CT comparison of the nasal airway anterior and posterior to the piriform aperture in patients with and without nasal obstruction.
Case-control studies
Computed tomography
Inferior turbinate
Nasal obstruction
Nasal septum
Respiratory airflow
Journal
Head & face medicine
ISSN: 1746-160X
Titre abrégé: Head Face Med
Pays: England
ID NLM: 101245792
Informations de publication
Date de publication:
27 Mar 2024
27 Mar 2024
Historique:
received:
18
12
2023
accepted:
10
03
2024
medline:
27
3
2024
pubmed:
27
3
2024
entrez:
27
3
2024
Statut:
epublish
Résumé
Nasal airway stenosis may lie anterior and/or posterior to the piriform aperture. We intended to compare the nasal airway anterior and posterior to the piriform aperture in patients with and without nasal obstruction. Segmented computed tomography cross-sectional areas of the nasal airway anterior (CT-CSA Narrow and bilateral CT-CSA The nasal airway anterior to the piriform aperture was smaller in patients with nasal obstruction due to skeletal nasal stenosis than that in controls. On the contrary, the nasal airway posterior to the piriform aperture was similarly large between patients with and without nasal obstruction. Furthermore, in patients with nasal obstruction, the anterior nasal airway was narrower compared to that located posterior to it. On the contrary, control patients' anterior nasal airway was as large as the posterior one.
Sections du résumé
BACKGROUND
BACKGROUND
Nasal airway stenosis may lie anterior and/or posterior to the piriform aperture. We intended to compare the nasal airway anterior and posterior to the piriform aperture in patients with and without nasal obstruction.
METHODS
METHODS
Segmented computed tomography cross-sectional areas of the nasal airway anterior (CT-CSA
RESULTS
RESULTS
Narrow and bilateral CT-CSA
CONCLUSIONS
CONCLUSIONS
The nasal airway anterior to the piriform aperture was smaller in patients with nasal obstruction due to skeletal nasal stenosis than that in controls. On the contrary, the nasal airway posterior to the piriform aperture was similarly large between patients with and without nasal obstruction. Furthermore, in patients with nasal obstruction, the anterior nasal airway was narrower compared to that located posterior to it. On the contrary, control patients' anterior nasal airway was as large as the posterior one.
Identifiants
pubmed: 38532483
doi: 10.1186/s13005-024-00420-6
pii: 10.1186/s13005-024-00420-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
20Informations de copyright
© 2024. The Author(s).
Références
Galarza-Paez L, Marston G, Downs BW. Anatomy, head and neck, nose. 2018.
Andre RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenite GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol. 2009;34(6):518–25.
doi: 10.1111/j.1749-4486.2009.02042.x
Kim CS, Moon BK, Jung DH, Min YG. Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx. 1998;25(1):45–8.
doi: 10.1016/S0385-8146(97)10011-6
Bang M, Choi SH, Park J, Kang BS, Kwon WJ, Lee TH, Nam JG. Radiation Dose reduction in Paranasal Sinus CT: with feasibility of Iterative Reconstruction technique. Otolaryngol Head Neck Surg. 2016;155(6):982–7.
doi: 10.1177/0194599816664335
Cho GS, Kim JH, Jang YJ. Correlation of nasal obstruction with nasal cross-sectional area measured by computed tomography in patients with nasal septal deviation. Ann Otol Rhinol Laryngol. 2012;121(4):239–45.
doi: 10.1177/000348941212100409
Riechelmann H, Widmann G, Kofler B, Arminger R, Url C, Giotakis AI. Nasal floor asymmetry is Associated with nasal obstruction. J Oral Maxillofac Surg. 2020;78(10):1833. e1831-1833 e1839.
doi: 10.1016/j.joms.2020.05.011
Giotakis AI, Widmann G, Mallien E, Riechelmann F, Heppt H, Riechelmann H. CT analysis of the anterior nasal airway based on the direction of nasal airflow in patients with nasal obstruction and trauma controls. Eur Arch Otorhinolaryngol. 2023;280(4):1765–74.
doi: 10.1007/s00405-022-07703-1
Widmann G, Dangl M, Lutz E, Fleckenstein B, Offermanns V, Gassner EM, Puelacher W, Salbrechter L. Can ultra-low-dose computed tomography reliably diagnose and classify maxillofacial fractures in the clinical routine? Imaging Sci Dent. 2023;53(1):69–75.
