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Nasal Septum Deviation in Patients with Acute Invasive Fungal Rhinosinusitis in a Tertiary Care Hospital: A Cross-Sectional Study

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Abstract

This is a retrospective study exploring the demographics and the role of nasal septum deviation in acute invasive fungal rhinosinusitis (AIFS); and if this deviation contributes to the laterality predilection of this opportunistic infection. Fifty-six craniofacial CT scans were evaluated by two radiologists blinded to the clinical data and outcome for laterality of the disease; and nasal septal deviation (NSD). NSD was graded based on the measured septal angle of deviation into mild, moderate, and severe and furtherly classified into one of seven types based on Mladina’s classification. High prevalence of remarkable nasal septum deviation existed in our population with AIFS, with type 7 Mldina NSD represented the most prevalent in this population. We found no significant statistical relation between the side of deviation and the initial side of the fungal disease. We recommend screening for early manifestations of AIFS in similar debilitated patients; with high degrees of nasal septum deviation for considering it as an anatomical risk factor.

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Data Availability

Available upon request.

Abbreviations

AIFS:

Acute invasive fungal rhino-orbital

NSD:

Nasal septal deviation

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Acknowledgements

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No funding was received for this study.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Manar M. Ashour & Tougan T. Abdelaziz

  2. Department of Otolaryngology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Mohammad S. Mahmoud & Anas Askoura

  3. Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Soha A. Abuelela

  4. Department of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Mohamed I. Saleh & Doaa M. Ashour

Authors
  1. Manar M. Ashour
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  2. Tougan T. Abdelaziz
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  3. Mohammad S. Mahmoud
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  4. Anas Askoura
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  5. Soha A. Abuelela
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  6. Mohamed I. Saleh
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  7. Doaa M. Ashour
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Correspondence to Manar M. Ashour.

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All procedures performed in the study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments.

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Ashour, M.M., Abdelaziz, T.T., Mahmoud, M.S. et al. Nasal Septum Deviation in Patients with Acute Invasive Fungal Rhinosinusitis in a Tertiary Care Hospital: A Cross-Sectional Study. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-023-04438-1

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