尼日利亚成年人鼻甲大疱和鼻中隔偏曲的共存

B. Ominde, P. Igbigbi
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引用次数: 0

摘要

背景:大耳甲(CB)伴鼻中隔偏曲(NSD)影响鼻副窦通过骨道复体的引流,因此易患鼻窦疾病。本研究旨在阐明尼日利亚成年人中CB和NSD的共存。材料与方法:经机构伦理批准,对某教学医院放射科年龄≥20岁的336例患者(男199例,女137例)的脑ct图像进行CB和NSD分析。使用社会科学软件版本23的统计软件包,这些变异的流行率以百分比表示,并使用卡方检验来探究它们的关联。用均值和标准差来总结中隔偏角。在同侧或对侧CB存在时,偏差角的差异使用独立t检验进行评估。P < 0.05为差异有统计学意义。结果:合并CB和NSD的患病率分别为77,22.9%。远离单侧或显性CB的NSD占显著优势(54,84.4%)(P = 0.022)。这一偏差发生的角度(11.82°±2.21°)明显大于向CB的偏差(9.86°±2.63°)(P = 0.036)。结论:在我们的人群中,对CB和NSD之间关系的认识强调了强制性的术前放射学评估,以帮助计划安全的鼻内镜手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The coexistence of concha bullosa and nasal septum deviation in adult Nigerians
BACKGROUND: Concha bullosa (CB) with an associated nasal septum deviation (NSD) compromises the paranasal sinus drainage through the osteomeatal complex hence predisposing to sinus disease. This study aimed at elucidating the concomitant existence of CB and NSD in adult Nigerians. MATERIALS AND METHODS: Following institutional ethical approval, brain computed tomography images of 336 patients (199 males and 137 females) aged ≥ 20 years were analyzed for CB and NSD in the Radiology Department of a Teaching Hospital. Using the Statistical Package for the Social Sciences software version 23, the prevalence of these variants was expressed in percentages, and their association was probed using the Chi-square test. The angle of septum deviation was summarized in means and standard deviations. The differences in deviation angle in the presence of either ipsilateral or contralateral CB were assessed using the independent t-test. P < 0.05 was considered statistically significant. RESULTS: The prevalence of coexisting CB and NSD was 77, 22.9%. There was a significant preponderance of NSD away from a unilateral or dominant CB (54, 84.4%) (P = 0.022). This deviation occurred at a significantly higher angle (11.82° ± 2.21°) than deviation toward a CB (9.86° ± 2.63°) (P = 0.036). CONCLUSION: The awareness of the association between CB and NSD in our population emphasizes on mandatory preoperative radiological evaluation to aid in planning for safe endoscopic surgeries through the nose.
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