Yıl: 2021 Cilt: 4 Sayı: 2 Sayfa Aralığı: 36 - 40 Metin Dili: İngilizce DOI: 10.5152/ejra.2021.21029 İndeks Tarihi: 21-11-2021

Variant Anatomy of the Nasal Turbinates in Adult Nigerians

Öz:
Objective: The variations of the nasal turbinates have been implicated in the pathogenesis of rhinosinusitis. Accordingly, this study aimed at elucidating the variations of the nasal turbinates in adults.Methods: This retrospective study was conducted in the Radiology Department of a teaching hospital. Following ethical approval, brain CT scan images of 336 patients aged 20-99 years were used to study the nasal turbinates. Datawere analyzed using Statistical Package for the Social Sciences (SPSS) version 23.0 (IBM SPSS Corp.; Armonk, NY, USA)and summarized in frequencies. Chi-square test was used to evaluate for gender and side differences in the frequencies of the variants. A P-value of <.05 was considered statistically significant.Results: Concha bullosa (CB) was the commonest variant (28.6%) followed by the paradoxically curved middle turbinate (PMT) (14.3%) and inferior turbinate hypertrophy (14.3%). The least prevalent variants were pneumatized superiorturbinate (6.5%) and hypoplastic inferior turbinate (4.5%). None of the variants showed a statistically significant genderdifference (P > .05). Both CB and PMT showed a statistically significant side difference (P ¼ .001).Conclusion: The presence of the variants of the nasal turbinates in this study emphasizes on the need for preoperative imaging prior to functional endoscopic sinus surgery, which is becoming popular among otolaryngologists. Thiswill ensure the successful restoration of sinus ventilation and drainage and minimize complications.
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  • 1. Onwuchekwa RC, Alazi N. Computed tomography anatomy of the paranasal sinuses and anatomical variants of clinical relevant in Nigerian adults. Egyptian J Ear Nose Throat Allied Sci. 2017;18:31-38. [CrossRef]
  • 2. Shpilberg KA, Daniel SC, Doshi AH, et al. CT of anatomic variants of the paranasal sinuses and nasal cavity: Poor correlation with radiologically significant rhinosinusitis but importance in surgical planning. Am J Roentgenol. 2015;204:1255-1260. [CrossRef]
  • 3. Dasar U, Gokce E. Evaluation of variations in sinonasal region with computed tomography. World J Radiol. 2016;8:98-108. [CrossRef]
  • 4. Sumaily I, Aldhabaan S, Hudise J. Anatomical variations of PNS. Gender and age impact. Glob J Otolaryngol. 2018;14:007-0014.
  • 5. Shiekh Y, Wan AH, Khan AJ, Bhat MI. Anatomical variations of paranasal sinuses—A MDCT based study. Int Arch Intern Med. 2019;6:300-306.
  • 6. Upadhyay M, Gupta MK, Kumar G, Bihari A. The study of osteomeatal complex and its anatomical variations in Government Medical College and superfacility hospital of Azamgarh. Indian J Clin Anat Physiol. 2017;4:266- 269.
  • 7. Espinosa W, Genito R, Ramos RZ. Anatomic variations of the nasal cavity and paranasal sinus and their correlation with chronic rhinosinusitis using Harvard staging system. J Otolaryngol ENT Res. 2018;10:190-193.
  • 8. Gungor G, Okur N. Evaluation of paranasal sinus variations with computed tomography. Haydarpasa Numune Med J. 2019;59:320-327.
  • 9. Shrestha KK, Acharya R, Joshi RR, Maharjan S, Adhikari D. Anatomical variations of the paranasal sinuses and the nasal cavity. Nep Med Coll J. 2019;21:7- 11. [CrossRef]
  • 10. El-Anwar MW, Ali AH, Almolla RM, et al. Radiological middle turbinate variations and their relation to nasal septum deviation in asymptomatic adult. Egypt J Radiol Nucl Med. 2020;41:104.
  • 11. Kantu´n JAS, Acosta MEH, Campo MCA, et al. Anatomical variations of paranasal sinuses in patients with chronic sinusitis. Int J Radiol Radiat Ther. 2019;6:186-189.
  • 12. Amusa YB, Eziyi JA, Akinlade O, et al. Volumetric measurements and anatomical variants of paranasal sinuses of Africans (Nigerians) using dry crania. Int J Med Sci. 2011;3:299-303.
  • 13. Ogolodom MP, Ugwu AC, Ohagwu CC, et al. Patterns and prevalence of paranasal sinuses diseases among patients referred for paranasal sinuses computed tomography in port Harcourt Rivers State, Nigeria. Int J Med Health Res. 2018;4:71-75.
  • 14. Papadopoulou A, Chrysikos D, Samolis A, et al. Anatomical variations of the nasal cavities and paranasal sinuses: A systematic review. Cureus. 2021;13:E12727. [CrossRef]
  • 15. Oghenero G, Oniovo K, Olotu B, et al. Morphology and anatomical variations of ethmoidal sinus in adult Nigerians. Afr J Med Surg. 2017;4:095-100.
