Evaluation of the relationship between the presence of an accessory maxillary ostium and the presence and types of nasal septum deviation: A computed tomography study.

Northern clinics of Istanbul Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI:10.14744/nci.2023.02800
Hanife Gulden Duzkalir, Ozge Adiguzel Karaoysal, Gunay Rona
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Abstract

Objective: The maxillary accessory ostium (AMO) has been associated with chronic rhinosinusitis and nasal septal deviation (NSD), but AMO may also be present in healthy individuals. AMO's purpose, origin, and effects are uncertain. This study aimed to investigate the types and frequency of AMO and NSD, as well as their relationship.

Methods: In our retrospective, single-center study, paranasal sinus tomographs performed in our clinic between 2022 and 2023 were scanned, and 200 patients who met the inclusion criteria were evaluated in terms of AMO direction (right/left), accessory ostium location (superior/middle/inferior 1/3), presence of NSD, and deviation type according to the Mladina index.

Results: 60.5% of the patients were female and 39.5% were male. AMO distribution was similar between the groups (p>0.05). There was no significant correlation between the presence and localization of AMO and the presence of NSD (p>0.05). NSD was detected in 93 patients (89.4%) with AMO and 78 patients (81.3%) without AMO (p=0.16). The distribution of NSD presence and types was similar in right or left localization, AMO (+) and AMO (-) patients (p>0.05).

Conclusion: The evidence that AMOs cause chronic sinusitis and FESS failure is insufficient and cannot explain the presence of AMOs in healthy individuals or children. There are very few studies in the literature examining the NSD-AMO relationship. In our study, high rates of NSD and AMO were found in individuals without paranasal disease, but no statistically significant relationship was found between the presence, location, and type of NSD and AMO. Early-onset, long-term prospective studies on the relationship between NSD and AMO may help to explain the etiopathogenesis of paranasal diseases that reduce quality of life.

评估上颌骨附属孔的存在与鼻中隔偏曲的存在和类型之间的关系:计算机断层扫描研究。
目的:上颌附属孔(AMO)与慢性鼻炎和鼻中隔偏曲(NSD)有关,但健康人也可能存在上颌附属孔。AMO的目的、起源和影响尚不确定。本研究旨在调查 AMO 和 NSD 的类型、频率及其关系:在我们的回顾性单中心研究中,我们对 2022 年至 2023 年期间在本诊所进行的鼻旁窦断层扫描进行了扫描,并根据 Mladina 指数对符合纳入标准的 200 名患者的 AMO 方向(右/左)、附属孔位置(上/中/下 1/3)、是否存在 NSD 以及偏离类型进行了评估:结果:60.5%的患者为女性,39.5%为男性。两组患者的 AMO 分布相似(P>0.05)。AMO 的存在和定位与 NSD 的存在无明显相关性(P>0.05)。93名有AMO的患者(89.4%)和78名无AMO的患者(81.3%)中发现了NSD(P=0.16)。在左右定位、AMO(+)和AMO(-)患者中,NSD的存在和类型分布相似(P>0.05):AMO导致慢性鼻窦炎和FESS失败的证据不足,无法解释健康人或儿童中是否存在AMO。文献中很少有研究探讨 NSD 与 AMO 的关系。在我们的研究中,发现无副鼻腔疾病者的 NSD 和 AMO 发生率较高,但在 NSD 和 AMO 的存在、位置和类型之间并未发现有统计学意义的关系。有关 NSD 和 AMO 关系的早期、长期前瞻性研究可能有助于解释降低生活质量的副鼻腔疾病的发病机制。
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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