Comparison of different nasal septal areas between patients with and without nasal obstruction.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-06-01 DOI:10.1017/S0022215124002111

Aris I Giotakis, Gerlig Widmann, Felix Riechelmann, Herbert Riechelmann, Helen Heppt

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Abstract

Objectives: We intended to investigate the deviation of septal swell body, perpendicular plate, septal spur and vomer in patients with and without nasal obstruction.

Methods: We compared the deviation of these septal areas in computed tomography scans of patients scheduled for nasal surgical procedures (cases) and of patients without clinically relevant nasal obstruction (controls).

Results: Septal swell body was similarly deviated between 56 cases (median value: 6.5 mm) and 56 controls (6.4 mm; p > 0.2). Septal spur was more deviated in cases (5.6 mm) than in controls (4.7 mm; p < 0.001). The deviation of perpendicular plate (found in 28/112 subjects) did not differ significantly between cases (3.0 mm) and controls (2.2 mm; p > 0.2). The deviation of vomer (found in 71/112 subjects) was larger in cases (7.1 mm) than in controls (4.3 mm; p = 0.001).

Conclusion: Septal spur, vomer and perpendicular plate were more frequent causes of nasal obstruction compared to septal swell body.

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有鼻塞和无鼻塞患者不同鼻中隔面积的比较。

目的：探讨鼻中隔肿胀体、垂直板、鼻中隔刺和鼻中隔隆起体在有鼻中隔阻塞和无鼻中隔阻塞患者中的偏曲。方法：我们比较了计划进行鼻外科手术的患者（病例）和没有临床相关鼻塞的患者（对照组）的计算机断层扫描中这些鼻中隔区域的偏差。结果：56例（中位值：6.5 mm）与56例对照组(6.4 mm；P > 0.2)。病例中隔距偏曲（5.6 mm）大于对照组（4.7 mm）；P < 0.001)。垂直板偏差（在28/112受试者中发现）在病例（3.0 mm）和对照组(2.2 mm；P > 0.2)。在71/112名受试者中发现，这些病例（7.1 mm）比对照组（4.3 mm）偏差更大；P = 0.001)。结论：与鼻中隔肿胀体相比，鼻中隔刺、突起和垂直板是更常见的鼻塞原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.