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

Anatomy Computerised tomography Nasal deviaton Nasal septum Radiology/imaging Rhinology

Journal

Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029

Informations de publication

Date de publication:
15 Mar 2024
Historique:
received: 29 04 2023
accepted: 23 02 2024
medline: 15 3 2024
pubmed: 15 3 2024
entrez: 15 3 2024
Statut: aheadofprint

Résumé

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. 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. 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. 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.

Identifiants

pubmed: 38489066
doi: 10.1007/s00276-024-03334-9
pii: 10.1007/s00276-024-03334-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

Références

Aksoy DÖ, Karagöz Y, Mahmutoğlu AS (2022) Ethmoid roof morphometric measurements of a pediatric population using computed tomography. Surg Radiol Anat 44:933–940. https://doi.org/10.1007/s00276-022-02951-6
doi: 10.1007/s00276-022-02951-6 pubmed: 35546361
Al Dayeh AA, Rafferty KL, Egbert M, Herring SW (2013) Real-time monitoring of the growth of the nasal septal cartilage and the nasofrontal suture. Am J Orthod Dentofac Orthop 143:773–783. https://doi.org/10.1016/j.ajodo.2013.01.012
doi: 10.1016/j.ajodo.2013.01.012
Baddam P, Bayona-Rodriguez F, Campbell SM, El-Hakim H, Graf D (2022) Properties of the nasal cartilage, from Development to Adulthood: a scoping review. Cartilage 13:19476035221087696. https://doi.org/10.1177/19476035221087696
doi: 10.1177/19476035221087696 pubmed: 35345900 pmcid: 9137313
Daultrey C, Hardman J, Anari S (2018) The caucasian nasal septum: an in vivo computed Tomography Study. Aesthet Surg J 38:717–722. https://doi.org/10.1093/asj/sjx249
doi: 10.1093/asj/sjx249 pubmed: 29471541
Denour E, Roussel LO, Woo AS, Boyajian M, Crozier J (2020) Quantification of nasal septal deviation with computed Tomography Data. J Craniofac Surg 31:1659–1663. https://doi.org/10.1097/SCS.0000000000006597
doi: 10.1097/SCS.0000000000006597 pubmed: 32502103
Goergen MJ, Holton NE, Grünheid T (2017) Morphological interaction between the nasal septum and nasofacial skeleton during human ontogeny. J Anat 230:689–700. https://doi.org/10.1111/joa.12596
doi: 10.1111/joa.12596 pubmed: 28220482 pmcid: 5382596
Goh S, Karamchandani D, Anari S (2019) Relationship of the posterior septal angle to the anterior nasal spine in the caucasian nasal septum. J Laryngol Otol 133:224–226. https://doi.org/10.1017/S0022215119000185
doi: 10.1017/S0022215119000185 pubmed: 30821226
Holton NE, Yokley TR, Figueroa A (2012) Nasal septal and craniofacial form in european- and african-derived populations. J Anat 221(3):263–274. https://doi.org/10.1111/j.1469-7580.2012.01533.x
doi: 10.1111/j.1469-7580.2012.01533.x pubmed: 22747629 pmcid: 3458631
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
Janovic N, Janovic A, Milicic B, Djuric M (2021) Is computed Tomography Imaging of deviated nasal septum justified for obstruction confirmation? Ear Nose Throat J 100:NP131–NP136. https://doi.org/10.1177/0145561319871533
doi: 10.1177/0145561319871533 pubmed: 31533464
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.2009-0439
doi: 10.1210/me.2009-0439
Kim JH, Jung DJ, Kim HS, Kim CH, Kim TY (2014) Analysis of the development of the nasal septum and measurement of the harvestable septal cartilage in koreans using three-dimensional facial bone computed tomography scanning. Arch Plast Surg 41:163–170. https://doi.org/10.5999/aps.2014.41.2.163
doi: 10.5999/aps.2014.41.2.163 pubmed: 24665426 pmcid: 3961615
