European Archives of Oto-Rhino-Laryngology

, Volume 273, Issue 6, pp 1477–1480 | Cite as

Assessment of the effect of deviated nasal septum on the structure of nasal cavity



The present study was aimed to investigate the effects of DNS on the structure of nasal cavity. The paranasal sinus coronal view CT of 108 patients with DNS and 129 hospitalized patients without DNS was retrospectively analyzed. The transverse diameter of nasal cavity (a), transverse diameter of nasal cavity and paranasal sinus (b), angle between maxillary and palatal bone, interalveolar distance, and maxillary rotation distance were measured. The ratio of a/b in experimental group was 0.367 ± 0.006 which was significantly (P = 0.0023) less than that in control group (0.391 ± 0.005). For the angle between maxillary and palatal bone, there was no significant difference found between DNS and control group for both right and left sides. The interalveolar distance was 40.75 mm in experimental group, and 38.8 mm in control (P = 0.0002). For the maxillary rotation distance, findings were considered as significant (P < 0.0001) in experimental group (11.25 mm) compared with control (10.1 mm). The present study demonstrates that long-term DNS affects the development of nasal cavity and paranasal sinus, as well as increases the interalveolar distance and maxillary rotation distance. These influences may be caused by the alteration of airflow inside the nasal cavities.


Deviated nasal septum Nasal cavity Paranasal sinus Interalveolar distance Maxillary rotation distance 


  1. 1.
    Gray L (1967) Deviated nasal septum III—its influence on the physiology and disease of the nose and ear. J Laryngol Otol 81:953–986CrossRefPubMedGoogle Scholar
  2. 2.
    Keleş B, Ztürk K, Naldi D, Arbağ H, Zer B (2013) Is there any relationship between nasal septal deviation and concha bullosaGoogle Scholar
  3. 3.
    Roblin D, Eccles R (2002) What, if any, is the value of septal surgery? Clin Otolaryngol Allied Sci 27:77–80CrossRefPubMedGoogle Scholar
  4. 4.
    Blaugrund SM (1989) Nasal obstruction. The nasal septum and concha bullosa. Otolaryngol Clin North Am 22:291–306PubMedGoogle Scholar
  5. 5.
    Metson RB, Mardon S (2005) The Harvard Medical School guide to healing your sinuses. McGraw Hill, New YorkGoogle Scholar
  6. 6.
    Kim SK, Heo GE, Seo A, Na Y, Chung S-K (2014) Correlation between nasal airflow characteristics and clinical relevance of nasal septal deviation to nasal airway obstruction. Respir Physiol Neurobiol 192:95–101CrossRefPubMedGoogle Scholar
  7. 7.
    Mundra R, Gupta Y, Sinha R, Gupta A (2014) CT scan study of influence of septal angle deviation on lateral nasal wall in patients of chronic rhinosinusitis. Indian J Otolaryngol Head Neck Surg 66:187–190CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Lasters F, Mallegho C, Boudewyns A, Vanderveken O, Cox T, Ketelslagers K, Verbraecken J (2014) Nasal symptoms in patients with obstructive sleep apnea and their impact on therapeutic compliance with continuous positive airway pressure. Acta Clin Belg 69:87–91CrossRefPubMedGoogle Scholar
  9. 9.
    Foda HM (2005) The role of septal surgery in management of the deviated nose. Plast Reconstr Surg 115:406–415CrossRefPubMedGoogle Scholar
  10. 10.
    Bhattacharyya N (2010) The role of CT and MRI in the diagnosis of chronic rhinosinusitis. Curr Allergy Asthma Rep 10:171–174CrossRefPubMedGoogle Scholar
  11. 11.
    Cengiz C, Hanifi B, Ercan A, Yasar C (2013) Assessment of the relationship between palatum durum and maxillary bone in patients with nasal polyp, chronic sinusitis or septum deviation. Indian J Otolaryngol Head Neck Surg 65:421–425CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Baumann I, Plinkert P (1996) Effect of breathing mode and nose ventilation on growth of the facial bones. HNO 44:229–234PubMedGoogle Scholar
  13. 13.
    Kim YM, Rha KS, Weissman JD, Hwang PH, Most SP (2011) Correlation of asymmetric facial growth with deviated nasal septum. Laryngoscope 121:1144–1148CrossRefPubMedGoogle Scholar
  14. 14.
    Calhoun KH, Rotzler WH, Stiernberg CM (1990) Surgical anatomy of the lateral nasal wall. Otolaryngol Head Neck Surg 102:156–160CrossRefPubMedGoogle Scholar
  15. 15.
    Yousem DM, Kennedy D, Rosenberg S (1991) Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otolaryngol 20:419–424PubMedGoogle Scholar
  16. 16.
    Cho SH, Kim TH, Kim KR et al (2010) Factors for maxillary sinus volume and craniofacial anatomical features in adults with chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 136:610–615CrossRefPubMedGoogle Scholar
  17. 17.
    Hsu J, Peters AT (2011) Pathophysiology of chronic rhinosinusitis with nasal polyp. Am J Rhinol Allergy 25:285–290CrossRefPubMedGoogle Scholar
  18. 18.
    Hamilos DL (2011) Chronic rhinosinusitis: epidemiology and medical management. J Allergy Clin Immunol 128:693–707CrossRefPubMedGoogle Scholar
  19. 19.
    Van Crombruggen K, Zhang N, Gevaert P, Tomassen P, Bachert C (2011) Pathogenesis of chronic rhinosinusitis: inflammation. J Allergy Clin Immunol 128:728–732CrossRefPubMedGoogle Scholar
  20. 20.
    Serter S, Gunhan K, Can F, Pabuscu Y (2010) Transformation of the maxillary bone in adults with nasal polyposis: a CT morphometric study. Diagn Interv Radiol 16:122–124PubMedGoogle Scholar
  21. 21.
    Akbay E, Cokkeser Y, Yilmaz O, Cevik C (2013) The relationship between posterior septum deviation and depth of maxillopalatal arch. Auris Nasus Larynx 40:286–290CrossRefPubMedGoogle Scholar
  22. 22.
    Bresolin D, Shapiro PA, Shapiro GG, Chapko MK, Dassel S (1983) Mouth breathing in allergic children: its relationship to dentofacial development. Am J Orthod 83:334–340CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Otolaryngology-Head and Neck SurgeryNanjing Drum Tower Hospital Affiliated to Nanjing University Medical SchoolNanjingPeople’s Republic of China
  2. 2.Department of Otolaryngology-Head and Neck SurgeryDrum Tower Clinical Medical College of Nanjing Medical UniversityNanjingPeople’s Republic of China
  3. 3.Department of RadiologyNanjing Drum Tower Hospital Affiliated to Nanjing University Medical SchoolNanjingPeople’s Republic of China
  4. 4.Key Lab of Modern Toxicology of Ministry of Education, School of Public HealthNanjing Medical UniversityNanjingPeople’s Republic of China
  5. 5.State Key Lab of Reproductive Medicine, Institute of ToxicologyNanjing Medical UniversityNanjingPeople’s Republic of China

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