doi: 10.5624/isd.20220190
Widmann G, Zangerl A, Schullian P, Fasser M, Puelacher W, Bale R. Do image modality and registration method influence the accuracy of craniofacial navigation? J Oral Maxillofac Surg. 2012;70(9):2165–73.
doi: 10.1016/j.joms.2011.08.026
Giotakis AI, Tomazic PV, Riechelmann H, Vent J. Objective Assessment of Nasal Patency. Facial Plast Surg. 2017;33(4):378–87.
doi: 10.1055/s-0037-1604356
Egeli E, Demirci L, Yazycy B, Harputluoglu U. Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope. 2004;114(1):113–7.
doi: 10.1097/00005537-200401000-00020
Orhan I, Aydin S, Ormeci T, Yilmaz F. A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy. 2014;28(1):e68–72.
doi: 10.2500/ajra.2014.28.4007
Chiesa Estomba C, Rivera Schmitz T, Ossa Echeverri CC, Betances Reinoso FA, Osorio Velasquez A, Santidrian Hidalgo C. Compensatory hypertrophy of the contralateral inferior turbinate in patients with unilateral nasal septal deviation. A computed tomography study. Otolaryngol Pol. 2015;69(2):14–20.
doi: 10.5604/00306657.1149568
Aziz T, Biron VL, Ansari K, Flores-Mir C. Measurement tools for the diagnosis of nasal septal deviation: a systematic review. J Otolaryngol Head Neck Surg. 2014;43(1):11.
doi: 10.1186/1916-0216-43-11
Cummings CW. Otolaryngology–head and Neck surgery: General, face, nose, paranasal sinuses. Volume 1. Mosby; 1986.
Neskey D, Eloy JA, Casiano RR. Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am. 2009;42(2):193–205. vii.
doi: 10.1016/j.otc.2009.01.008
Lee JW, McHugh J, Kim JC, Baker SR, Moyer JS. Age-related histologic changes in human nasal cartilage. JAMA Facial Plast Surg. 2013;15(4):256–62.
doi: 10.1001/jamafacial.2013.825
Sforza C, Grandi G, De Menezes M, Tartaglia GM, Ferrario VF. Age- and sex-related changes in the normal human external nose. Forensic Sci Int 2011, 204(1–3):205 e201-209.
Lindemann J, Scheithauer M, Hoffmann TK, Stupp F, Grossi AS, Sommer F, Netzer S. [Adaptation of the nasal obstruction symptom evaluation (NOSE(c)) questionnaire in the German language]. Laryngorhinootologie. 2019;98(8):562–7.
Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130(2):157–63.
doi: 10.1016/j.otohns.2003.09.016
Scadding G, Hellings P, Alobid I, Bachert C, Fokkens W, van Wijk RG, Gevaert P, Guilemany J, Kalogjera L, Lund V, et al. Diagnostic tools in Rhinology EAACI position paper. Clin Transl Allergy. 2011;1(1):2.
doi: 10.1186/2045-7022-1-2
Janovic N, Janovic A, Milicic B, Djuric M. Is computed Tomography Imaging of deviated nasal septum justified for obstruction confirmation? Ear Nose Throat J. 2021;100(2):NP131–6.
doi: 10.1177/0145561319871533
Janovic N, Janovic A, Milicic B, Djuric M. Relationship between nasal septum morphology and nasal obstruction symptom severity: computed tomography study. Braz J Otorhinolaryngol. 2022;88(5):663–8.
doi: 10.1016/j.bjorl.2020.09.004
Balbach L, Trinkel V, Guldner C, Bien S, Teymoortash A, Werner JA, Bremke M. Radiological examinations of the anatomy of the inferior turbinate using digital volume tomography (DVT). Rhinology. 2011;49(2):248–52.
doi: 10.4193/Rhino09.204
Grimes DA, Schulz KF. Compared to what? Finding controls for case-control studies. Lancet. 2005;365(9468):1429–33.
doi: 10.1016/S0140-6736(05)66379-9
Bauer SM, Vogt K, Wernecke KD, Rasp G, Davidson KP, Roesch S. Elastometry - the biomechanical analysis of the lateral nasal wall. J Mech Behav Biomed Mater. 2024;150:106284.
doi: 10.1016/j.jmbbm.2023.106284