Assessment of enlarged inferior turbinates in individuals presenting with a deviated nasal septum: A research conducted within a healthcare facility
Author(s): Rudra Kesav T and Kranthi Raj T
Abstract: Introduction and Background: A common anatomical variation known as a deviated nasal septum can cause nasal obstruction, which in turn impacts mucociliary function and airflow through the nose. The purpose of this research is to determine the nature of the connection between DNS and ITH, the relevance of this finding in clinical practice, and the effect on airway blockage in the nose.
Materials and Methods: In this cross-sectional study conducted at the department of ENT, Fathima Institute of Medical Sciences, Kadapa, Andhra Pradesh, India from November 2018 to October 2019, 120 patients who were diagnosed with DNS and who presented with nasal obstruction were included. Patients with DNS who presented with nasal obstruction were included in this hospital-based cross-sectional investigation. Patients were evaluated objectively for DNS and ITH using computed tomography imaging after a thorough clinical examination and nasal endoscopy. We measured and assessed the size of the inferior turbinate and classified the degree of septal deviation depending on its angle and severity. Patients with nasal polyps, chronic rhinosinusitis, history of nasal surgery, or trauma to the nose were not eligible to participate. The association between DNS severity and ITH was examined statistically.
Results: The analysis included 120 patients, with an average age of 32.4 ± 10.5 years; 74 men and 46 females made up the total. A total of 94% of patients had unilateral DNS, with 58% showing right-sided deviation and 42% showing left-sided. Hypertrophy ranging from mild to severe was present in 67% of patients, and 86% of cases showed contralateral ITH. Correlation coefficients of 0.72 and p < 0.001 indicate a positive relationship between the degree of ITH and the severity of septal deviation. A total of 89% of patients whose DNS was severely abnormal (>10° deviation) exhibited substantial ITH. Bilateral turbinate hypertrophy was observed in 75% of patients with bilateral septal deviation.
Conclusion: One possible explanation for the observed correlation between DNS and contralateral ITH is the development of a compensation mechanism in reaction to changes in airflow dynamics, as this study demonstrates. In order to attain the best possible airway patency and alleviation of symptoms, patients with substantial ITH should consider surgical treatments like septoplasty in conjunction with turbinate reduction.
DOI: 10.22271/27069567.2019.v1.i2b.608Pages: 210-213 | Views: 41 | Downloads: 18Download Full Article: Click Here
How to cite this article:
Rudra Kesav T, Kranthi Raj T.
Assessment of enlarged inferior turbinates in individuals presenting with a deviated nasal septum: A research conducted within a healthcare facility. Int J Adv Res Med 2019;1(2):210-213. DOI:
10.22271/27069567.2019.v1.i2b.608
