Yıl: 2020 Cilt: 52 Sayı: 1 Sayfa Aralığı: 21 - 24 Metin Dili: İngilizce DOI: 10.5152/eurasianjmed.2019.19034 İndeks Tarihi: 01-07-2020

Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation

Öz:
Objective: Primary acquired nasolacrimal duct obstruction (PANDO) is an idiopathic narrowing of the nasolacrimal duct caused by chronic inflammation and consecutive stenosis of the nasal tissue. In the currentinvestigation, we aimed to study the etiopathogenic role of sinonasal anatomical abnormalities and paranasalinflammatory pathologies in PANDO.Materials and Methods: Computed tomography (CT) findings of 459 patients who were diagnosed withunilateral PANDO between April 2009 and March 2017 were compared with that of a control group, whichcomprised 200 subjects without nasolacrimal duct obstruction who had been referred to the ear nose throat(ENT) clinic with the complaint of vertigo and headache. A radiologist (R. S.) masked to the clinical situationof participants retrospectively examined their CT findings.Results: The prevalence of deviated nasal septum was found to be strongly associated with PANDO incidence (55.3% on PANDO side of patients vs. 28.3% among controls; p˂0.001). Significant increases, albeitof smaller magnitude, were also observed in the relative frequency of Agger nasi cells and maxillary sinusitison the PANDO side of the subjects (14.6% and 27.0%, respectively) compared to controls (9.5% and 20.6%,respectively) (p=0.023 and p=0.038, respectively). Unilateral PANDO was also found to be robustly associated with an ipsilateral deviated nasal septum (p˂0.001). The odds of septal deviation occurrence were 3.037times (95% Confidence Interval (CI): 2.303-3.990; p˂0.001) more on the PANDO than the non-PANDOside of the studied cases.Conclusion: Ipsilaterally deviated nasal septum appears to have a role in the development of unilateral primary acquired obstructive disease of the lacrimal drainage system. The incidence of PANDO might also beaffected by Agger nasi cells and maxillary sinusitis. Multicenter studies are essential to further elucidate theinteraction between type, severity, extent, and dimensions of different pathologies with nasolacrimal ductobstruction.
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APA Samarei R, samarei v, Samadi Aidenloo N, FATEH N (2020). Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. , 21 - 24. 10.5152/eurasianjmed.2019.19034
Chicago Samarei Reza,samarei vafa,Samadi Aidenloo Naser,FATEH Nasrin Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. (2020): 21 - 24. 10.5152/eurasianjmed.2019.19034
MLA Samarei Reza,samarei vafa,Samadi Aidenloo Naser,FATEH Nasrin Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. , 2020, ss.21 - 24. 10.5152/eurasianjmed.2019.19034
AMA Samarei R,samarei v,Samadi Aidenloo N,FATEH N Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. . 2020; 21 - 24. 10.5152/eurasianjmed.2019.19034
Vancouver Samarei R,samarei v,Samadi Aidenloo N,FATEH N Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. . 2020; 21 - 24. 10.5152/eurasianjmed.2019.19034
IEEE Samarei R,samarei v,Samadi Aidenloo N,FATEH N "Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation." , ss.21 - 24, 2020. 10.5152/eurasianjmed.2019.19034
ISNAD Samarei, Reza vd. "Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation". (2020), 21-24. https://doi.org/10.5152/eurasianjmed.2019.19034
APA Samarei R, samarei v, Samadi Aidenloo N, FATEH N (2020). Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. Eurasian Journal of Medicine, 52(1), 21 - 24. 10.5152/eurasianjmed.2019.19034
Chicago Samarei Reza,samarei vafa,Samadi Aidenloo Naser,FATEH Nasrin Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. Eurasian Journal of Medicine 52, no.1 (2020): 21 - 24. 10.5152/eurasianjmed.2019.19034
MLA Samarei Reza,samarei vafa,Samadi Aidenloo Naser,FATEH Nasrin Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. Eurasian Journal of Medicine, vol.52, no.1, 2020, ss.21 - 24. 10.5152/eurasianjmed.2019.19034
AMA Samarei R,samarei v,Samadi Aidenloo N,FATEH N Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. Eurasian Journal of Medicine. 2020; 52(1): 21 - 24. 10.5152/eurasianjmed.2019.19034
Vancouver Samarei R,samarei v,Samadi Aidenloo N,FATEH N Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation. Eurasian Journal of Medicine. 2020; 52(1): 21 - 24. 10.5152/eurasianjmed.2019.19034
IEEE Samarei R,samarei v,Samadi Aidenloo N,FATEH N "Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation." Eurasian Journal of Medicine, 52, ss.21 - 24, 2020. 10.5152/eurasianjmed.2019.19034
ISNAD Samarei, Reza vd. "Sinonasal Anatomical Variations and Primary Acquired Nasolacrimal Duct Obstruction: A Single Centre, Case-Control Investigation". Eurasian Journal of Medicine 52/1 (2020), 21-24. https://doi.org/10.5152/eurasianjmed.2019.19034