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      Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation

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      https://www.riss.kr/link?id=A108848776

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      다국어 초록 (Multilingual Abstract)

      Background and Objectives: This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse.Methods: We conducted a retrospective review of 142 paranasal sinus computed tomography scans from patients who had undergone septoplasty due to confirmed NSD. The ULC angle was measured on both the narrow and wide sides of the nasal cavities, and these measurements were compared to evaluate the extent of ULC collapse in relation to the degree of NSD and patient age. The correlation between the degree of NSD and the degree of ULC collapse was also analyzed.Results: The mean ULC angle was found to be 13.4°±2.7° on the narrow side and 14.3°±2.7° on the wide side, with a statistically significant difference between the two (p<0.001). When comparing caudal and non-caudal NSD patients, there was no significant difference in the degree of ULC on either side (p=0.166). When comparing the ULC angle between two age groups (≥50 vs. <50 years), the difference in ULC angles was significantly greater in the group of patients aged under 50 years (0.3°±3.8° vs. 1.1°±2.2°, p=0.014). There was a significant positive correlation between the degree of ULC collapse and the degree of septal deviation (r=0.214, p=0.01).Conclusion: NSD was associated with ULC collapse on the narrow side and a narrow internal nasal valve area. This result indicates that clinicians should check for concomitant ULC collapse in patients with NSD.
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      Background and Objectives: This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse.Methods: We conducted a retrospective review of 142 paranasal sinus computed tomography scans fro...

      Background and Objectives: This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse.Methods: We conducted a retrospective review of 142 paranasal sinus computed tomography scans from patients who had undergone septoplasty due to confirmed NSD. The ULC angle was measured on both the narrow and wide sides of the nasal cavities, and these measurements were compared to evaluate the extent of ULC collapse in relation to the degree of NSD and patient age. The correlation between the degree of NSD and the degree of ULC collapse was also analyzed.Results: The mean ULC angle was found to be 13.4°±2.7° on the narrow side and 14.3°±2.7° on the wide side, with a statistically significant difference between the two (p<0.001). When comparing caudal and non-caudal NSD patients, there was no significant difference in the degree of ULC on either side (p=0.166). When comparing the ULC angle between two age groups (≥50 vs. <50 years), the difference in ULC angles was significantly greater in the group of patients aged under 50 years (0.3°±3.8° vs. 1.1°±2.2°, p=0.014). There was a significant positive correlation between the degree of ULC collapse and the degree of septal deviation (r=0.214, p=0.01).Conclusion: NSD was associated with ULC collapse on the narrow side and a narrow internal nasal valve area. This result indicates that clinicians should check for concomitant ULC collapse in patients with NSD.

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      참고문헌 (Reference)

      1 O’Neill G, "Theoretical considerations of nasal airflow mechanics and surgical implications" 13 (13): 273-277, 1988

      2 Cole P, "The obstructive nasal septum. Effect of simulated deviations on nasal airflow resistance" 114 (114): 410-412, 1988

      3 Hamilton GS 3rd, "The external nasal valve" 25 (25): 179-194, 2017

      4 Wittkopf M, "The diagnosis and treatment of nasal valve collapse" 16 (16): 10-13, 2008

      5 Lee J, "Surgical and nonsurgical treatments of the nasal valves" 42 (42): 495-511, 2009

      6 Aksoy F, "Role of nasal muscles in nasal valve collapse" 142 (142): 365-369, 2010

      7 Setlur J, "Relationship between septal body size and septal deviation" 25 (25): 397-400, 2011

      8 Bloom JD, "Reformatted computed tomography to assess the internal nasal valve and association with physical examination" 14 (14): 331-335, 2012

      9 Bridger GP, "Physiology of the nasal valve" 92 (92): 543-553, 1970

      10 Khosh MM, "Nasal valve reconstruction : experience in 53 consecutive patients" 6 (6): 167-171, 2004

      1 O’Neill G, "Theoretical considerations of nasal airflow mechanics and surgical implications" 13 (13): 273-277, 1988

      2 Cole P, "The obstructive nasal septum. Effect of simulated deviations on nasal airflow resistance" 114 (114): 410-412, 1988

      3 Hamilton GS 3rd, "The external nasal valve" 25 (25): 179-194, 2017

      4 Wittkopf M, "The diagnosis and treatment of nasal valve collapse" 16 (16): 10-13, 2008

      5 Lee J, "Surgical and nonsurgical treatments of the nasal valves" 42 (42): 495-511, 2009

      6 Aksoy F, "Role of nasal muscles in nasal valve collapse" 142 (142): 365-369, 2010

      7 Setlur J, "Relationship between septal body size and septal deviation" 25 (25): 397-400, 2011

      8 Bloom JD, "Reformatted computed tomography to assess the internal nasal valve and association with physical examination" 14 (14): 331-335, 2012

      9 Bridger GP, "Physiology of the nasal valve" 92 (92): 543-553, 1970

      10 Khosh MM, "Nasal valve reconstruction : experience in 53 consecutive patients" 6 (6): 167-171, 2004

      11 Nigro CE, "Nasal valve : anatomy and physiology" 75 (75): 305-310, 2009

      12 Clark DW, "Nasal airway obstruction : prevalence and anatomic contributors" 97 (97): 173-176, 2018

      13 Barrett DM, "Management of the nasal valve" 24 (24): 219-234, 2016

      14 Miman MC, "Internal nasal valve : revisited with objective facts" 134 (134): 41-47, 2006

      15 Li L, "Impact of varying types of nasal septal deviation on nasal airflow pattern and warming function : a computational fluid dynamics analysis" 100 (100): NP283-9, 2021

      16 Berger G, "Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum" 110 (110): 2100-2105, 2000

      17 Bailey BJ, "Head and neck surgery: otolaryngology" Lippincott Williams & Wilkins 1998

      18 Akoğlu E, "Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum" 136 (136): 380-384, 2007

      19 Yu MS, "Correlation between septal body size and inferior turbinate hypertrophy on computerised tomography scans in fifty patients : a radiological analysis" 43 (43): 952-955, 2018

      20 Most SP, "Comparing methods for repair of the external valve : one more step toward a unified view of lateral wall insufficiency" 17 (17): 345-346, 2015

      21 Rhee JS, "Clinical consensus statement : diagnosis and management of nasal valve compromise" 143 (143): 48-59, 2010

      22 Wiederkehr I, "Caudal septal deviation : a computed tomography-based evaluation method" 89 (89): 95-99, 2022

      23 Fuller JC, "Assessment of the EuroQol 5-dimension questionnaire for detection of clinically significant global health-related quality-of-life improvement following functional septorhinoplasty" 19 (19): 95-100, 2017

      24 Chen XB, "Assessment of septal deviation effects on nasal air flow : a computational fluid dynamics model" 119 (119): 1730-1736, 2009

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