Lee JA, Wu V, Ozgen B, Joe SA, Lee VS (2022) Radiological Assessment of High Anterior Septal deviation and its impact on Sinus Access. Laryngoscope 132:1166–1171. https://doi.org/10.1002/lary.29806
doi: 10.1002/lary.29806 pubmed: 34363399
Lindahl JW (1954) The deviated nasal septum. Practitioner 173:315–317
pubmed: 13194468
Mays S (2012) Nasal septal deviation in a mediaeval population. Am J Phys Anthropol 148:319–326. https://doi.org/10.1002/ajpa.22046
doi: 10.1002/ajpa.22046 pubmed: 22565652
Moreddu E, Puymerail L, Michel J, Achache M, Dessi P, Adalian P (2013) Morphometric measurements and sexual dimorphism of the piriform aperture in adults. Surg Radiol Anat 35:917–924. https://doi.org/10.1007/s00276-013-1116-2
doi: 10.1007/s00276-013-1116-2 pubmed: 23625070
Periyasamy V, Bhat S, Sree Ram MN (2019) Classification of Naso Septal Deviation Angle and its clinical implications: a CT scan imaging study of Palakkad Population, India. Indian J Otolaryngol Head Neck Surg 71:2004–2010. https://doi.org/10.1007/s12070-018-1425-1
doi: 10.1007/s12070-018-1425-1 pubmed: 31763284
Radulesco T, Hazbri D, Dessi P, Adalian P, Michel J (2019) Geometric morphometric contribution to septal deviation analysis. Surg Radiol Anat 41:823–831. https://doi.org/10.1007/s00276-019-02235-6
doi: 10.1007/s00276-019-02235-6 pubmed: 30937568
Ryu JY, Park KS, Kim MJ, Yun JS, Lee U, Lee SS, Roh BY, Seo JU, Choi CU, Lee WJ (2020) Craniofacial anthropometric investigation of relationships between the nose and nasal aperture using 3D computed tomography of Korean subjects. Sci Rep 30:1–9. https://doi.org/10.1038/s41598-020-73127-8
doi: 10.1038/s41598-020-73127-8
Saladin KS (2012) Anatomy and Physiology (6th ed.). New York, NY: McGraw Hill. ISBN 9780073378251
Seltzer AP (1963) The problem of the nasal septum. J Albert Einstein Med Cent 11:283–299
Siegel MI, Mooney MP, Eichberg JW, Gest T, Lee DR (1990) Septopremaxillary ligament resection and midfacial growth in a chimpanzee animal model. J Craniofac Surg 1:182–186. https://doi.org/10.1097/00001665-199001040-00006
doi: 10.1097/00001665-199001040-00006 pubmed: 2098177
Steiner A (1959) A certain aspect of nasal trauma in the prenatal period. Md State Med J 8:557
pubmed: 13834197
Teul I, Slawinski G, Lewandowski J, Dzieciolowska-Baran E, Gawlikowska-Sroka A, Czerwinski F (2010) Nasal septum morphology in human fetuses in computed tomography images. Eur J Med Res 15:202–205. https://doi.org/10.1186/2047-783x-15-s2-202
doi: 10.1186/2047-783x-15-s2-202 pubmed: 21147652 pmcid: 4360307
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 34:78–82
pubmed: 8876067
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 94:1226–1229
doi: 10.1288/00005537-198409000-00016 pubmed: 6472018
Vetter U, Pirsig W, Heinze E Postnatal-growth of the human septal cartilage—preliminary report (1984). Acta Otolaryngol 97:13–16

Auteurs

Keshav Kumar Gupta (KK)

Department of Otorhinolaryngology Heartlands Hospital, University Hospitals Birmingham NHS Trust, Bordesley Green East, Birmingham, B9 5SS, England. keshav.gupta@nhs.net.

Dean Davda (D)

Department of Radiology Heartlands Hospital, University Hospitals Birmingham NHS Trust, Birmingham, England.

Zahir Mughal (Z)

Department of Otorhinolaryngology Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, B15 2TH, England.

Andrew Lotfallah (A)

Department of Otorhinolaryngology Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, B15 2TH, England.

Shahram Anari (S)

Department of Otorhinolaryngology Heartlands Hospital, University Hospitals Birmingham NHS Trust, Bordesley Green East, Birmingham, B9 5SS, England.

Classifications MeSH