Skip to main content

15.03.2024 | Original Article

Correlation of maximal nasal septal deviation with deviation at the maxillary insertion

verfasst von: Keshav Kumar Gupta, Dean Davda, Zahir Mughal, Andrew Lotfallah, Shahram Anari

Erschienen in: Surgical and Radiologic Anatomy

Einloggen, um Zugang zu erhalten

Abstract

Purpose

It is unclear if septal deviation at the insertion points to the nasal cavity is associated with the overall septal deviation. This study aimed to assess septal deviation at the cribriform plate (CP) and maxillary crest (MC) using CT scans and to see if there was any correlation with overall septal deviation.

Methods

All consecutive CT sinus scans between January 2020 and December 2021 were retrospectively reviewed. Patients were excluded if they had a history of head, nasal or facial trauma, or any previous nasal surgical procedure. Angles between the septum and MC and the septum and CP as well as maximal angle of septal deviation (MSD) were measured.

Results

A total of 70 scans were included in the final analysis. The mean MSD was 8.14°. The mean septal deviation was 0.89° at the CP and 2.02° at the MC. The correlation coefficient between the deviation at the CP and MSD was 0.025 and between the deviation at the MC and MSD was 0.321.

Conclusion

Our data reveal a positive correlation between septal deviation at the floor of the nose and overall septal deviation; this was not observed at the septal deviation at the roof. This could be explained due to the inherent tilt in the cribriform plate or by earlier ossification and fixation of the septum during its development at its insertion to the roof, thereby allowing further growth and potential for deviation of the lower part of the septum and its insertion to the floor.
Literatur
9.
Zurück zum Zitat Huizing BH, de Groot J (2012) Functional reconstructive nasal surgery. In: Kheirandish-Gozal L, Gozal D (eds) Sleep disordered breathing in children: a comprehensive clinical guide to evaluation and treatment. Humana, New York, pp 37–38 Huizing BH, de Groot J (2012) Functional reconstructive nasal surgery. In: Kheirandish-Gozal L, Gozal D (eds) Sleep disordered breathing in children: a comprehensive clinical guide to evaluation and treatment. Humana, New York, pp 37–38
11.
Zurück zum Zitat Jones GN, Pringle DR, Yin Z, Carlton MM, Powell KA, Weinstein MB, Toribio RE, La Perle KMD, Kirschner LS (2010) Neural crest-specific loss of Prkar1a causes perinatal lethality resulting from defects in intramembranous ossification. Mol Endocrinol 24:6–11. https://doi.org/10.1210/me.2009-0439CrossRef Jones GN, Pringle DR, Yin Z, Carlton MM, Powell KA, Weinstein MB, Toribio RE, La Perle KMD, Kirschner LS (2010) Neural crest-specific loss of Prkar1a causes perinatal lethality resulting from defects in intramembranous ossification. Mol Endocrinol 24:6–11. https://​doi.​org/​10.​1210/​me.​2009-0439CrossRef
14.
Zurück zum Zitat Lindahl JW (1954) The deviated nasal septum. Practitioner 173:315–317PubMed Lindahl JW (1954) The deviated nasal septum. Practitioner 173:315–317PubMed
20.
Zurück zum Zitat Saladin KS (2012) Anatomy and Physiology (6th ed.). New York, NY: McGraw Hill. ISBN 9780073378251 Saladin KS (2012) Anatomy and Physiology (6th ed.). New York, NY: McGraw Hill. ISBN 9780073378251
21.
Zurück zum Zitat Seltzer AP (1963) The problem of the nasal septum. J Albert Einstein Med Cent 11:283–299 Seltzer AP (1963) The problem of the nasal septum. J Albert Einstein Med Cent 11:283–299
23.
Zurück zum Zitat Steiner A (1959) A certain aspect of nasal trauma in the prenatal period. Md State Med J 8:557PubMed Steiner A (1959) A certain aspect of nasal trauma in the prenatal period. Md State Med J 8:557PubMed
25.
Zurück zum Zitat Van Loosen J, Van Zanten GA, Howard CV, Verwoerd-Verhoef HL, Van Velzen D, Verwoerd CD (1996) Growth characteristics of the human nasal septum. Rhinology 34:78–82PubMed Van Loosen J, Van Zanten GA, Howard CV, Verwoerd-Verhoef HL, Van Velzen D, Verwoerd CD (1996) Growth characteristics of the human nasal septum. Rhinology 34:78–82PubMed
26.
Zurück zum Zitat Vetter U, Heit W, Helbing G, Heinze E, Pirsig W (1984) Growth of the human septal cartilage: cell density and colony formation of septal chondrocytes. Laryngoscope 94:1226–1229CrossRefPubMed Vetter U, Heit W, Helbing G, Heinze E, Pirsig W (1984) Growth of the human septal cartilage: cell density and colony formation of septal chondrocytes. Laryngoscope 94:1226–1229CrossRefPubMed
27.
Zurück zum Zitat Vetter U, Pirsig W, Heinze E Postnatal-growth of the human septal cartilage—preliminary report (1984). Acta Otolaryngol 97:13–16 Vetter U, Pirsig W, Heinze E Postnatal-growth of the human septal cartilage—preliminary report (1984). Acta Otolaryngol 97:13–16
Metadaten
Titel
Correlation of maximal nasal septal deviation with deviation at the maxillary insertion
verfasst von
Keshav Kumar Gupta
Dean Davda
Zahir Mughal
Andrew Lotfallah
Shahram Anari
Publikationsdatum
15.03.2024
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-024-03334-9

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.