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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Main Authors: Daniela A. Brake, Sam Snider, Amar Miglani, Grant S. Hamilton, Stephen F. Bansberg
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:OTO Open
Subjects:
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.
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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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