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Increased frequency of mitral valve prolapse in patients with deviated nasal septum

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Any abnormality of collagen may affect the tissues with higher collagen content, e.g., joints, heart valves, and great arteries. Mitral valve prolapse (MVP) is a characteristic of generalized collagen abnormality. Nasal septum (NS) is constituted by osseous and cartilaginous septums that are highly rich in collagen. We evaluated the co-existence of deviation of NS (DNS) in patients with MVP. We retrospectively evaluated the recordings of echocardiographic and nasal examinations of subjects with MVP and DNS. We analyzed the features of MVP and anatomical classification of DNS among subjects. Totally, 74 patients with DNS and 38 subjects with normal nasal passage were enrolled to the study. Presence of MVP was significantly higher in patients with DNS compared to normal subjects (63 vs 26 %, p < 0.001). Prolapse of anterior, posterior and both leaflets was higher in patients with DNS. Thickness of anterior mitral leaflet was significantly increased in patients with DNS (3.57 ± 0.68 vs 4.59 ± 1.1 mm, p < 0.001) compared to normal subjects. Type I, II, and III, IV DNS were higher in frequency in patients with MVP while type V and VI were higher in normal subjects. DNS is highly co-existent with MVP and increased thickness of mitral anterior leaflet. Generalized abnormality of collagen which is the main component of mitral valves and nasal septum may be accounted for co-existence of MVP and DNS. Also co-existence of them may exaggerate the symptoms of patients with MVP due to limited airflow through the nasal passage.

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Abbreviations

NS:

Nasal septum

DNS:

Deviated nasal septum

MV:

Mitral valve

MVP:

Mitral valve prolapse

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Authors and Affiliations

  1. Department of Otolaryngology, Etimesgut Military Hospital, Ankara, Turkey

    Hasan Huseyin Arslan

  2. Department of Cardiology, Etimesgut Military Hospital, Ankara, Turkey

    Mustafa Aparci

  3. Department of Cardiology, Mevki Military Hospital, Ankara, Turkey

    Zekeriya Arslan

  4. Department of Cardiology, Gulhane Military Medical Academy, Ankara, Turkey

    Cengiz Ozturk, Turgay Celik & Atila Iyisoy

  5. Department of Cardiology, Haydarpasa Training Hospital, Istanbul, Turkey

    Zafer Isilak

  6. Department of Cardiology, Eskişehir Military Hospital, Vişnelik Mah., Atatürk Cd., 26020, Akarbaşı/Eskişehir, Turkey

    Sevket Balta

Authors
  1. Hasan Huseyin Arslan
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  2. Mustafa Aparci
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  3. Zekeriya Arslan
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  4. Cengiz Ozturk
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  5. Zafer Isilak
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  6. Sevket Balta
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  7. Turgay Celik
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  8. Atila Iyisoy
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Correspondence to Sevket Balta.

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Arslan, H.H., Aparci, M., Arslan, Z. et al. Increased frequency of mitral valve prolapse in patients with deviated nasal septum. Eur Arch Otorhinolaryngol 272, 1667–1671 (2015). https://doi.org/10.1007/s00405-014-3243-8

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  • DOI: https://doi.org/10.1007/s00405-014-3243-8

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