  • 16. Alrumaih RA, Ashoor MM, Obidan AA, et al. Radiological sinonasal anatomy. Exploring the Saudi population. Saudi Med J. 2016;37:521-526. [CrossRef]
  • 17. Senniappan S, Raja K, Tomy AL, et al. Study of anatomical variations of ostiomeatal complex in chronic rhinosinusitis patients. Int J Otorhinolaryngol Head Neck Surg. 2018;4:1281-1286. [CrossRef]
  • 18. Farhan N, Naqvi S, Rasheed B, et al. Identification of significant anatomical variations in the nose and anterior skull base using computed tomography: A cross-sectional study. Cureus. 2020;12:E8449. [CrossRef]
  • 19. Dawood SN. Normal anatomic variants of paranasal sinus region studied by computed tomography. Zanco J Med Sci. 2020;24:187-196. [CrossRef]
  • 20. Alshaikh N, Aldhurais A. Anatomic variations of the nose and paranasal sinuses in Saudi population: Computed tomography scan analysis. Egypt J Otolaryngol. 2018;34:234-241. [CrossRef]
  • 21. Karakurt SE, Hatipog˘ lu Cetin HG, Yurtsever Kum N, et al. Frequency of sinonasal anatomic variations without mucosal disease. Eur J Rinol Allergy. 2018;1:5-8. [CrossRef]
  • 22. Hadi HH, Al-Bayati HA, Naji Al-Gazali SS. Prevalence of normal anatomical variations in the region of paranasal sinuses in patients with chronic rhinosinusitis. Med J Babylon. 2018;15:243-250.
  • 23. Mohammed OA, Yousefl M, Abukonnal A, et al. Computed tomographic evaluation of anatomical variations of paranasal sinuses region in rhinosinusitis. Merit Res J Med Med. 2019;7:489-497.
  • 24. Cury R, Gioseffi C, Andrade E, et al. The incidence of inferior turbinate hypertrophy in a Brazilian population. Webmed Central Rhinol. 2013;4:WMC004276.
APA Ominde B, Ikubor J, Wilson J, OKOLUGBO N, IGBIGBI P (2021). Variant Anatomy of the Nasal Turbinates in Adult Nigerians. , 36 - 40. 10.5152/ejra.2021.21029
Chicago Ominde Beryl,Ikubor Joyce,Wilson Josiah I.,OKOLUGBO NEKWU,IGBIGBI PATRICK Variant Anatomy of the Nasal Turbinates in Adult Nigerians. (2021): 36 - 40. 10.5152/ejra.2021.21029
MLA Ominde Beryl,Ikubor Joyce,Wilson Josiah I.,OKOLUGBO NEKWU,IGBIGBI PATRICK Variant Anatomy of the Nasal Turbinates in Adult Nigerians. , 2021, ss.36 - 40. 10.5152/ejra.2021.21029
AMA Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P Variant Anatomy of the Nasal Turbinates in Adult Nigerians. . 2021; 36 - 40. 10.5152/ejra.2021.21029
Vancouver Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P Variant Anatomy of the Nasal Turbinates in Adult Nigerians. . 2021; 36 - 40. 10.5152/ejra.2021.21029
IEEE Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P "Variant Anatomy of the Nasal Turbinates in Adult Nigerians." , ss.36 - 40, 2021. 10.5152/ejra.2021.21029
ISNAD Ominde, Beryl vd. "Variant Anatomy of the Nasal Turbinates in Adult Nigerians". (2021), 36-40. https://doi.org/10.5152/ejra.2021.21029
APA Ominde B, Ikubor J, Wilson J, OKOLUGBO N, IGBIGBI P (2021). Variant Anatomy of the Nasal Turbinates in Adult Nigerians. European journal of rhinology and allergy (Online), 4(2), 36 - 40. 10.5152/ejra.2021.21029
Chicago Ominde Beryl,Ikubor Joyce,Wilson Josiah I.,OKOLUGBO NEKWU,IGBIGBI PATRICK Variant Anatomy of the Nasal Turbinates in Adult Nigerians. European journal of rhinology and allergy (Online) 4, no.2 (2021): 36 - 40. 10.5152/ejra.2021.21029
MLA Ominde Beryl,Ikubor Joyce,Wilson Josiah I.,OKOLUGBO NEKWU,IGBIGBI PATRICK Variant Anatomy of the Nasal Turbinates in Adult Nigerians. European journal of rhinology and allergy (Online), vol.4, no.2, 2021, ss.36 - 40. 10.5152/ejra.2021.21029
AMA Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P Variant Anatomy of the Nasal Turbinates in Adult Nigerians. European journal of rhinology and allergy (Online). 2021; 4(2): 36 - 40. 10.5152/ejra.2021.21029
Vancouver Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P Variant Anatomy of the Nasal Turbinates in Adult Nigerians. European journal of rhinology and allergy (Online). 2021; 4(2): 36 - 40. 10.5152/ejra.2021.21029
IEEE Ominde B,Ikubor J,Wilson J,OKOLUGBO N,IGBIGBI P "Variant Anatomy of the Nasal Turbinates in Adult Nigerians." European journal of rhinology and allergy (Online), 4, ss.36 - 40, 2021. 10.5152/ejra.2021.21029
ISNAD Ominde, Beryl vd. "Variant Anatomy of the Nasal Turbinates in Adult Nigerians". European journal of rhinology and allergy (Online) 4/2 (2021), 36-40. https://doi.org/10.5152/ejra.2021.21029