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Krespi YP, Wilson KA, Kizhner V. Nasal nerve ablation, nasal swell body and inferior turbinate reduction for nasal obstruction and congestion relief. J Laryngol Otol 2023; 137:270-272. [PMID: 35346410 DOI: 10.1017/s0022215122000871] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Nasal obstruction and congestion can occur because of turbinate and septal variations with or without rhinitis. A combined treatment for nasal obstruction and congestion was examined retrospectively in cases where the nasal swell body was addressed with inferior turbinectomy, with or without posterior nasal nerve ablation. METHODS A 940 nm laser was utilised for contact (nasal swell body, septum and inferior turbinate) and non-contact (posterior nasal nerve) ablation. Total Nasal Symptoms Score, visual analogue scale pain score, complications and procedure location (office vs operating theatre) were recorded. RESULTS All 242 patients underwent nasal swell body reduction with inferior turbinate reduction, and 150 had posterior nasal nerve ablation also. No laser complications were observed. An 80 per cent reduction in medication usage was noted. Total Nasal Symptoms Score decreased by 73 per cent; rhinorrhoea and congestion scores decreased by 54 per cent and 81 per cent respectively. Crusting, epistaxis and infections were minimal, and resolved within two weeks. CONCLUSION Nasal swell body with inferior turbinate reduction, with or without posterior nasal nerve ablation, is a new method of treating nasal obstruction and congestion. Laser posterior nasal nerve ablation can be utilised as a complementary tool to deliver anatomical obstruction relief.
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Affiliation(s)
- Y P Krespi
- Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA
| | - K A Wilson
- Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA
| | - V Kizhner
- Otolaryngology, Mount Sinai Morningside, New York, USA
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2
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Brake DA, Snider S, Miglani A, Hamilton GS, Bansberg SF. Nasal Swell Body Characteristics in Patients With Septal Perforation. OTO Open 2023; 7:e43. [PMID: 36998544 PMCID: PMC10046736 DOI: 10.1002/oto2.43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 12/28/2022] [Accepted: 01/21/2023] [Indexed: 02/25/2023] Open
Abstract
Objective To determine whether septal perforations have an effect on nasal swell body (NSB) size. Study Design Retrospective cohort study. Setting Two tertiary academic medical centers. Methods Computed tomography maxillofacial scans of 126 patients with septal perforation and 140 control patients from November 2010 to December 2020 were evaluated. Perforation etiology was determined. Measurements included perforation length and height and swell body width, height, and length. Swell body volume was calculated. Results The width and volume of the NSB are significantly smaller in perforation patients when compared to controls. The swell body is significantly smaller and thinner in perforations exceeding 14 mm in height compared to small perforations. Perforation etiology groupings into prior septal surgery, septal trauma, septal inflammatory, and mucosal vasoconstriction categories all demonstrated decreased swell body volume and width compared to controls. Inflammatory etiology had the greatest decrease in swell body size. The hemi-swell body on the contralateral side of a septal deviation is significantly thicker than the ipsilateral side. Conclusion The NSB is smaller in patients with septal perforation regardless of perforation size or etiology.
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Affiliation(s)
- Daniela A. Brake
- Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USA
| | - Sam Snider
- Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USA
| | - Amar Miglani
- Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USA
| | - Grant S. Hamilton
- Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Rochester Minnesota USA
| | - Stephen F. Bansberg
- Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USA
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3
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Pshennikov DS, Angotoeva IB. [The septal tubercle: the state of the problem]. Vestn Otorinolaringol 2022; 87:51-56. [PMID: 35605272 DOI: 10.17116/otorino20228702151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The septal tubercle is considered to be a thickened area of the nasal septum, which is located above the lower nasal concha and in front of the middle nasal concha. Taking into account its histological structure and location in the distal segment of the internal nasal valve, it is located and structured for secretory function and vasoactive regulation of the respiratory air flow. These histologically rich tissues with glandular elements are well adapted to the possible dryness that occurs under the influence of intense air flow during breathing, and the existence of a certain number of venous sinusoids of the blood confirms the connection with part of the extensive vascular tissues in the nasal cavity. It is believed that the tubercle of the nasal septum is more pronounced in patients with chronic inflammation of the sinonasal region, for example, with chronic allergic rhinitis or chronic rhinosinusitis. There is currently no consensus on the issue of surgery of the nasal septum body. Due to the lack of consensus among practitioners, many surgeons do not routinely perform operations on this structure and consider the surgical intervention too aggressive, and the effect on nasal obstruction is insignificant. However, according to the presented studies, the results of surgical reduction of soft tissues of the enlarged septal tubercle in the treatment of nasal obstruction using radiofrequency ablation, coblation or microdebrider seem promising, which requires additional study of this issue during long-term follow-up.
