Anatomy and Cell Biology

Korean Association of Anatomists (대한해부학회)
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Nasal septal anatomical variations among Saudi population and their possible coincidence with sinusitis: a computed tomography scan study

  • Gisma Ahmed Madani (Department of Anatomy, Faculty of Medicine, The National University) ;
  • Wael Amin Nasr El-Din (Department of Anatomy, College of Medicine and Medical Sciences, Arabian Gulf University) ;
  • Asmaa S. Essawy (Department of Human Anatomy and Embryology, Faculty of Medicine, Menoufia University) ;
  • Khamrunissa Hussain (Department of Family and Community Medicine, Ibn Sina National College for Medical Studies) ;
  • Islam Omar Abdel Fattah (Department of Human Anatomy and Embryology, Faculty of Medicine, Suez Canal University)
  • Received : 2022.06.01
  • Accepted : 2022.08.06
  • Published : 2022.12.31
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Abstract

The nasal septum is a crucial supporting factor for the nasal cavity and may develop several anatomical variants including septal deviation, spur and pneumatization. These variants could be associated with a higher incidence of sinusitis due to structural and functional alterations. So, the aim of this study was to assess the prevalence of nasal septal deviation (NSD), nasal septal spur (NSS) and nasal septal pneumatization (NSP) among the Saudi adult population and their links with the incidence of sinusitis by using computed tomography (CT). A retrospective study was achieved over a twenty-two months period on 681 adult Saudi subjects (420 males and 261 females) aged 20 years or older, referred for coronal CT evaluation of the paranasal sinuses. NSD and NSS were significantly more prevalent in males than females (80.0% vs. 67.4% respectively for NSD, and 34.5% vs. 24.9% respectively for NSS), while there was no statistical difference in frequency of NSP regarding gender (P=0.670). The incidence of sinusitis was significantly higher in presence of NSD and/or NSS (P<0.001 for both). On the contrary, NSP was not associated with a significant increase in the prevalence of sinusitis (P=0.131). In conclusion, NSD and NSS are more prevalent in males than females among the Saudi population with no statistical difference between both genders regarding the presence of septal pneumatization. Furthermore, sinusitis is more prevalent with the occurrence of NSD and NSS, and not related to the incidence of NSP.

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References

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