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Comparison of different nasal septal areas between patients with and without nasal obstruction

Published online by Cambridge University Press:  11 November 2024

Aris I. Giotakis Open the ORCID record for Aris I. Giotakis [Opens in a new window] ,
Gerlig Widmann ,
Felix Riechelmann ,
Herbert Riechelmann  and
Helen Heppt Open the ORCID record for Helen Heppt [Opens in a new window]
Aris I. Giotakis
Affiliation:
Department of Otorhinolaryngology, Medical University of Innsbruck, Innsbruck, Austria
Gerlig Widmann
Affiliation:
Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria
Felix Riechelmann
Affiliation:
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria
Herbert Riechelmann
Affiliation:
Department of Otorhinolaryngology, Medical University of Innsbruck, Innsbruck, Austria
Helen Heppt*
Affiliation:
Department of Otorhinolaryngology, Medical University of Innsbruck, Innsbruck, Austria
*
Corresponding author: Helen Heppt; Email: HelenHeppt@gmx.de
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Abstract

Objectives

We intended to investigate the deviation of septal swell body, perpendicular plate, septal spur and vomer in patients with and without nasal obstruction.

Methods

We compared the deviation of these septal areas in computed tomography scans of patients scheduled for nasal surgical procedures (cases) and of patients without clinically relevant nasal obstruction (controls).

Results

Septal swell body was similarly deviated between 56 cases (median value: 6.5 mm) and 56 controls (6.4 mm; p > 0.2). Septal spur was more deviated in cases (5.6 mm) than in controls (4.7 mm; p < 0.001). The deviation of perpendicular plate (found in 28/112 subjects) did not differ significantly between cases (3.0 mm) and controls (2.2 mm; p > 0.2). The deviation of vomer (found in 71/112 subjects) was larger in cases (7.1 mm) than in controls (4.3 mm; p = 0.001).

Conclusion

Septal spur, vomer and perpendicular plate were more frequent causes of nasal obstruction compared to septal swell body.

Keywords

inferior turbinatenasal obstructionnasal septal swell bodynasal septumperpendicular plateseptal deviationtomography

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 6 , June 2025 , pp. 488 - 495
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Helen Heppt takes responsibility for the integrity of the content of the paper

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