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Affiliation(s)
- D S Pshennikov
- Ryazan State Medical University, Ryazan, Russia.,Semashko Regional Clinical Hospital, Ryazan, Russia
| | - I B Angotoeva
- Russian Medical Academy for Continuous Professional Education, Moscow, Russia
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Karpishchenko S, Ulupov M, Gindryuk А, Kaplun D. Using thermal effect of 970 nm diode laser to reduce nasal swell body. Am J Otolaryngol 2021; 42:103165. [PMID: 34343735 DOI: 10.1016/j.amjoto.2021.103165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 06/22/2021] [Accepted: 07/17/2021] [Indexed: 10/20/2022]
Abstract
In recent decades, semiconductor lasers have been successfully used in rhinology. However, their usage in the reduction of the nasal swell body (NSB) is barely studied. Our research aimed to conduct an experimental selection of the laser exposure mode in the NSB zone using a 970 nm diode laser for safe and effective NSB reduction. The thermometric parameters of a diode laser with a wavelength of 970 nm were evaluated in a continuous contact mode of exposure at the power from 2 W to 10 W with 2 W step. The laser was targeted at the liver of cattle, given its similar optical properties to the NSB region. After a series of experiments with every power rate and the analysis of temperature data, we estimated an optimal exposure mode at a power of 4 W. The collected thermometric data demonstrate the safety of this mode in a clinical setting for NSB reduction due to causing no thermal damage to the adjacent tissue. Based on the experiment, a technique for laser reduction of the NSB was developed to improve nasal breathing in patients with severe hypertrophy of this area. The proposed technique was applied to 39 patients with chronic vasomotor rhinitis and the NSB. All patients were divided into 2 groups. Group 1 consisted of 20 patients who underwent surface contact laser-turbinectomy and the NSB reduction using a 970 nm diode laser. Group 2 included 19 patients with the same pathology who underwent laser-turbinectomy, without reduction of the NSB. No statistically significant difference was observed during the dynamic observation with an objective assessment of nasal respiration according to active anterior rhinomanometry when comparing these subgroups with each other according to the t-criterion for independent samples (p > 0.05). As a result of comparing the data obtained on the NOSE scale using the Student's t-test, a statistically significant difference is observed (p < 0.001). Thus, patients who did not perform the reduction of the NSB subjectively noted the insufficiency of nasal breathing. This fact indicates that the NSB is involved in the regulation of airflow.
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Abstract
Concha bullosa (CB) is defined as pneumatization and the presence of air cells within the nasal turbinates. Inferior concha bullosa (ICB) is a rare anatomical variation of the lateral nasal wall, with only a handful of case reports published in the literature to date. In this article, we present two additional cases of ICB and a review of the literature regarding this rare anatomical variation.
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Affiliation(s)
- Abdullah S Alkhaldi
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Riyadh Alhedaithy
- Otolaryngology Head & Neck Surgery Department, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Riyadh, SAU
| | - Yazeed Alghonaim
- Otolaryngology Head & Neck Surgery Department, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Riyadh, SAU.,Otolaryngology Head & Neck Surgery Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.,Otolaryngology, King Abdullah International Medical Research Center, Riyadh, SAU
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Abstract
OBJECTIVES The nasal septal swell body (NSB), also known as the nasal septal turbinate, is located in the anterior part of the nasal septum. This study is a narrative review of the existing knowledge on recent developments in NSB. METHODS A literature search was performed using PubMed, Embase, Web of Science, Ovid, and Cochrane Library databases. Google Scholar was used to access more extensive literature. The inclusion criteria were human studies published in English. The exclusion criteria were non-English language and animal studies. RESULTS Of the 345 articles that were initially obtained from 5 databases and Google Scholar, 28 were included in this review. There have been many names for NSBs in the past, which still have no unified terminology recognized by professionals. Pathological investigations revealed that NSB contains a certain amount of sinusoidal blood components. Nasal septal swell body is closely related to the internal nasal valve. Imaging studies have found that the size of NSB is associated with nasal diseases, and NSB hypertrophy can cause anatomic obstruction. In recent years, several procedures for NSB have been reported, and preliminary effectiveness has been achieved. However, the long-term outcomes of volume reduction techniques remain unproven. CONCLUSIONS The NSB is a distinct anatomic structure that may contribute to nasal obstruction and may be reduced surgically with unclear long-term results. Although being investigated for over a century, the unique physiological roles of NSB are not yet fully understood. More evidence is needed to elucidate its physiological effects.
