The Correlation Between Bullous Concha Volume and Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis

The Correlation Between Bullous Concha Volume and Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis

Authors

  • Monica Cherlady Anastasia Department of Radiology Faculty of Medicine Diponegoro University / Kariadi Hospital Semarang, Indonesia, Indonesia
  • Anna Mailasari Kusuma Dewi Department of Ear, Nose, and Throat Clinic, Faculty of Medicine Diponegoro University / Kariadi Hospital Semarang, Indonesia, Indonesia
  • Farah Hendara Ningrum Department of Ear, Nose, and Throat Clinic, Faculty of Medicine Diponegoro University / Kariadi Hospital Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v9i3.800

Keywords:

Bullous Concha, Chronic Rhinosinusitis, Lund Mackay CT score, Nasal Septum Deviation

Abstract

BACKGROUND: Chronic rhinosinusitis is inflammation of the mucoperiosteum lining of the nose and paranasal sinuses for more than 12 weeks. Computed Tomography (CT scan) of the paranasal sinuses is the gold standard for diagnosing chronic rhinosinusitis. Nasal septal deviation and bullous concha are anatomical variation that often found in CT scan of chronic rhinosinusitis patients. The severity of chronic rhinosinusitis can be evaluated with Lund Mackay CT score.

AIM: To analyse the correlation between bullous concha volume and type of nasal septum deviation with Lund-Mackay CT Score in chronic rhinosinusitis

METHOD: This was an observational study with a cross sectional design. This study was conducted from March-May 2019. Subjects were CRS patients whom underwent paranasal sinuses CT scan in Dr. Kariadi Hospital Semarang whom met the criteria. The inclusion criteria were chronic rhinosinusitis patients more than 17 years old with deviated nasal septum and conchae bullosa.

RESULT:  There were 50 CRS patients, the age average is 18 – 67 years. The mean volume of the bullous concha was  0.534 cm3. The highest deviation of the nasal septum is to the right (53.2%) and the highest total Lund-Mackay CT Score was 4 (56%). The correlation between septal type and bullous concha volume with Lund-Mackay CT Score

CONCLUSION: Lund Mackay CT score didn't correlate with  septal type and bullous concha volume.

KEYWORDS: Bullous Concha, Chronic Rhinosinusitis, Lund Mackay CT score, Nasal Septum Deviation

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References

Fokkens WJ, Lund VJ, Mullol J. European Position Paper on Rhinosinusitis and Nasal Polyps . Journal of the European and International Societies.Volume 50.2012

Thaler E, Kennedy D. Rhinosinusitis:A Guide for Diagnosis and Management. Springer Science and Business Media; 2009.

Access O. Epidemiology of chronic rhinosinusitis , selected risk factors , comorbidities , and economic burden. 2015;14(Figure 1):1-31.

Indriany S, Munir D, Rambe AYM, Adnan A, Yunita R, Sarumpaet S. Proporsi karakteristik penderita rinosinusitis kronis dengan kultur jamur positif. Oto Rhino Laryngol Indones. 2016;46(1):26-35. http://www.orli.or.id/index.php/orli/article/view/144/128.

Sarkar PS, Bhosale PR, Bharthi AR, Ananthasivan R. Computed Tomography Scan Correlation between Anatomic Variations of Paranasal Sinuses and Chronic Rhinosinusitis. 2016;4(4):122-128. doi:10.17354/ijss/2016/389.

Bahemmat N, Hadian H. The frequency of nasal septal deviation and concha bullosa and their relationship with maxillary sinusitis based on CBCT finding. 2016:152-156.

Tunçyürek Ö. The relationship among concha bullosa, septal deviation and chronic rhinosinusitis. J Med Updat. 2013;3(1):1-7. doi:10.2399/jmu.2013001002.

Mundra RK, Gupta Y, Sinha R, Gupta A. CT Scan Study of Influence of Septal Angle Deviation on Lateral Nasal Wall in Patients of Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg. 2014;66(2):187-190. doi:10.1007/s12070-014-0713-7.

Okushi T, Nakayama T, Morimoto S, et al. A modified Lund-Mackay system for radiological evaluation of chronic rhinosinusitis. Auris Nasus Larynx. 2013;40(6):548-553. doi:10.1016/j.anl.2013.04.010.

Karata D, Yüksel F, Koç A. Journal of the Anatomical Society of India Volumetric correlation between concha bullosa and paranasal sinuses. 2017:11-14. doi:10.1016/j.jasi.2017.05.011.

Chen JJ, Chen DL, Chen CJ. The Lund-Mackay score for adult head and neck computed tomography. Chinese J Radiol. 2011;36(4):203-208. doi:10.1177/0194599813496044a344.

Exhibit S, Serifoglu I, Oz II, et al. The effect of nasal septal deviation on nasal bone morphology : computed tomography evaluation. 2016:1-10.

Etigadda Y, Majeed J. Clinical and Radiological Evaluation of Deviated Nasal Septum in Classifying and Surgical Management of the Deviated Septums . 2017;16(2):13-20. doi:10.9790/0853-1602031320.

Mladina R, Skitarelić N, Poje G, Šubarić M. Clinical implications of nasal septal deformities. Balkan Med J. 2015;32(2):137-146. doi:10.5152/balkanmedj.2015.159957.

Rehman A. A Prospective Study of Nasal Septal Deformities in Kashmiri Population Attending a Tertiary Care Hospital. Int J Otolaryngol Head Neck Surg. 2012;1(3):77-84. doi:10.4236/ijohns.2012.13016.

Bhandary S, Kamath SD. Study of relationship of concha bullosa to nasal septal deviation and sinusitis. Indian J Otolaryngol Head Neck Surg. 2009; 61 : 227-229

Rao JJ, Kumar ECV, Babu KR, Chowdary VS, Singh J, Rangamani SV. Classification of nasal septal deviations-Relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg. 2005;57(3):199-201. doi:10.1007/BF03008013.

Smith KD, Edwards PC, Saini TS, Norton NS. The Prevalence of Concha Bullosa and Nasal Septal Volumetric Tomography. 2010;2010:0-5. doi:10.1155/2010/404982.

Orlandi RR, Kingdom TT, Smith TL, et al. International consensus statement on allergy and rhinology: rhinosinusitis 2021. Int Forum Allergy Rhinol. 2021;11(3):213-739. doi:10.1002/alr.22741

Additional Files

Published

2022-11-30

How to Cite

1.
Anastasia MC, Mailasari Kusuma Dewi A, Ningrum FH. The Correlation Between Bullous Concha Volume and Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis: The Correlation Between Bullous Concha Volume and Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis. Medica Hospitalia J. Clin. Med. [Internet]. 2022 Nov. 30 [cited 2024 Dec. 22];9(3):353-9. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/800

Issue

Vol. 9 No. 3 (2022): Med Hosp; Nov 2022

Section

Original Article

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Copyright (c) 2022 Monica Cherlady Anastasia, Anna Mailasari Kusuma Dewi, Farah Hendara Ningrum

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