Nasal Swell Body Characteristics in Patients With Septal Perforation
Abstract Objective To determine whether septal perforations have an effect on nasal swell body (NSB) size. Study Design Retrospective cohort study. Setting Two tertiary academic medical centers. Methods Computed tomography maxillofacial scans of 126 patients with septal perforation and 140 control p...
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Format: | Article |
Language: | English |
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Wiley
2023-01-01
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Series: | OTO Open |
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Online Access: | https://doi.org/10.1002/oto2.43 |
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author | Daniela A. Brake Sam Snider Amar Miglani Grant S. Hamilton Stephen F. Bansberg |
author_facet | Daniela A. Brake Sam Snider Amar Miglani Grant S. Hamilton Stephen F. Bansberg |
author_sort | Daniela A. Brake |
collection | DOAJ |
description | Abstract Objective To determine whether septal perforations have an effect on nasal swell body (NSB) size. Study Design Retrospective cohort study. Setting Two tertiary academic medical centers. Methods Computed tomography maxillofacial scans of 126 patients with septal perforation and 140 control patients from November 2010 to December 2020 were evaluated. Perforation etiology was determined. Measurements included perforation length and height and swell body width, height, and length. Swell body volume was calculated. Results The width and volume of the NSB are significantly smaller in perforation patients when compared to controls. The swell body is significantly smaller and thinner in perforations exceeding 14 mm in height compared to small perforations. Perforation etiology groupings into prior septal surgery, septal trauma, septal inflammatory, and mucosal vasoconstriction categories all demonstrated decreased swell body volume and width compared to controls. Inflammatory etiology had the greatest decrease in swell body size. The hemi‐swell body on the contralateral side of a septal deviation is significantly thicker than the ipsilateral side. Conclusion The NSB is smaller in patients with septal perforation regardless of perforation size or etiology. |
first_indexed | 2024-03-10T12:15:59Z |
format | Article |
id | doaj.art-000bfb0ae8b44fe992be50e86fa43961 |
institution | Directory Open Access Journal |
issn | 2473-974X |
language | English |
last_indexed | 2024-03-10T12:15:59Z |
publishDate | 2023-01-01 |
publisher | Wiley |
record_format | Article |
series | OTO Open |
spelling | doaj.art-000bfb0ae8b44fe992be50e86fa439612023-11-21T15:50:29ZengWileyOTO Open2473-974X2023-01-0171n/an/a10.1002/oto2.43Nasal Swell Body Characteristics in Patients With Septal PerforationDaniela A. Brake0Sam Snider1Amar Miglani2Grant S. Hamilton3Stephen F. Bansberg4Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USADepartment of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USADepartment of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USADepartment of Otolaryngology–Head and Neck Surgery Mayo Clinic Rochester Minnesota USADepartment of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USAAbstract Objective To determine whether septal perforations have an effect on nasal swell body (NSB) size. Study Design Retrospective cohort study. Setting Two tertiary academic medical centers. Methods Computed tomography maxillofacial scans of 126 patients with septal perforation and 140 control patients from November 2010 to December 2020 were evaluated. Perforation etiology was determined. Measurements included perforation length and height and swell body width, height, and length. Swell body volume was calculated. Results The width and volume of the NSB are significantly smaller in perforation patients when compared to controls. The swell body is significantly smaller and thinner in perforations exceeding 14 mm in height compared to small perforations. Perforation etiology groupings into prior septal surgery, septal trauma, septal inflammatory, and mucosal vasoconstriction categories all demonstrated decreased swell body volume and width compared to controls. Inflammatory etiology had the greatest decrease in swell body size. The hemi‐swell body on the contralateral side of a septal deviation is significantly thicker than the ipsilateral side. Conclusion The NSB is smaller in patients with septal perforation regardless of perforation size or etiology.https://doi.org/10.1002/oto2.43nasal obstructionnasal swell bodyseptal perforationseptal perforation repairseptal swell body |
spellingShingle | Daniela A. Brake Sam Snider Amar Miglani Grant S. Hamilton Stephen F. Bansberg Nasal Swell Body Characteristics in Patients With Septal Perforation OTO Open nasal obstruction nasal swell body septal perforation septal perforation repair septal swell body |
title | Nasal Swell Body Characteristics in Patients With Septal Perforation |
title_full | Nasal Swell Body Characteristics in Patients With Septal Perforation |
title_fullStr | Nasal Swell Body Characteristics in Patients With Septal Perforation |
title_full_unstemmed | Nasal Swell Body Characteristics in Patients With Septal Perforation |
title_short | Nasal Swell Body Characteristics in Patients With Septal Perforation |
title_sort | nasal swell body characteristics in patients with septal perforation |
topic | nasal obstruction nasal swell body septal perforation septal perforation repair septal swell body |
url | https://doi.org/10.1002/oto2.43 |
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