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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 38(2); 1995 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(2): 236-9.
The Relationship Between Septal Deviation and Paranasal Sinusitis
Jae Yul Park, MD1, and Yong Sun Kim, MD2
1;Department of Otolaryngology, School of Medicine, Taegu Catholic University, Targu, 2;Department of Diagnostic Radiology, Kyungpook university Hospital, Taegu, Korea
비중격만곡증과 부비동염의 상관관계
박재율1 · 김용선2
대구 가톨릭대학교 의과대학 이비인후과학교실1;경북대학교 의과대학 진단방사선과학교실2;
ABSTRACT

Since the introduction of functional ednoscopic sinus surgery, the importance of the ostiomeatal unit(OMU) has been known. And it is believed that any anatomical variation that can cause obstruction of OMU may be the cause of sinusitis. From this point of view, the septal deviation can be one of the causes of sinusitis. Also it is generally agreed that the convex side of the septum is more prone to be affected. On our series, however, opposing side predilection has been observed as compared to previous reports. We have selected twenty three cases of unilateral sinusitis with septal deviation through coronal CT scan : sinusitis on the concave widened side of the nasal cavity is 20 ; only 3 cases on the convex narrow side. We propose a possible mechanism through which this phenomenon can be developed : widened nasal cavity will increase inspiratory air flow which may impair mucociliary clearing function of the mucosa about the infundibulum and the natural ostium, eventually obstructs whole ostiomeatal complex.

Keywords: Septal deviationSinusitisSide predilection.
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