Relationship between Pediatric Concha Bullosa and Septal Deviation. (2nd September 2014)

• Record Type: Journal Article
• Authors: Amali, Amin; Sazgar, Amir A.; Sadeghi, Mohammad; Saedi, Babak; Langeroudi, Maziar M.; Jafari, Mehrdad; Hagh, Ali B.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 151(2014)Supplement 1
• Page Start: P126
• Page End: P126
• Publication Date: 2014-09-02
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599814541627a303
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Objectives: Investigate the frequency of pediatric middle turbinate pneumatization and present its possible effect on septal deviation. Methods: Computed tomography (CT) scans of 152 children (younger than 16 years old) were analyzed for the presence of middle turbinate pneumatization and nasal septal deviation. Results: The incidences of lamellar, bulbous, and extensive concha bullosa were 29.6%, 14.5%, and 7.2%, respectively. The data revealed that 53 patients (67.9%) with concha bullosa also had septal deviation as opposed to 50% (37 out of 74 cases) frequency of septal deviation in patients without concha bullosa. Among the 37 patients with right side concha bullosa, 59.5% had a deviated septum to their left side while 21.6% had a deviation to the right side. Out of those patients with concha bullosa on the left side (38 cases), 44.7% had a right side septal deviation and 13.2% had a left‐side septal deviation that revealed a significant relationship between the position of concha bullosa and the side where the septum deviated ( P <. 001). The comparison of these ratios showed a significant relationship between the occurrence of septal deviation and concha bullosa ( P =. 024). Conclusions: A possible relationship was found between middle turbinate pneumatization and the mechanism of development of septal deviation in children.