Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Abstract
Background: Chronic sinusitis occurs due to abnormalities in the mucociliary clearance of the sinuses into the ostiomeatal complex. A deviated nasal septum disrupts nasal physiology and obstructs airflow. Meanwhile, the lateral nasal wall is crucial in the anatomy of the ostiomeatal complex. The correlation between the deviated septum and the lateral wall structure must be assessed.
Objectives: To describe the computed tomography imaging characteristics and the influence of nasal septal deviation angle on the lateral wall in adults with chronic rhinosinusitis.
Materials and methods: A cross-sectional descriptive study was conducted on 180 patients aged 18 and above with chronic rhinosinusitis and deviated nasal septum who underwent maxillofacial computed tomography at Hue University of Medicine and Pharmacy from April 2022 to March 2024. Image analysis was performed to measure the deviation angle of the nasal septum on the coronal plane and group patients accordingly. The anatomical variations of the lateral nasal wall were assessed, and correlations were drawn.
Results: The nasal septum deviated more to the left side (57.8%), with a high prevalence of bony septal spurs
(43.3%). The mean deviation angle was 9.27° ± 2.96. The group with a moderate deviation angle (6° to 9°) accounted for the highest proportion, at 53.3%. Anatomical variations of the lateral nasal wall were frequent and distributed evenly on both sides. A statistically significant correlation existed between increasing nasal septum deviation angle and ostiomeatal complex obstruction and lateral nasal wall anatomical variations. Anatomical variations were more frequently found on the side opposite the deviated nasal septum, and there was a statistically significant correlation between increasing nasal septum deviation angle and hypertrophied inferior turbinate contralateral.
Conclusion: Most patients had mild to moderate nasal septal deviation. Increased
nasal septal deviation angle altered the structure of the lateral nasal wall through compensatory changes or the
development of anatomical variations.
| Published | 2026-03-30 | |
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| Issue | Vol. 16 No. 1 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.1.1024 | |
| Keywords | viêm mũi xoang mạn tính, cắt lớp vi tính, lệch vách ngăn mũi, góc lệch, thành bên mũi Chronic rhinosinusitis, CT scan, nasal septal deviation, septal angle, lateral nasal wall |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
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