Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation

Background and Objectives This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse. Methods We conducted a retrospective review of 142 paranasal sinus computed tomography scans from patients who had undergone septoplasty due to co...

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Main Authors: Shin Hyuk Yoo, Myeong Sang Yu
Format: Article
Language:English
Published: Korean Rhinologic Society 2023-11-01
Series:Journal of Rhinology
Subjects:
Online Access:http://www.j-rhinology.org/upload/pdf/jr-2023-00054.pdf
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author Shin Hyuk Yoo
Myeong Sang Yu
author_facet Shin Hyuk Yoo
Myeong Sang Yu
author_sort Shin Hyuk Yoo
collection DOAJ
description Background and Objectives This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse. Methods We conducted a retrospective review of 142 paranasal sinus computed tomography scans from patients who had undergone septoplasty due to confirmed NSD. The ULC angle was measured on both the narrow and wide sides of the nasal cavities, and these measurements were compared to evaluate the extent of ULC collapse in relation to the degree of NSD and patient age. The correlation between the degree of NSD and the degree of ULC collapse was also analyzed. Results The mean ULC angle was found to be 13.4°±2.7° on the narrow side and 14.3°±2.7° on the wide side, with a statistically significant difference between the two (p<0.001). When comparing caudal and non-caudal NSD patients, there was no significant difference in the degree of ULC on either side (p=0.166). When comparing the ULC angle between two age groups (≥50 vs. <50 years), the difference in ULC angles was significantly greater in the group of patients aged under 50 years (0.3°±3.8° vs. 1.1°±2.2°, p=0.014). There was a significant positive correlation between the degree of ULC collapse and the degree of septal deviation (r=0.214, p=0.01). Conclusion NSD was associated with ULC collapse on the narrow side and a narrow internal nasal valve area. This result indicates that clinicians should check for concomitant ULC collapse in patients with NSD.
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spelling doaj.art-3189df2a80b44c119eda4d47dcbf6b6c2024-02-14T07:09:37ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612023-11-0130314414810.18787/jr.2023.00054792Correlation of Upper Lateral Cartilage Collapse and Nasal Septal DeviationShin Hyuk Yoo0Myeong Sang Yu1 Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan, Republic of Korea Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaBackground and Objectives This study aimed to elucidate the relationship between nasal septal deviation (NSD) and upper lateral cartilage (ULC) collapse. Methods We conducted a retrospective review of 142 paranasal sinus computed tomography scans from patients who had undergone septoplasty due to confirmed NSD. The ULC angle was measured on both the narrow and wide sides of the nasal cavities, and these measurements were compared to evaluate the extent of ULC collapse in relation to the degree of NSD and patient age. The correlation between the degree of NSD and the degree of ULC collapse was also analyzed. Results The mean ULC angle was found to be 13.4°±2.7° on the narrow side and 14.3°±2.7° on the wide side, with a statistically significant difference between the two (p<0.001). When comparing caudal and non-caudal NSD patients, there was no significant difference in the degree of ULC on either side (p=0.166). When comparing the ULC angle between two age groups (≥50 vs. <50 years), the difference in ULC angles was significantly greater in the group of patients aged under 50 years (0.3°±3.8° vs. 1.1°±2.2°, p=0.014). There was a significant positive correlation between the degree of ULC collapse and the degree of septal deviation (r=0.214, p=0.01). Conclusion NSD was associated with ULC collapse on the narrow side and a narrow internal nasal valve area. This result indicates that clinicians should check for concomitant ULC collapse in patients with NSD.http://www.j-rhinology.org/upload/pdf/jr-2023-00054.pdfnasal septumnasal obstructionnasal cavitycomputed tomographyretrospective study
spellingShingle Shin Hyuk Yoo
Myeong Sang Yu
Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
Journal of Rhinology
nasal septum
nasal obstruction
nasal cavity
computed tomography
retrospective study
title Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
title_full Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
title_fullStr Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
title_full_unstemmed Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
title_short Correlation of Upper Lateral Cartilage Collapse and Nasal Septal Deviation
title_sort correlation of upper lateral cartilage collapse and nasal septal deviation
topic nasal septum
nasal obstruction
nasal cavity
computed tomography
retrospective study
url http://www.j-rhinology.org/upload/pdf/jr-2023-00054.pdf
work_keys_str_mv AT shinhyukyoo correlationofupperlateralcartilagecollapseandnasalseptaldeviation
AT myeongsangyu correlationofupperlateralcartilagecollapseandnasalseptaldeviation