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Affiliation(s)
- Xiangming Meng
- Department of Otorhinolaryngology, Wuxi Huishan District People's Hospital, Wuxi, P. R. China
| | - Guochen Zhu
- Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi, China
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7
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Karpishchenko SA, Ulupov MY, Gindruk AF. [Experimental research of the diode 970 nm laser thermal effect in order to develop a method for reduction of nasal swell body]. Vestn Otorinolaringol 2021; 86:54-58. [PMID: 34499449 DOI: 10.17116/otorino20218604154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To evaluate the thermal effects of a 970 nm diode laser and select the modes necessary for the safe and effective use of this laser to reduce the nasal septum elevation (NSB) in volume in vitro. MATERIAL AND METHODS Laser exposure was carried out through a quartz fiber with a diameter of 400 μm in a continuous contact mode at a power from 2 W to 10 W with a step of 2 W. Three linear cuts 1 cm long were applied to the specimens. The distance between the cuts was 0.5 cm. The initial temperature of the fragments was 25.6±1.6°C. Temperature control was carried out from the side of the fragments opposite to the laser action using a certified and verified thermometer with a contact sensor. RESULTS In the course of the experiment, it was noted that the optimal power for effectively and safely reducing the area of the nasal septum elevation is 4 W. The maximum heating temperature reached 38.6±4.7°C. CONCLUSIONS A semiconductor laser with a wavelength of 970 nm can be used to reduce the elevation of the nasal septum, as it leads to predictable results, allowing you to control thermal effects and damage to surrounding tissues.
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Affiliation(s)
- S A Karpishchenko
- Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia
- Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech the Ministry of Health, St. Petersburg, Russia
| | - M Yu Ulupov
- Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia
| | - A F Gindruk
- Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech the Ministry of Health, St. Petersburg, Russia
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9
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Moss WJ, Faraji F, Jafari A, DeConde AS. A systematic review of the nasal septal turbinate: An overlooked surgical target. Am J Otolaryngol 2019; 40:102188. [PMID: 31376923 DOI: 10.1016/j.amjoto.2019.03.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 02/25/2019] [Accepted: 03/04/2019] [Indexed: 12/31/2022]
Abstract
OBJECTIVE The nasal septal turbinate (NST) is a conspicuous structure located in the anterior nasal cavity that impacts the internal nasal valve. Its structure and function is often thought to be poorly characterized, and it is rarely addressed surgically. The authors perform a systematic review in an attempt to synthesize what has been learned of this structure and to evaluate its potential as a treatment target. METHODS A query of the Medline, Embase, Web of Science and Cochrane databases was undertaken in search of studies evaluating the NST. This qualitative systematic review was performed in accordance with PRISMA guidelines. Study quality and risk of bias were assessed with established criteria. RESULTS Of the initial 1069 hits from the four databases, 16 articles were ultimately included in the review, which varied in quality and risk of bias. The included articles consisted predominantly of radiographic and histopathologic studies. Four studies evaluated NST treatment outcomes. The NST represents a fusiform-shaped region of erectile tissue, similar in structure and function to that of the inferior turbinates. Preliminary treatment outcomes suggest the NST represents an important surgical target in nasal airway surgery. CONCLUSION When evaluating nasal obstruction patients, surgeons should assess the NST and consider addressing it surgically.
