Sažetak sa skupa
Middle turbinate pneumatization in the paediatric population
Borna Miličić
; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery
Ivan Jovanović
; UHC Zagreb, Department of radiology
Boris Bumber
; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery
Marcel Marjanović Kavanagh
; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery
Sažetak
Objective: Bullous middle turbinate is a common anatomical variation in adults, however not much is
known of its incidence and significance in children. Our aim was to determine the incidence of bullous middle
turbinate in children and to assess whether it is associated with nasal septum deviation and some other
anatomical variations such as pneumatization of superior turbinate, uncinate process, crista galli, sphenoid and
frontal sinus.
Materials and methods: Paranasal sinus CT scans of 87 paediatric patients (mean age 5.6 years) were
retrospectively reviewed. The presence of the concha bullosa, septal deviation and other anatomical variants
were determined using tomography images. All data from patients were assessed by both an otolaryngologist
and a radiologist. The patients were divided in two groups: group 1 were those with bullous middle turbinate
and group 2 were those with normal middle turbinate.
Results: In the overall group, bullous middle turbinate was present in 29.5% of patients, bullous
superior turbinate in 9.09%, deviated septum in 28.73%, pneumatized frontal sinus in 17.24%, pneumatized
uncinate process in 3.4% and pneumatized crista galli in 26.4% of patients. The patients in group 1 were older
(mean age 9.2 vs 3.9 years, p<0.001), 50% had a deviated septum vs 19.67% in group 2 (p=0.04). Bullous
superior turbinate was present in 26.92% of patients in group 1 and 3.28% in group 2 (p<0.001). In group 1,
the conchal type of sphenoid pneumatization was present in 34.61%, presellar in 15.3%, sellar in 50%, vs
83.6%, 9.83%, and 6.5%, respectively (p=0.001).
Conclusion: Our results showed that bullous middle turbinate is a frequent anatomical finding in older
children and is associated with a deviated septum, bullous upper turbinate and sellar type of sphenoid
pneumatization. This suggests that turbinate pneumatisation is congenital and a continuing development
process of the nose throughout childhood and adolescence, which is in concordance with some previous
studies.
Ključne riječi
turbinate pneumatization; septal deviation; computed tomography
Hrčak ID:
272898
URI
Datum izdavanja:
27.2.2022.
Posjeta: 306 *