Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study

Background The association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was t...

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Main Authors: Shishir Shetty, Saad Al-Bayatti, Mohammad Khursheed Alam, Natheer H. Al-Rawi, Vinayak Kamath, Shoaib Rahman Tippu, Sangeetha Narasimhan, Sausan Al Kawas, Walid Elsayed, Kumuda Rao, Renita Castelino
Format: Article
Language:English
Published: PeerJ Inc. 2022-09-01
Series:PeerJ
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Online Access:https://peerj.com/articles/14032.pdf
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author Shishir Shetty
Saad Al-Bayatti
Mohammad Khursheed Alam
Natheer H. Al-Rawi
Vinayak Kamath
Shoaib Rahman Tippu
Sangeetha Narasimhan
Sausan Al Kawas
Walid Elsayed
Kumuda Rao
Renita Castelino
author_facet Shishir Shetty
Saad Al-Bayatti
Mohammad Khursheed Alam
Natheer H. Al-Rawi
Vinayak Kamath
Shoaib Rahman Tippu
Sangeetha Narasimhan
Sausan Al Kawas
Walid Elsayed
Kumuda Rao
Renita Castelino
author_sort Shishir Shetty
collection DOAJ
description Background The association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was to analyze the association of inferior nasal turbinate volume with the degree of nasal septal deviation (NSD). Methods A retrospective evaluation of the cone beam computed tomography (CBCT) scans of 412 patients was carried out to obtain 150 scans which were included in the study. The scans were categorized into three groups. Group 1 comprised of 50 scans of patients with no inferior turbinate hypertrophy (ITH) and no nasal septal deviation. Group 2 comprised of 50 scans of patients with ITH and no NSD; whereas Group 3 included 50 scans of patients with ITH and NSD. The total turbinate volume of inferior turbinates (bilateral) were determined by using Vesalius 3D software (PS-Medtech, Amsterdam, Netherlands). Results The intraclass correlation coefficient (ICC) between the volumetric estimations performed by the two radiologists was 0.82. There were no significant age and gender related changes in the total turbinate volume. Patients in Group 3 had significantly higher (p = 0.001) total turbinate volume compared to Group 2 and Group 1. There was a positive and significant correlation (r = 0.52, p = 0.002) between the degree of septal deviation and total turbinate volume. When the total turbinate volume of the patients with different types of septal deviation was compared in Group 3, a statistically significant difference (p = 0.001) was observed. Regression analysis revealed that the septal deviation angle (SDA) (p = 0.001) had a relationship with total turbinate volume. From the results of the study we can conclude that the total turbinate volume is higher in patients with nasal septal deviation. It can also be concluded that the septal deviation angle has a positive correlation with total turbinate volume. The data obtained from the study can be useful in post-surgical follow up and evaluation of patients with nasal septal deviation and hypertrophied inferior nasal turbinate.
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spelling doaj.art-5de308f5daa84d31999a9b3b39052cb82023-12-03T10:50:34ZengPeerJ Inc.PeerJ2167-83592022-09-0110e1403210.7717/peerj.14032Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography studyShishir Shetty0Saad Al-Bayatti1Mohammad Khursheed Alam2Natheer H. Al-Rawi3Vinayak Kamath4Shoaib Rahman Tippu5Sangeetha Narasimhan6Sausan Al Kawas7Walid Elsayed8Kumuda Rao9Renita Castelino10Department of Oral and Craniofacial Health Sciences, University of Sharjah, Sharjah, , United Arab EmiratesDepartment of Oral and Craniofacial Health Sciences, University of Sharjah, Sharjah, , United Arab EmiratesPreventive Dentistry Department, Jouf University, Sakaka, Al Jouf, Saudi ArabiaDepartment of Oral and Craniofacial Health Sciences, University of Sharjah, Sharjah, , United Arab EmiratesDepartment of Public Health Dentistry, Goa Dental College, Goa, IndiaDepartment of Diagnostic and Surgical Dental Sciences, Gulf Medical University, Ajman, United Arab EmiratesDepartment of Oral and Craniofacial Health Sciences, University of Sharjah, Sharjah, , United Arab EmiratesDepartment of Oral and Craniofacial Health Sciences, University of Sharjah, Sharjah, , United Arab EmiratesCollege of Dentistry, Gulf Medical University, Ajman, United Arab EmiratesDepartment of Oral Medicine and Radiology, Nitte (Deemed to be University), Mangalore, IndiaDepartment of Oral Medicine and Radiology, Nitte (Deemed to be University), Mangalore, IndiaBackground The association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was to analyze the association of inferior nasal turbinate volume with the degree of nasal septal deviation (NSD). Methods A retrospective evaluation of the cone beam computed tomography (CBCT) scans of 412 patients was carried out to obtain 150 scans which were included in the study. The scans were categorized into three groups. Group 1 comprised of 50 scans of patients with no inferior turbinate hypertrophy (ITH) and no nasal septal deviation. Group 2 comprised of 50 scans of patients with ITH and no NSD; whereas Group 3 included 50 scans of patients with ITH and NSD. The total turbinate volume of inferior turbinates (bilateral) were determined by using Vesalius 3D software (PS-Medtech, Amsterdam, Netherlands). Results The intraclass correlation coefficient (ICC) between the volumetric estimations performed by the two radiologists was 0.82. There were no significant age and gender related changes in the total turbinate volume. Patients in Group 3 had significantly higher (p = 0.001) total turbinate volume compared to Group 2 and Group 1. There was a positive and significant correlation (r = 0.52, p = 0.002) between the degree of septal deviation and total turbinate volume. When the total turbinate volume of the patients with different types of septal deviation was compared in Group 3, a statistically significant difference (p = 0.001) was observed. Regression analysis revealed that the septal deviation angle (SDA) (p = 0.001) had a relationship with total turbinate volume. From the results of the study we can conclude that the total turbinate volume is higher in patients with nasal septal deviation. It can also be concluded that the septal deviation angle has a positive correlation with total turbinate volume. The data obtained from the study can be useful in post-surgical follow up and evaluation of patients with nasal septal deviation and hypertrophied inferior nasal turbinate.https://peerj.com/articles/14032.pdfTurbinatesHypertrophyNasal septumVolumeCone beam tomography
spellingShingle Shishir Shetty
Saad Al-Bayatti
Mohammad Khursheed Alam
Natheer H. Al-Rawi
Vinayak Kamath
Shoaib Rahman Tippu
Sangeetha Narasimhan
Sausan Al Kawas
Walid Elsayed
Kumuda Rao
Renita Castelino
Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
PeerJ
Turbinates
Hypertrophy
Nasal septum
Volume
Cone beam tomography
title Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
title_full Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
title_fullStr Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
title_full_unstemmed Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
title_short Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study
title_sort analysis of inferior nasal turbinate volume in subjects with nasal septum deviation a retrospective cone beam tomography study
topic Turbinates
Hypertrophy
Nasal septum
Volume
Cone beam tomography
url https://peerj.com/articles/14032.pdf
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