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10
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E Gelera J, Ojar D, Lim JH, Wee JH, Kim JW, Rhee CS. Radiographic Changes of the Nasal Septal Body Among Patients With Sinonasal Diseases. Clin Exp Otorhinolaryngol 2017; 10:338-343. [PMID: 28602068 PMCID: PMC5678036 DOI: 10.21053/ceo.2017.00080] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 04/11/2017] [Accepted: 05/15/2017] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVES This study aims to determine the anatomical changes occurring in the nasal septal body (NSB) among patients with sinonasal disease and compares the measurements obtained from patients without sinonasal disease. METHODS This was a retrospective study involving review of 405 (93 without and 212 with sinonasal disease) plain paranasal sinus computed tomography (PNS CT) on coronal view at a tertiary training hospital, which was done consecutively from January 2014 to December 2015. NSB measurements from 3 areas were done: anterior part (A), located anterior and superior to inferior turbinate; middle or widest (M) part, located anterior to middle turbinate and superior to inferior turbinate and posterior (P) part, located within the anterior 1/3 of middle turbinate not going beyond the crista galli. Posterior part of septum (sP) was measured at the area of horizontal attachment of middle turbinate to the lateral nasal wall and superior turbinate to represent the less vasoactive part of the septum. Demographic data and NSB diameters were also analyzed. RESULTS The mean NSB diameter measurements were significantly larger among the diseased group (disease vs. control; A: 6.88 mm vs. 5.92 mm, P=0.001; M: 12.74 mm vs. 10.47 mm, P=0.001; P: 8.35 mm vs. 6.79 mm, P=0.001). A similar observation in sP part (3.35 mm vs. 2.54 mm, P=0.014) was noted. When grouped by age, among the control group, older subjects had considerable decrease in NSB size in all points of measurements except for sP (P>0.05). Such reduction in size is noticeable for those in their 4th, 5th, 6th, and 7th decades of life. For the diseased group, a trend of increasing NSB and sP size was noted as the subjects are getting older. However, only the anterior part (A) of NSB reached statistical significance (P=0.016). CONCLUSION With aging we expect nasal mucosal atrophy among normal subjects. However, patients with chronic sinonasal disease showed thickened nasal mucosa. Further study for the reversibility of thickened mucosa is needed.
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Affiliation(s)
- January E Gelera
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.,Department of Otorhinolaryngology-Head and Neck Surgery, University of Santo Tomas Hospital, Manila, Philippines
| | - Devendra Ojar
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Jae Hyun Lim
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Jee Hye Wee
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Jeong-Whun Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Chae-Seo Rhee
- Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.,Research Center for Sensory Organs, Seoul National University Medical Research Center, Seoul, Korea.,Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Korea
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11
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Koo SK, Kim JD, Moon JS, Jung SH, Lee SH. The incidence of concha bullosa, unusual anatomic variation and its relationship to nasal septal deviation: A retrospective radiologic study. Auris Nasus Larynx 2017; 44:561-570. [PMID: 28173975 DOI: 10.1016/j.anl.2017.01.003] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 10/22/2016] [Accepted: 01/05/2017] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Identifying anatomical variations associated with pathological findings is very useful for diagnoses and therapeutics. We conducted a study to detect various anatomical variations (superior, middle, inferior turbinate concha bullosa, uncinate bulla and nasal swell body [NSB]) in connection with nasal septal deviation. METHODS This study used a retrospective radiological design to analyze 594 (1188 sides) osteomeatal computed tomography scans from 494 male patients and 100 female patients aged between 17 and 75 years. We randomly selected 100 male and 100 female patients as controls; we compared the groups and performed a statistical analysis. All patients in the control group had sinusitis only (i.e., they lacked nasal septal deviations). RESULTS Left-sided septal deviation was found to be slightly more prevalent than right-sided deviation (43.9% and 36.4%, respectively). The incidence of S-curved septal deviation was 18.5%, that of dorso-ventral deviation was 10.9%, and that of caudal-rostral deviation was 7.6%. The incidence of only septal spur was 1.2%. In the case of middle turbinate concha bullosa, the incidence of the unilateral type was 17.3% and that of the bilateral type was 36.4%. In superior turbinate concha bullosa, the incidence of the unilateral type was 11.3% and that of the bilateral type was 27.4%. The incidence of inferior turbinate concha bullosa was 1.0% and that of uncinate bulla was 1.7%. NSB was found in 25.1% of patients, 24.7% of males and 27.0% of females. The frequencies of middle and superior concha bullosa were about 10-12 fold higher on the concave side. The nasal septal deviation group exhibited a higher incidence of most anatomical variants than the non-deviated group; differences in the middle turbinate concha bullosa attained statistical significance. CONCLUSION The radiologist must focus on anatomical variants in the preoperative evaluation. It is important for surgeons to be aware of these variations.
