The correlation between nasal septal deviation of the ostiomeatal complex and chronic neutrophilic rhinosinusitis

• Published in: jibi to rinsho Vol. 58; no. 4; pp. 157 - 162
• Main Authors: YAMAMOTO, Keisuke, SUZUKI, Hiroshi, MOCHIZUKI, Ryuichi, MAEDA, Hidenori, SHIKINA, Takashi, INOHARA, Hidenori, IWAHASHI, Toshihiko, NISHIIKE, Suetaka, KAWAMOTO, Masahiro
• Format: Journal Article
• Language: Japanese
• Published: JIBI TO RINSHO KAI 2012; 耳鼻と臨床会
• Subjects: 感染型副鼻腔炎; 慢性副鼻腔炎; 片側性副鼻腔炎; 遷延化; 鼻中隔彎曲症
• ISSN: 0447-7227; 2185-1034
• DOI: 10.11334/jibi.58.157

Introduction: There are pros and cons regarding the pathogenesis of chronic rhinosinusitis (CRS) by nasal septal deviation (NSD) around the ostiomeatal complex (OMC). Subjects and Methods : Computed tomography (CT) images from 46 unilateral neutrophilic rhinosinusitis patients were retrospectively reviewed, and examined for a causal relationship between the incidence of chronic inflammation and NSD. In all patients, there were no mucosal abnormalities at all in the non-diseased sides. We originally defined the NSD subgroup and non-NSD subgroup based on the width of the OMC between the septum and the lateral wall. The Lund-Mackey Staging System was adopted for the evaluation of the volume of inflammation within the paranasal sinuses. The correlation between the NSD and CRS was evaluated using the Mann-Whitney's U-test. Results and Conclusions : A statistically significant association was observed between the staging of the maxillary sinus and NSD (p < 0.05). We consider that NSD causes CRS. We therefore recommend that functional endscopic sinus surgery should be performed in combination with septal plasty.