Measurement of nasal septum area in 128 Chinese patients with nasal septum deviation
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摘要: 目的 构建鼻中隔偏曲患者鼻中隔及各组成部分面积解剖参数，指导鼻中隔偏曲矫正手术切除范围。方法 回顾性研究128例鼻中隔偏曲患者鼻窦电子计算机断层扫描图像，标记9个鼻中隔解剖定位点，测量鼻中隔及各组成部分面积大小，分析鼻中隔软骨面积占鼻中隔总面积百分比随年龄变化趋势。结果 128例鼻中隔偏曲患者鼻中隔总面积为(2951.96±305.91) mm2，鼻中隔软骨面积为(961.89±229.64) mm2，筛骨垂直板面积为(1123.96±214.17) mm2，犁骨面积为(652.77±108.09) mm2，男性鼻中隔面积大于女性，随年龄增加鼻中隔软骨逐渐减少，鼻中隔软骨面积占鼻中隔总面积的百分比逐渐下降。结论 老年人行鼻中隔矫正术应慎重把握切除范围，性别因素对鼻中隔面积的影响也应得到重视。
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关键词:
- 鼻中隔偏曲 /
- 鼻窦电子计算机断层扫描 /
- 鼻中隔测量 /
- 鼻内镜手术
Abstract: Objective Establish the anatomical parameters of the nasal septum and the area of each component in patients with nasal septum deviation, for the sake of guiding the scope of surgical resection for correction of nasal septum deviation.Methods This is a retrospective study of 128 cases of sinus computer tomography images of patients with nasal septum deviation, marked 9 nasal septal anatomical locations, measured the area of the nasal septum and its components, and analyzed the trend of the percentage of the area of the nasal septum cartilage in the total area of the nasal septum with age.Results The total area of the nasal septum in the 128 patients with nasal septum deviation is: (2951.96±305.91) mm2, the area of nasal septal cartilage: (961.89±229.64) mm2, the area of the vertical ethmoid plate: (1123.96±214.17) mm2, the area of the vomerine: (652.77±108.09) mm2. The area of male septum is larger than that of female. As age increases, the nasal septal cartilage gradually decreases, and the percentage of the nasal septal cartilage area in the total area of the nasal septum gradually decreases.Conclusion Elderly people who undergo nasal septum correction should be carefully considered to grasp the scope of resection, and the influence of gender on the area of nasal septum should also be paid attention. -
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表 1 鼻中隔总面积及各部分面积大小及性别差异
mm2，X±S 部位 男 女 t P值 鼻中隔软骨 1052.25±219.14 891.59±213.71 4.17 0.000 筛骨垂直板 1176.84±232.57 1082.83±190.33 2.515 0.013 犁骨 694.61±90.14 620.24±110.23 4.09 0.000 鼻中隔总面积 3117.26±282.98 2823.39±258.94 6.116 0.000 
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表 2 不同年龄段鼻中隔总面积及各部分面积大小
mm2，X±S 年龄 鼻中隔总面积 鼻中隔软骨面积 筛骨垂直板面积 犁骨面积 18~29岁 3022.43±197.56 1240.24±94.18 925.80±110.46 632.68±82.69 30~39岁 2960.67±327.23 1089.34±271.69 994.67±125.27 637.54±115.71 40~49岁 2737.34±234.33 814.65±125.96 1100.00±141.39 612.07±124.09 50~59岁 2947.28±343.80 836.61±149.37 1294.38±208.96 658.95±85.25 60~69岁 3030.18±311.77 884.40±147.50 1226.19±191.31 694.35±107.70 70~79岁 3011.41±404.97 766.59±46.65 1266.85±236.93 699.68±172.05
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[1] 张郅瑾, 杨旭雯, 李绚, 等. 结构性鼻塞的病因学及机制研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(7): 666-672. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202107022.htm
[2] 何婷, 邓刚, 黄喜, 等. 以划分鼻中隔偏曲单元为基础的个体化鼻中隔矫正手术[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(8): 706-709. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202008007.htm
[3] Tigga C, Kumar MS, Subhasish B, et al. Rhinoplasty in secondary nasal deformities: Subjective and objective outcome evaluation[J]. Natl J Maxillofac Surg, 2020, 11(2): 186-192. doi: 10.4103/njms.NJMS_67_20
[4] Moghaddam MG, Garcia G, Frank-Ito DO, et al. Virtual septoplasty: a method to predict surgical outcomes for patients with nasal airway obstruction[J]. Int J Comput Assist Radiol Surg, 2020, 15(4): 725-735. doi: 10.1007/s11548-020-02124-z
[5] Ta NH, Gao J, Philpott C. A systematic review to examine the relationship between objective and patient-reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice[J]. Int Forum Allergy Rhinol, 2021, 11(5): 910-923. doi: 10.1002/alr.22744
[6] Shaikh A, Al Saey H, Ashkanani S, et al. Higher incidence of headache in patients with intermittent mucosal contact points between the septum and lateral nasal wall[J]. Laryngoscope Investig Otolaryngol, 2021, 6(4): 607-612. doi: 10.1002/lio2.577
[7] 王汗青, 臧洪瑞, 王彤, 等. 三线减张鼻中隔成形术患者围手术期心理状态评估[J]. 中国耳鼻咽喉头颈外科, 2018, 25(8): 442-444. https://www.cnki.com.cn/Article/CJFDTOTAL-EBYT201808013.htm
[8] Arifa KA, Nayana VG, Irfan KM. Can Upper Airway Surgeries Improve Lower Airway Function? A Prospective Study[J]. Indian J Otolaryngol Head Neck Surg, 2021, 29: 1-7.
