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
DOI:
https://doi.org/10.36408/mhjcm.v9i3.800Keywords:
Bullous Concha, Chronic Rhinosinusitis, Lund Mackay CT score, Nasal Septum DeviationAbstract
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
Downloads
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
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2022 Monica Cherlady Anastasia, Anna Mailasari Kusuma Dewi, Farah Hendara Ningrum
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.
