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Correlation of maximal nasal septal deviation with deviation at the maxillary insertion

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Abstract

Purpose

It is unclear if septal deviation at the insertion points to the nasal cavity is associated with the overall septal deviation. This study aimed to assess septal deviation at the cribriform plate (CP) and maxillary crest (MC) using CT scans and to see if there was any correlation with overall septal deviation.

Methods

All consecutive CT sinus scans between January 2020 and December 2021 were retrospectively reviewed. Patients were excluded if they had a history of head, nasal or facial trauma, or any previous nasal surgical procedure. Angles between the septum and MC and the septum and CP as well as maximal angle of septal deviation (MSD) were measured.

Results

A total of 70 scans were included in the final analysis. The mean MSD was 8.14°. The mean septal deviation was 0.89° at the CP and 2.02° at the MC. The correlation coefficient between the deviation at the CP and MSD was 0.025 and between the deviation at the MC and MSD was 0.321.

Conclusion

Our data reveal a positive correlation between septal deviation at the floor of the nose and overall septal deviation; this was not observed at the septal deviation at the roof. This could be explained due to the inherent tilt in the cribriform plate or by earlier ossification and fixation of the septum during its development at its insertion to the roof, thereby allowing further growth and potential for deviation of the lower part of the septum and its insertion to the floor.

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Data availability

Data is available on request.

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Authors and Affiliations

  1. Department of Otorhinolaryngology Heartlands Hospital, University Hospitals Birmingham NHS Trust, Bordesley Green East, Birmingham, B9 5SS, England

    Keshav Kumar Gupta & Shahram Anari

  2. Department of Radiology Heartlands Hospital, University Hospitals Birmingham NHS Trust, Birmingham, England

    Dean Davda

  3. Department of Otorhinolaryngology Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, B15 2TH, England

    Zahir Mughal & Andrew Lotfallah

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  1. Keshav Kumar Gupta
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Contributions

Keshav Kumar Gupta; project development, data collection, data analysis, manuscript writing. Dean Davda; data collection, data analysis, manuscript editing. Zahir Mughal; data analysis, manuscript editing. Andrew Lotfallah; data analysis, manuscript editing. Shahra, Anari; project development, manuscript editing, project supervision. All authors reviewed and approved the manuscript prior to submission.

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Correspondence to Keshav Kumar Gupta.

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Adhering to the guiding principles of the Declaration of Helsinki this was an anonymous, retrospective analysis of case notes and investigations and as such no ethical approval was sought or required.

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Gupta, K.K., Davda, D., Mughal, Z. et al. Correlation of maximal nasal septal deviation with deviation at the maxillary insertion. Surg Radiol Anat (2024). https://doi.org/10.1007/s00276-024-03334-9

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