consideration for review in any other journal.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Authors’ Contribution

All authors have made contributions to the paper, and have reviewed it before submission.

Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interests regarding the publication of this paper.

Consent

The authors obtained the written informed consents from the patients for publication of the report.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Roblin D, Eccles R (2002) What, if any, is the value of septal surgery? Clin Otolaryngol Allied Sci 27:77–80CrossRefGoogle Scholar
  2. 2.
    Mundra R, Gupta Y, Sinha R et al (2014) CT scan study of influence of septal angle deviation on lateral nasal wall in patients of chronic rhinosinusitis. Indian J Otolaryngol Head Neck Surg 66:187–190CrossRefGoogle Scholar
  3. 3.
    Lasters F, Mallegho C, Boudewyns A et al (2014) Nasal symptoms in patients with obstructive sleep apnea and their impact on therapeutic compliance with continuous positive airway pressure. Acta Clin Belg 69:87–91CrossRefGoogle Scholar
  4. 4.
    Foda HM (2005) The role of septal surgery in management of the deviated nose. Plast Reconstr Surg 115:406–415CrossRefGoogle Scholar
  5. 5.
    Illum P (1997) Septoplasty and compensatory inferior turbinate hypertrophy: long-term results randomized turbinoplasty. Eur Arch Otorhinolaryngol 254:89–92CrossRefGoogle Scholar
  6. 6.
    Berger G, Hammel I, Berger R et al (2000) Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 110:2100–2105CrossRefGoogle Scholar
  7. 7.
    Rohrich RJ, Krueger JK, William AP et al (2001) Rationale for submucous resection of hypertrophied inferior turbinates in rhinoplasty: an evaluation. Plast Reconstr Surg 108:536–546CrossRefGoogle Scholar
  8. 8.
    Kennedy DW (1985) Functional endoscopic sinus surgery: technique. Arch Otolaryngol 111:643–649CrossRefGoogle Scholar
  9. 9.
    Aramani A, Karadi RN, Kumar S (2014) A study of anatomical variations of osteomeatal complex in chronic rhinosinusitis patients-CT findings. J Clin Diagn Res 8:1–4CrossRefGoogle Scholar
  10. 10.
    Lee KC, Lee SS, Lee JK et al (2009) Medial fracturing of the inferior turbinate: effect on the ostiomeatal unit and the uncinate process. Eur Arch Otorhinolaryngol 266:857–861CrossRefGoogle Scholar
  11. 11.
    Berger G, Eviatar E, Kogan T et al (2013) The normal uncinate process: histology and clinical relevance. Eur Arch Otorhinolaryngol 270:959–964CrossRefGoogle Scholar
  12. 12.
    Demirci S, Ertan N, Tuzuner A et al (2016) Correlation between the septal body and the nasal turbinates in patients with deviated Nasal septum. J Craniofac Surg 27:166–169CrossRefGoogle Scholar
  13. 13.
    Egeli E, Demirci L, Yazici B et al (2004) Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope 114:113–117CrossRefGoogle Scholar
  14. 14.
    Buyuklu F, Cakmak O, Hizal E et al (2009) Outfracture of the inferior turbinate: a computed tomography study. Plast Reconstr Surg 123:1704–1779CrossRefGoogle Scholar
  15. 15.
    Jun BC, Kim SW, Kim SW et al (2009) Is turbinate surgery necessary when performing a septoplasty? Eur Arch Otorhinolaryngol 266:975–980CrossRefGoogle Scholar
  16. 16.
    Aksoy F, Yıldırım YS, Veyseller B et al (2010) Midterm outcomes of outfracture of the inferior turbinate. Otolaryngol Head Neck Surg 143:579–584CrossRefGoogle Scholar
  17. 17.
    Kim YM, Rha KS, Weissman JD et al (2011) Correlation of asymmetric facial growth with deviated nasal septum. Laryngoscope 121:1144–1148CrossRefGoogle Scholar
  18. 18.
    Wang J, Dou X, Liu D et al (2016) Assessment of the effect of deviated nasal septum on the structure of nasal cavity. Eur Arch Otorhinolaryngol 273:1477–1480CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.University of Health Sciences Kartal Dr. Lütfi Kırdar Education and Research HospitalIstanbulTurkey
  2. 2.Ataturk Education and Research Hospital, Univercity NeighborhoodAnkaraTurkey
  3. 3.Otorhinolaryngology and Head and Neck Surgery, Kocaeli Derince Education and Research HospitalKocaeliTurkey

Personalised recommendations