Multiparametric Correlation Between Anatomical Variants of the Paranasal Sinuses and Chronic Rhinosinusitis: Case-control Study

P. William, Medina Fernando
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Abstract

Introduction: Chronic rhinosinusitis (RSC) is a disabling disease that can affect up to 70% of people. It is very important to know which are the anatomical variants that the patient presents for surgical planning and often for the treatment of the variants that can present as a risk factor. The evidence shows heterogeneity in the prevalence of these anatomical variants and it is not described quantitatively which are the variants that present the greatest relationship as a risk factor. Establishing the multiparametric correlation between at least one of the most frequent anatomical variants of the paranasal sinuses and the development of rhinosinusitis is the most important objective of this investigation. Materials and methods: Case-control study with multiparametric correlation analysis of the anatomical variants of paranasal sinuses as a risk factor in the development of sinusitis. Analysis with measures of central tendency, Xi2, Fisher's exact test, binary logistic regression. Results: The most frequent anatomical variant was the deviation of the nasal septum on the left side (78%). The second most common variant found was the Agger Nasi cells (68%), followed by the protrusion of the Vidian nerve in the sphenoid sinus (52%). The only anatomical variant that could be determined within the regression model was the obstruction of the osteomeatal complex; which is presented as a risk factor with an OR of 16 (95% CI: 6.9-41.3). Conclusions: Obstruction of the osteomeatal complex is a very important risk factor for the development of chronic rhinosinusitis.
鼻窦解剖变异与慢性鼻窦炎的多参数相关性:病例对照研究
简介:慢性鼻窦炎(RSC)是一种致残疾病,可影响高达70%的人。了解哪些解剖变异是非常重要的,这是病人提出的手术计划,通常是对变异的治疗,这可能是一个危险因素。证据表明,这些解剖变异的患病率存在异质性,并且没有定量描述哪些变异是作为风险因素表现出最大关系的变异。建立至少一种最常见的副鼻窦解剖变异与鼻窦炎发展之间的多参数相关性是本研究的最重要目标。材料与方法:采用多参数相关分析的病例对照研究,探讨鼻窦解剖变异是鼻窦炎发生的危险因素。分析采用集中趋势测量,Xi2, Fisher精确检验,二元逻辑回归。结果:最常见的解剖变异是鼻中隔偏左(78%)。第二常见的变异是Agger鼻窦细胞(68%),其次是蝶窦内的Vidian神经突出(52%)。在回归模型中唯一可以确定的解剖变异是骨臼复合体的阻塞;这是一个风险因素,OR为16 (95% CI: 6.9-41.3)。结论:骨窦阻塞是慢性鼻窦炎发生的重要危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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