Objective To investigate the features of compensatory hypertrophy of inferior turbinate mucosa in different course of deviated nasal septum. Methods The preoperative sinuses computed tomography (CT) images of 65 patients with deviated nasal septum in our hospital were retrospectively analyzed. Patients were divided into three groups according to the course of disease: group A for 1~5 years, group B for 6~10 years, and group C for more than 10 years. Thickness and density of the lateral mucosa of the inferior turbinate were measured and compared among all groups. Results The thickness of lateral mucosa of the inferior turbinate was (4.2±0.8) mm, (5.2±0.7) mm and (4.7±1.3) mm, respectively in the three groups. Thickness of lateral mucosa of inferior turbinate in group B was thicker than that of group A and group C, and there was statistical difference (P<0.05). The mucosal density of the medial side of the inferior turbinate in patients with course of disease from 1~5 years, 6~10 years and more than 10 years gradually increased, and was (38.6±7.1) HU, (49.7±4.5) HU, 56.7 (41.6, 59.3) HU, and with statistical difference respectively(P<0.05). Conclusions There are morphological differences in the compensatory hypertrophy of inferior turbinate mucosa in patients with different course of disease, which may reflect the pathological characteristics of inferior turbinate mucosa hypertrophy.
Key words
Deviated nasal septum /
  /
Inferior turbinate /
  /
Compensatory hypertrophic of mucosa /
  /
MSCT
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 邱小雯, 胡建道. 鼻中隔偏曲伴下鼻甲肥厚患者的鼻窦CT分析[J]. 中国耳鼻咽喉头颈外科杂志, 2017, 24(7): 365-367. DOI: 1010.16066/j.1672-7002.2017.07.011.
[2] Jun BC, Kim SM, Kim SM, et al. Is turbinate surgery necessary when performing a septoplasty[J]? Eur Arch Otorhinolarygol, 2009, 266(7): 975-980. DOI: 10.1007/s00405-008-0855-x.
[3] 杜奕, 何静, 陈彤. 鼻中隔偏曲与慢性鼻-鼻窦炎及下鼻甲肥厚相关性的MSCT分析[J]. 宁夏医学杂志, 2022, 44(7): 597-599. DOI: 10.13621/j.1001-5949.2022.07.0597.
[4] Camacho M, Zaghi S, Certal V, et al. Inferior turbinate classification system, grades 1 to 4: development and valadition study[J]. Laryng oscope, 2015, 125(2): 296-302. DOI: 10.1002/lary.24923.
[5] Wong EH, Noussair M, Hasan Z, et al. Physiological changes in the size of the septal swell body correlate with changes in inferior turbinate size[J]. J Laryngol Otol, 2020, 134(4): 323-327. DOI: 10.1017/S00222 15120000675.
[6] 张力, 康渊春, 刘海斌, 等. 首诊眼科的真菌性鼻窦炎的影像解剖学特点[J]. 中国临床解剖学杂志, 2021, 39(1): 216-219. DOI: 10.13418/j.issn.1001-165x.2021.02.019.
[7] 李孝媛, 袁梅, 尤琴琴, 等. 额窦引流通道及额隐窝气房的CT影像分型及临床应用价值[J]. 中国临床解剖学杂志, 2019, 37(2): 135-138. DOI: 10.13418/j.issn.1001-165x.2019.02.004.
[8] Anwar MW, Hamed AA, Abdulmonaem G, et al. Computed tomography measurement of inferior turbinate in asymptomatic adult[J]. Int Arch Otorhinolaryngol, 2017,21(4): 366-370. DOI: 10.1055/s-0037-1598649.
[9] 张郅瑾, 杨旭文, 李绚, 等. 结构性鼻塞的病因学及机制研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(7): 666-672. DOI: 10.13201/j.issn.2096-7993.2021.07.021.
[10] Berger G, Hammel I, Berger R, et al. Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum[J]. Laryngoscope, 2000, 110(12): 2100-2105. DOI: 10.1097/00005537-200012000-00024.