[9] Lee JE, Jung HJ, Chang M, et al. A novel wedge technique to correct the curved deviation of the cartilaginous nasal septum[J]. Auris Nasus Larynx, 2014, 41(2): 190-194. doi: 10.1016/j.anl.2013.07.015
[10] Lim ZF, Rajendran P, Musa MY, et al. Nasal airflow of patient with septal deviation and allergy rhinitis[J]. Vis Comput Ind Biomed Art, 2021, 4(1): 14. doi: 10.1186/s42492-021-00080-2
[11] 周毅波, 颜永毅, 于锋. 改良鼻中隔成形术60例疗效分析[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(24): 1890-1892. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201824010.htm
[12] Berger M, Pillei M, Giotakis A, et al. Pre-surgery planning tool for estimation of resection volume to improve nasal breathing based on lattice Boltzmann fluid flow simulations[J]. Int J Comput Assist Radiol Surg, 2021, 16(4): 567-578. doi: 10.1007/s11548-021-02342-z
[13] Miles BA, Petrisor D, Kao H, et al. Anatomical variation of the nasal septum: analysis of 57 cadaver specimens[J]. Otolaryngol Head Neck Surg, 2007, 136(3): 362-368. doi: 10.1016/j.otohns.2006.11.047
[14] Kim J, Cho JH, Kim SW, et al. Anatomical variation of the nasal septum: Correlation among septal components[J]. Clin Anat, 2010, 23(8): 945-949. doi: 10.1002/ca.21045
[15] Kim IS, Chung YJ, Lee YI. An anatomic study on the overlap patterns of structural components in the keystone area in noses of koreans[J]. Clin Exp Otorhinolaryngol, 2008, 1(3): 158-160. doi: 10.3342/ceo.2008.1.3.158
[16] Daultrey C, Hardman J, Anari S. The Caucasian Nasal Septum: An In Vivo Computed Tomography Study[J]. Aesthet Surg J, 2018, 38(7): 717-722. doi: 10.1093/asj/sjx249
[17] Baddam P, Young D, Dunsmore G, et al. Nasal Septum Deviation as the Consequence of BMP-Controlled Changes to Cartilage Properties[J]. Front Cell Dev Biol, 2021, 9: 696545. doi: 10.3389/fcell.2021.696545
[18] Kim NG, Park SW, Park HO, et al. Are differences in external noses between whites and Koreans caused by differences in the nasal septum?[J]. J Craniofac Surg, 2015, 26(3): 922-926. doi: 10.1097/SCS.0000000000001367
[19] Kim JH, Jung DJ, Kim HS, et al. Analysis of the development of the nasal septum and measurement of the harvestable septal cartilage in koreans using three-dimensional facial bone computed tomography scanning[J]. Arch Plast Surg, 2014, 41(2): 163-170. doi: 10.5999/aps.2014.41.2.163
[20] Doval AF, Ourian A, Boochoon KS, et al. Comparing plastic surgery and otolaryngology surgical outcomes and cartilage graft preferences in pediatric rhinoplasty: A retrospective cohort study analyzing 1839 patients[J]. Medicine(Baltimore), 2021, 100(25): e26393.
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