초록

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비중격 만곡증에서 요측 하비갑개의 전부와 중부에서는 의미있는 점막과 뼈의 비후 및 증가된 갑개골의 내측편위를 보였다. 따라서 비중격 성형술시 하비갑개 수술은 하비갑개 뼈의 비후와 증가된 갑개골 내측편위를 줄이는 술식이 추천되고, 필요하다면 비후된 내측점막의 용적을 축소시키는 술식의 병행이 추천된다....

비중격 만곡증에서 요측 하비갑개의 전부와 중부에서는 의미있는 점막과 뼈의 비후 및 증가된 갑개골의 내측편위를 보였다. 따라서 비중격 성형술시 하비갑개 수술은 하비갑개 뼈의 비후와 증가된 갑개골 내측편위를 줄이는 술식이 추천되고, 필요하다면 비후된 내측점막의 용적을 축소시키는 술식의 병행이 추천된다.

Abstract ▼ AI-Helper

Objective : Compensatory hypertrophy of the inferior turbinate is frequently observed in case of nasal septal deviation. In surgical treatment of this case, some advocate that septoplasty only lead to improvement of nasal obstruction, while others emphasize that septoplasty must be accompanied by re...

Objective : Compensatory hypertrophy of the inferior turbinate is frequently observed in case of nasal septal deviation. In surgical treatment of this case, some advocate that septoplasty only lead to improvement of nasal obstruction, while others emphasize that septoplasty must be accompanied by reduction of inferior turbinate. So, author analyzed the structural change of the inferior turbinate in nasal septal deviation using by CT scan and aimed to provide anatomical information whether reduction surgery of inferior turbinate is needed in addition to septoplasty.
Materials and methods : The CT films of 154 patients performed septoplasty were reviewed retrospectively. All subjects had only C-shaped septal deviation. Subjects who had the abnormality including concha bullosa, sinusitis were excluded. Inferior turbinate was devided three portion as anterior, middle and posterior portions with equal length. In three consecutive coronal CT sections around the most deviated septumin in each portions, the thickness of mucosa and bone of the inferior turbinate and the degree of inferior conchal bone medialization were measured.
Result : The degree of medialization at concave side of inferior conchal bone was significantly increased than that of convex side in anterior and middle portion. The thickness of bone and mucosa at the concave side were significantly thicker than those of convex side in anterior and middle portion(p<0.05), but no significant differences were found in posterior
portion.
Conclusion : In nasal septal deviation, the degree of medialization of inferior conchal bone and the thickness of bone and mucosa at concave side were significantly greater than those of convex side in anterior and middle portion. So, considering with these results, combination of septoplasty and reduction surgery of inferior turbinate is recommended when surgery of nasal septal deviation is planned.