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Affiliation(s)
- Soo Kweon Koo
- Department of Otorhinolaryngology, Busan Saint Mary's Hospital, Busan, South Korea.
| | - Jong Deok Kim
- Department of Radiology, Busan Saint Mary's Hospital, Busan, South Korea
| | - Ji Seung Moon
- Department of Otorhinolaryngology, Busan Saint Mary's Hospital, Busan, South Korea
| | - Sung Hoon Jung
- Department of Otorhinolaryngology, Busan Saint Mary's Hospital, Busan, South Korea
| | - Sang Hoon Lee
- Department of Otorhinolaryngology, Busan Saint Mary's Hospital, Busan, South Korea
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12
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Demirci S, Ertan N, Tuzuner A, Ozcan MK. Correlation Between the Septal Body and the Nasal Turbinates in Patients With Deviated Nasal Septum. J Craniofac Surg 2016; 27:166-9. [PMID: 26674915 DOI: 10.1097/SCS.0000000000002335] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the degree of deviation and the sizes of nasal turbinates and the septal body (SB) on each side separately and to compare the 2 sides, and to evaluate if there is a correlation between SB size and middle and inferior turbinate (IT) sizes on each side. MATERIAL AND METHODS A retrospective analysis was made of paranasal computerized tomography scans obtained randomly from the database. Computerized tomography was performed at 120 kVp and 100 mA with 2 mm slice thickness. The study comprised 199 paranasal computerized tomography scans on each of which the width of the SB, the degree of deviation, and the width of the inferior and middle turbinates (MTs) were measured on each side separately. RESULTS In cases of moderate and severe deviation, the sizes of the SB, the MT, and IT contralateral to the deviation were statistically significantly larger than those on the ipsilateral side (P < 0.001). There was a negative correlation between SB size and the MT and IT sizes in each nasal cavity. CONCLUSIONS The SB is a dynamic structure and may play a role in regulation of nasal airflow.
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Koo SK, Moon JS, Jung SH, Mun MJ. A case of bilateral inferior concha bullosa connecting to maxillary sinus. Braz J Otorhinolaryngol 2016; 84:526-528. [PMID: 27133909 PMCID: PMC9449245 DOI: 10.1016/j.bjorl.2016.01.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Revised: 01/01/2016] [Accepted: 01/15/2016] [Indexed: 11/20/2022] Open
Affiliation(s)
- Soo Kweon Koo
- Busan Saint Mary's Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Busan, Republic of Korea.
| | - Ji Seung Moon
- Busan Saint Mary's Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Busan, Republic of Korea
| | - Sung Hoon Jung
- Busan Saint Mary's Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Busan, Republic of Korea
| | - Mi Jin Mun
- Busan Saint Mary's Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Busan, Republic of Korea
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14
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Koo SK, Jung SH, Moon JS, Son H. A Case of Nasal Swell Body (Septal Turbinate) Combined with Pneumatization of Perpendicular Plate of the Ethmoid Bone. J Rhinol 2016. [DOI: 10.18787/jr.2016.23.1.70] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- Soo Kweon Koo
- Department of Otolaryngology-Head and Neck Surgery, Busan St. Mary's Hospital, Busan, Korea
| | - Sung Hoon Jung
- Department of Otolaryngology-Head and Neck Surgery, Busan St. Mary's Hospital, Busan, Korea
| | - Ji Seung Moon
- Department of Otolaryngology-Head and Neck Surgery, Busan St. Mary's Hospital, Busan, Korea
| | - Hyuni Son
- Department of Pathology, Busan Saint Mary's Hospital, Busan, Korea
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15
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Wotman M, Kacker A. Should otolaryngologists pay more attention to nasal swell bodies? Laryngoscope 2015; 125:1759-60. [PMID: 25600033 DOI: 10.1002/lary.25144] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Accepted: 12/04/2014] [Indexed: 11/06/2022]
Affiliation(s)
- Michael Wotman
- Department of Otolaryngology-Head and Neck Surgery, New York-Presbyterian/Weill Cornell Medical College, New York, New York, U.S.A
| | - Ashutosh Kacker
- Department of Otolaryngology-Head and Neck Surgery, New York-Presbyterian/Weill Cornell Medical College, New York, New York, U.S.A
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16
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Yenigun A, Ozturan O, Buyukpinarbasili N. Pneumatized septal turbinate. Auris Nasus Larynx 2013; 41:310-2. [PMID: 24156979 DOI: 10.1016/j.anl.2013.08.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Revised: 07/31/2013] [Accepted: 09/20/2013] [Indexed: 11/30/2022]
Abstract
