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

Abstract

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.

Keywords

• nazal septum deviasyonu
• konka büllöza
• sinüzit
• sinusitis
• concha bullosa
• deviated nasal septum