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ORIGINAL RESEARCH

Evaluation of Nasal Septal Body According to Body Mass Index and Nasal Septal Deviation Angle
Nazal Septal Cismin Beden Kitle İndeksi ve Nazal Septal Deviasyon Açısına Göre Değerlendirilmesi
Received Date : 18 Sep 2019
Accepted Date : 02 Oct 2019
Available Online : 21 Oct 2019
Doi: 10.24179/kbbbbc.2019-71511 - Makale Dili: TR
KBB ve BBC Dergisi 2019;27(3):119-24
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: To compare the morphologic relationships of the nasal septal body in terms of the body mass index and septal deviation angle. Material and Methods: 126 patients who were examined with computed tomography due to nasal obstruction, headache, snoring or smell disorder and whose body mass index was determined included in the study. In computed tomography scans, septal body fields and widths were compared according to body mass index and septal deviation angle. Results: In this study, a total of 126 (63 female and 63 male) patients with a mean age of 38.89±12.61 were included. It was found that means of width of the nasal septal body was 8.04±1.95 mm, and means of field of the nasal septal body was 88.21±29.79 mm2. There was no correlation between body mass index and total septal body width and field. On the contralateral side of the septal deviation, nasal septal body field and width were larger than the ipsilateral side (p=0.01). There was a positive correlation between the septal deviation angle and the width differences of the septal bodies on both sides of the septum (p=0,01). Conclusion: The diameter of nasal septal body is larger on the opposite side of the deviation. Septal body and inferior turbinate are functionally similar and these two systems work together in the nasal cavity to regulate nasal resistance.
ÖZET
Amaç: Nazal septal cismin morfolojik özelliklerini beden kitle indeksi (BKİ) ve septal deviasyon açısına göre incelemektir. Gereç ve Yöntemler: Burun tıkanıklığı, baş ağrısı, horlama ve koku bozuklukları nedenleri ile paranazal sinüs bilgisayarlı tomografi tetkiki yapılmış ve BKİ tespit edilmiş olan 126 hasta çalışmaya dâhil edildi. Bilgisayarlı tomografi kesitlerinde; septal cisim alanları ve septal cisim genişlikleri BKİ ve septal deviasyon açısına göre karşılaştırıldı. Bulgular: Bu çalışmada yaş ortalaması 38,89±12,61 olan 63 kadın ve 63 erkek olmak üzere, toplam 126 hasta yer aldı. Nazal septal cismin her iki tarafta toplam genişlik ortalaması 8,04±1,95 mm, toplam alan ortalaması 88,21±29,79 mm2 olarak bulundu. BKİ ile toplam septal cisim genişliği ve alanı arasında korelasyon bulunmadı. Septal deviasyonun karşı tarafında septal cisim alanı, ve septal cisim genişliği ipsilateral tarafa göre daha büyük saptandı (p=0,01). Septal deviasyon açı derecesi ile septumun iki tarafındaki septal cisim genişlik farkı arasında pozitif korelasyon bulundu (p=0,01). Sonuç: Nazal septal cisim boyutları deviasyonun karşı tarafında daha büyüktür. Septal cisim ve alt konka fonksiyonel olarak birbirlerine benzer dokulardır ve nazal kavitede bu iki sistem birlikte çalışarak nazal rezistansı düzenlemektedirler.
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