Skip to main content
SpringerLink
Log in

Assessment of the correlation between nasal septal deviation and compensatory hypertrophy of the middle turbinate

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

Abstract

The aim of the study was to investigate the relationship between nasal septal deviation and the middle turbinate hypertrophy using computed tomography. In this retrospective analysis, we examined 77 patients with nasal septal deviation. The mucosal and bone structures of the middle turbinate and the angle of the septum were measured using radiological analysis. Measurements of the middle turbinate on the convex side were compared to those on the concave side. Measurements of the bony and mucosal structure area of the middle turbinate were significantly greater than those on the concave side. The dimensions of medial mucosa thickness and bone thickness were not significantly different between the convex and concave sides. No significant correlation was found between the angle of deviation and other parameters. The present findings suggest that compensatory middle turbinate hypertrophy was caused both by conchal bone growth and mucosal hypertrophy in patients with nasal septal deviation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ozcan KM, Selcuk A, Ozcan I, Akdogan O, Dere H (2008) Anatomical variations of nasal turbinates. J Craniofac Surg 19:1678–1682

    Article  PubMed  Google Scholar 

  2. Aydil U, Ozçelik T (2010) Unilateral agenesis of middle nasal turbinate. J Laryngol Otol 124:447–449

    Article  CAS  PubMed  Google Scholar 

  3. Christmas DA, Mirante JP, Yanagisawa E (2012) Endoscopic view of compensatory hypertrophy of the middle turbinate. Ear Nose Throat J 91:230

    PubMed  Google Scholar 

  4. Gray LP (1978) Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol Suppl 87:3–20

    Article  CAS  PubMed  Google Scholar 

  5. Courtiss EH, Goldwyn RM, O’Brien JJ (1978) Resection of obstructing inferior nasal turbinates. Plast Reconstr Surg 62:249–257

    Article  CAS  PubMed  Google Scholar 

  6. Berger G, Hammel I, Berger R, Avraham S, Ophir D (2000) Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 110:2100–2105

    Article  CAS  PubMed  Google Scholar 

  7. Korkut AY, Islim F, Gulseven Ciftci S, Dogan R, Gedikli O, Kahya V, Gunes G (2012) Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation. J Laryngol Otol 126:784–788

    Article  CAS  PubMed  Google Scholar 

  8. Akoğlu E, Karazincir S, Balci A, Okuyucu S, Sumbas H, Dağli AS (2007) Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum. Otolaryngol Head Neck Surg 136:380–384

    Article  PubMed  Google Scholar 

  9. Kim DH, Park HY, Kim HS, Kang SO, Park JS, Han NS, Kim HJ (2008) Effect of septoplasty on inferior turbinate hypertrophy. Arch Otolaryngol Head Neck Surg 134:419–423

    Article  PubMed  Google Scholar 

  10. Orhan I, Aydın S, Ormeci T, Yılmaz F (2014) A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy 28:e68–e72

    Article  PubMed  Google Scholar 

  11. Ng BA, Ramsey RG, Corey JP (1999) The distribution of nasal erectile mucosa as visualized by magnetic resonance imaging. Ear Nose Throat J 78:163–166

    Google Scholar 

  12. Egeli E, Demirci L, Yazýcý B, Harputluoglu U (2004) Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope 114:113–117

    Article  PubMed  Google Scholar 

  13. Busaba NY, Shin HJ, Faquin WC (2006) Correlation between middle turbinate and ipsilateral ethmoid histopathology in chronic rhinosinusitis. Otolaryngol Head Neck Surg 134:250–254

    Article  PubMed  Google Scholar 

  14. Luo X, Liang C, Xu K, Tang S, Ren X, Liu D (2012) Influence of nasal septal deviation on incidence of bilateral sinusitis. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 26:777–780

    PubMed  Google Scholar 

  15. Kaygusuz A, Haksever M, Akduman D, Aslan S, Sayar Z (2014) Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease-a computerized tomography assisted anatomical and clinical study. Indian J Otolaryngol Head Neck Surg 66:260–266

    Article  PubMed  Google Scholar 

  16. Balbach L, Trinkel V, Guldner C, Bien S, Teymoortash A, Werner JA, Bremke M (2011) Radiological examinations of the anatomy of the inferior turbinate using digital volume tomography (DVT). Rhinology 49:248–252

    CAS  PubMed  Google Scholar 

  17. Savvateeva DM, Güldner C, Murthum T, Bien S, Teymoortash A, Werner JA, Bremke M (2010) Digital volume tomography (DVT) measurements of the olfactory cleft and olfactory fossa. Acta Otolaryngol 130:398–404

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Associated Professor Ünal Erkorkmaz, Department of Biostatistics, Training and Research Hospital at the University of Sakarya, for their help.

Conflict of interest

We have no actual or potential conflict of interest in relation to this paper.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Training and Research Hospital at the University of Sakarya, No:67/15, 54050, Serdivan/Sakarya, Turkey

    Deniz Demir, Mehmet Güven, Gürkan Kayabaşoğlu & Mahmut Sinan Yılmaz

  2. Department of Radiology, Training and Research Hospital at the University of Sakarya, Serdivan/Sakarya, Turkey

    Kıyasettin Asil

Authors
  1. Deniz Demir
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kıyasettin Asil
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehmet Güven
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gürkan Kayabaşoğlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mahmut Sinan Yılmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Deniz Demir.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Demir, D., Asil, K., Güven, M. et al. Assessment of the correlation between nasal septal deviation and compensatory hypertrophy of the middle turbinate. Eur Arch Otorhinolaryngol 272, 2847–2851 (2015). https://doi.org/10.1007/s00405-014-3387-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-014-3387-6

Keywords

Search

Navigation