Intumenscentia septi nasi anterior is an anatomical variation in the nasal cavity, first described by Morgagni in 1662; septal turbinate and tuberculum septi nasi anterior are among the various other names attributed to this anatomical structure. It is an expandable vascular network which develops from the septal mucosa. Computed tomography, following history-taking and physical examination, is a valuable tool in diagnosing turbinate pneumatisation. This paper reports the case of a 23-year-old female with nasal stuffiness as her primary complaint, who was found to have pneumatization of the septum mimicking the septal concha. Pneumatization of the septal turbinate may also be a cause of septal enlargement. The symptomatology, diagnosis and treatment options for cases of septal turbinate are discussed. The surgical interventions performed in the presented case are briefly described. The presented patient had a pneumatization of the septal turbinate, like those of the conchae. It is reported for the first time in medical literature, and the histological and functional similarities of the septal turbinate and of the nasal conchae are pointed out.
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Affiliation(s)
- Alper Yenigun
- Karaman State Hospital, Otorhinolaryngology Clinic, Karaman, Turkey.
| | - Orhan Ozturan
- Bezmialem Vakif University, Department of Otorhinolaryngology, Istanbul, Turkey
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Abstract
BACKGROUND Previous studies have described inferior turbinate hypertrophy compensatory to a septal deviation. The septal body contains vasoactive tissue that may behave in a manner similar to the inferior turbinate. The septal body, situated in the nasal valve region, may undergo changes that alter nasal anatomy and airflow patterns. The goal was to compare the size of the septal body to the laterality of septal deviation. The aim was to determine whether there is a correlation between the laterality of septal deviation and laterality of septal body prominence. METHODS Measurements were obtained from 100 sinus computerized tomography scans that were retrospectively reviewed. The degree of septal deviation, the size of the septal body, and the correlation between these measurements were assessed. RESULTS The mean septal body width was 9.3 mm. The degree of septal deviation was classified as mild in 27 cases, moderate in 36 cases, and severe in 27 cases. In 99 of 100 cases, the septal body was larger on the side opposite the nasal septal deviation, and this was statistically significant (p < 0.05). The difference in septal body thickness ipsilateral and contralateral to a septal deviation was found to correlate with the degree of septal deviation. Mean difference in septal body size was 3.98 mm in cases with severe septal deviation, 1.97 mm in cases with moderate deviation, and 1.21 mm in cases with mild septal deviation. CONCLUSION The septal body is more prominent contralateral to a septal deviation. These findings are similar to those seen with inferior turbinate hypertrophy. The results indicate that septal body hypertrophy may play a role in regulating nasal airflow and may contribute to nasal obstruction.
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Affiliation(s)
- Jennifer Setlur
- The State University of New York Upstate Medical University, and Syracuse Veterans Affairs Medical Center, Syracuse, New York 13210, USA
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18
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Abstract
OBJECTIVES Comprehensive examination of the internal nasal valve (INV) using objective methods. STUDY DESIGN AND SETTING In this prospective study, 248 nasal cavities were examined by nasal endoscopy, acoustic rhinometry (ARM), and rhinomanometry (RMM). RESULTS Endoscopic examination allowed to suggest a novel classification of INV: convex, concave, sharp angle, blunt angle, twisted caudal border, and angle occupied by the septal body. The INV angle occupied with septal body type was found to have increased nasal resistances compared with the sharp-angled internal nasal valve type (P < 0.05). Convex, concave, and sharp-angle types of INV angles were found different (P < 0.01). CONCLUSIONS INV should be examined objectively before any INV surgery. A novel description of the INV configurations and their effects on nasal respiration found in this study may increase our understanding and lead surgical approaches more adequately. A surgical attempt to augment INV angle value may impact positively on nasal resistance. EBM RATING C-4.
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Affiliation(s)
- Murat Cem Miman
- Department of Otorhinolaryngology, Inonu University School of Medicine, 44069 Malatya, Turkey.
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