Author/Authors :
Sarafraz، Mozafar نويسنده Ahvaz university of medical scienses,Department of otorhinolaryngology , , Nikakhlagh، Soheila نويسنده Associate Professor of Otolaryngology, Head and Neck Surgery, Hearing and Speech Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Abshirini، Hasan نويسنده Associate Professor of Otolaryngology, Head and Neck Surgery, Hearing and Speech Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Momengharib، Mohammad نويسنده Assistant Professor of Radiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Haghpanah، Payam نويسنده Hearing and Speech Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Jahani، Mojtaba نويسنده Hearing and Speech Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Noori، Seyed Mahdi نويسنده Hearing and Speech Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran ,
Abstract :
Background: Identifying predisposing factors for chronic sinusitis is very important.
Objectives: Anatomical variation of the lateral nasal wall has been investigated in several studies and it has been suggested as a
predisposing factor for sinusitis.
Patients and Methods: In this case-control study, 74 patients who were diagnosed with chronic sinusitis (the case group) based on
clinical criteria and CT scan were entered into the study and 74 patients without chronic sinusitis were considered as the control
group. CT scans of all patients were reviewed by a radiologist to interpret and evaluate anatomic variations of anterior osteomeatal
complex including nasal deviation, concha bullosa, agger nasi, lateralized uncinate, Haller’s cells, paradoxical middle turbinate,
and maxillary hypoplasia. Data were analyzed using the chi-squared test and Fisher’s exact test with SPSS software version 18. P <
0.05 was considered statistically significant.
Results: Results showed that the most common sinus involved was maxillary sinus. Among anatomic variations, septal deviation
and concha bullosa were associated with chronic sinusitis (P < 0.01 and P < 0.032, respectively).
Conclusions: Among anatomic variations, septal deviation and concha bullosa are predisposing factors for chronic sinusitis and
we recommend that patients with chronic sinusitis be treated by surgical procedures.
