Symptomatic septal nasal deviation and its association with sinusitis: A clinical study.

Article Information

Title: Symptomatic septal nasal deviation and its association with sinusitis: A clinical study.

Authors: Abdul Malik Mujahid, Muhammad Umair Wahab, Asma Bint e Saad, Abdul Shakoor, Mahriq Fatima, Muhammad Farhan Akhtar

Journal: The Professional Medical Journal (TPMJ)

HEC Recognition History

Category	From	To
Y	2024-10-01	2025-12-31
Y	2023-07-01	2024-09-30
Y	2022-07-01	2023-06-30
Y	2021-07-01	2022-06-30

Publisher: Independent Medical College, Faisalabad- Pakistan

Country: Pakistan

Year: 2023

Volume: 30

Issue: 3

Language: English

DOI: 10.29309/TPMJ/2023.30.03.7342

Keywords: CT scanSinusitisDeviated Nasal Septum

Abstract

Objective: To determine the frequency of symptomatic nasal septal deviation in patients with sinusitis. Study Design: Cross-Sectional Study. Setting: Department of Otolaryngology and Plastic Surgery, Jinnah Hospital &amp; Burn Center Lahore. Period: 1st January, 2019 to 31st December, 2019. Material &amp; Methods: A total of 165 cases who fulfill the inclusion criteria were enrolled from ENT &amp; Plastic Surgery OPD of Jinnah Hospital &amp; Burn Center, Lahore. After the informed consent, clinical and CT scan examination was done with 16-slice MDCT scanner in all the cases. The images were retrieved in external hard drives. The nasal septum was evaluated for presence of deviated nasal septum. Data was entered and analyzed using SPSS v23.0 and was stratified for age and gender. Chi-square test was applied for post stratification. A p-value ≤0.05 was considered as significant. Results: Among 165 patients there were 109(66.1 percent) males and 56 (33.9%) females. The average mean age was 37.3± 12.3 years.121 (73.3%) patients out of 165 had deviated nasal septum (DNS) associated with sinusitis. Conclusion: Nasal septal deviation is a very common condition in our country and is significantly associated with sinusitis. This study highlights the prevalence of deviated nasal septum and its accompanying symptoms that need to be considered during the clinical and radiological evaluation of patient.

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Research Objective

To determine the frequency of symptomatic nasal septal deviation in patients with sinusitis.

Methodology

Cross-sectional study conducted at the Department of Otolaryngology and Plastic Surgery, Jinnah Hospital & Burn Center Lahore, from January 1, 2019, to December 31, 2019. A total of 165 patients meeting inclusion criteria were enrolled. Clinical and CT scan examinations (16-slice MDCT scanner) were performed. Data was analyzed using SPSS v23.0 and stratified for age and gender, with a Chi-square test applied for post-stratification. A p-value of ≤ 0.05 was considered significant.

Methodology Flowchart

                        graph TD;
    A[Enroll Patients n=165] --> B[Informed Consent];
    B --> C[Clinical Examination];
    C --> D[CT Scan 16-slice MDCT];
    D --> E[Evaluate Nasal Septum & Sinuses];
    E --> F[Data Entry];
    F --> G[Data Analysis SPSS v23.0];
    G --> H[Stratification Age, Gender];
    H --> I[Chi-square Test];
    I --> J[Results Interpretation];
    J --> K[Conclusion];

Discussion

The study found a high prevalence of deviated nasal septum (73.3%) in patients with sinusitis, suggesting a significant association. This aligns with some previous studies but notes variations in reported associations in the literature. The authors emphasize the importance of considering DNS during clinical and radiological evaluations of sinusitis patients.

Key Findings

Out of 165 patients, 109 (66.1%) were males and 56 (33.9%) were females. The average age was 37.3 ± 12.3 years. A deviated nasal septum (DNS) was present in 121 (73.3%) patients. There was no statistically significant association between DNS and gender (p=0.980) or age (p=0.442).

Conclusion

Nasal septal deviation is a common condition in Pakistan and is significantly associated with sinusitis. The findings highlight the prevalence of DNS and its accompanying symptoms, which warrant consideration in patient evaluation.

Fact Check

1. Study Period: The study was conducted from January 1, 2019, to December 31, 2019. (Confirmed in text)
2. Sample Size: A total of 165 cases were enrolled in the study. (Confirmed in text)
3. Prevalence of DNS: 121 out of 165 patients (73.3%) had a deviated nasal septum. (Confirmed in text)

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