Ct Scan Versus Endoscopy in The Assessment of Nasal Septum Deviation
DOI:
https://doi.org/10.32792/jmed.2025.29.2Keywords:
Septal deviation, CT scan, Osteomeatal complex, Concha bullosaAbstract
Background: The nasal cavity is divided into two passages by the nasalseptum. Nasal septum deviation refers to septal convexity to one side with
accompanying deformities of midline structures and associated lateral
nasal wall disease. It can be either “C or S-shaped” deformity, or
traumatic which is more irregular and dislocated.Aim of the study: is to
establish the value of endoscopy para nasal CT in the assessment of nasal
septal deviation. Patients and method: a cross sectional study conducted
on (80) patients who attended the ENT clinic at AL-Habobi Teaching
Hospital during the period from June 2024 to March 2025 in Al Nasiriya
City. The patients examined clinically by nasal endoscopy then CT
paranasal sinuses was done. Evaluation involve deviation side, septal
shape, associated nasal spurs, turbinate hypertrophy, concha bullosa,
paradoxical middle turbinate, the state of osteomeatal complex and
sinusitis Results:.C –shaped septum seen in (75%), S –shaped in (25%).
Inferior turbinate hypertrophy in (55%) and paradoxical middle turbinate
in (15%) in both endoscopy and CT.Concha bullosa and osteomeatal
complex obstruction seen only in CT in (47.5%) and (17.5%)
respectively.Associated sinusitis in (37.5% ) and maxillary sinus is the
most involved .Conclusion: CT has complementary role to endoscopy in
patients with septal deviation associated with lateral nasal wall
pathologies such as concha bullosa and obstructed osteomeatal complex,
which cannot clearly recognized in physical examination and in cases with
severe obstruction where complete access of the nasal cavity by
endoscopy is difficult
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