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Does septoplasty change the dimensions of compensatory hypertrophy of the middle turbinate?

Published online by Cambridge University Press:  04 April 2016

D Demir ,
K Asil ,
M Güven  and
Ü Erkorkmaz
D Demir*
Affiliation:
Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
K Asil
Affiliation:
Department of Radiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
M Güven
Affiliation:
Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
Ü Erkorkmaz
Affiliation:
Department of Biostatistics, Sakarya University Faculty of Medicine, Sakarya, Turkey
*
Address for correspondence: Dr Deniz Demir, Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey Fax: +90 264 255 2105 E-mail: [email protected]
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Abstract

Objective:

To measure the dimensions of compensatory hypertrophy of the middle turbinate in patients with nasal septal deviation, before and after septoplasty.

Methods:

The mucosal and bony structures of the middle turbinate and the angle of the septum were measured using radiological analysis before septoplasty and at least one year after septoplasty. All pre- and post-operative measurements of the middle turbinate were compared using the paired sample t-test and Wilcoxon rank sum test.

Results:

The dimensions of bony and mucosal components of the middle turbinate on concave and convex sides of the septum were not significantly changed by septoplasty. There was a significant negative correlation after septoplasty between the angle of the septum and the middle turbinate total area on the deviated side (p = 0.033).

Conclusion:

The present study findings suggest that compensatory hypertrophy of the middle turbinate is not affected by septoplasty, even after one year.

Keywords

TurbinatesComputed TomographyHypertrophyNasal SeptumSinusitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 6 , June 2016 , pp. 554 - 559
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Gray, LP. Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol Suppl 1978;87:3–20 Google Scholar
2 Demir, D, Asil, K, Güven, M, Kayabaşoğlu, G, Yılmaz, MS. Assessment of the correlation between nasal septal deviation and compensatory hypertrophy of the middle turbinate. Eur Arch Otorhinolaryngol 2015;272:2847–51Google Scholar
3 Egeli, E, Demirci, L, Yazýcý, B, Harputluoglu, U. Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope 2004;114:113–17Google Scholar
4 Berger, G, Hammel, I, Berger, R, Avraham, S, Ophir, D. Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 2000;110:2100–5CrossRefGoogle ScholarPubMed
5 Faul, F, Erdfelder, E, Lang, AG, Buchner, A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39:175–91CrossRefGoogle ScholarPubMed
6 Cho, JH, Park, MS, Chung, YS, Hong, SC, Kwon, KH, Kim, JK. Do anatomic variations of the middle turbinate have an effect on nasal septal deviation or paranasal sinusitis? Ann Otol Rhinol Laryngol 2011;120:569–74Google Scholar
7 Aydil, U, Ozçelik, T. Unilateral agenesis of middle nasal turbinate. J Laryngol Otol 2010;124:447–9CrossRefGoogle ScholarPubMed
8 Aslan, G, Uzun, L, Ugur, MB, Uckurt, YS, Sagun, OF, Yazicilar, O. Unilateral inferior turbinate bone hypertrophy: is it compensatory or congenital? Am J Rhinol Allergy 2013;27:255–9CrossRefGoogle ScholarPubMed
9 Kim, DH, Park, HY, Kim, HS, Kang, SO, Park, JS, Han, NS et al. Effect of septoplasty on inferior turbinate hypertrophy. Arch Otolaryngol Head Neck Surg 2008;134:419–23Google Scholar
10 Xu, J, Gao, C, He, D, Zhang, H, Ma, C, Thou, Y. Effect of septoplasty on the modality of inferior turbinate: a CT study [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013;27:413–15Google ScholarPubMed
11 Ng, BA, Ramsey, RG, Corey, JP. The distribution of nasal erectile mucosa as visualized by magnetic resonance imaging. Ear Nose Throat J 1999;78:163–6Google Scholar
12 Orhan, I, Aydın, S, Ormeci, T, Yılmaz, F. A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy 2014;28:e68–72 Google Scholar
13 Grymer, LF, Illum, P, Hilberg, O. Septoplasty and compensatory inferior turbinate hypertrophy: a randomized study evaluated by acoustic rhinometry. J Laryngol Otol 1993;107:413–17Google Scholar
14 Akoğlu, E, Karazincir, S, Balci, A, Okuyucu, S, Sumbas, H, Dağli, AS. Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum. Otolaryngol Head Neck Surg 2007;136:380–4Google Scholar
15 Pollock, RA, Rohrich, RJ. Inferior turbinate surgery: an adjunct to successful treatment of nasal obstruction in 408 patients. Plast Reconstr Surg 1984;74:227–36Google Scholar
16 Martinez, SA, Nissen, AJ, Stock, CR, Tesmer, T. Nasal turbinate resection for relief of nasal obstruction. Laryngoscope 1983;93:871–5Google Scholar
17 Morgenstein, KM, Krieger, MK. Experiences in middle turbinectomy. Laryngoscope 1980;90:1596–603Google Scholar
18 Choby, GW, Hobson, CE, Lee, S. Clinical effects of middle turbinate resection after endoscopic sinus surgery: a systematic review. Am J Rhinol Allergy 2014;28:502–7Google Scholar