Association Between Nasal Septal Deformity Types and Maxillary Sinus Retention Cysts
Van Medical Journal, cilt.32, sa.3, ss.164-169, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.5505/vmj.2025.02419
- Dergi Adı: Van Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.164-169
- Anahtar Kelimeler: maxillary sinüs, Nasal septum, osteomeatal complex, tomography
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: In this study, the relationship between maxillary sinus retention cysts (RCMs) and nasal septum deviation types was evaluated. In addition, their association with osteomeatal unit obstructions, conchal structural variations, and the presence of an accessory ostium were evaluated using paranasal sinus computed tomography (PNsCT). Materials and Methods: A total of 439 patients were included in the study, 399 of whom underwent septoplasty, and 40 underwent rhinoplasty without nasal complains (control group). Paranasal CT scans were retrospectively an alyzed for the presence of RCMs, osteomeatal complex obstruction, conchal pathologies, and accessory ostium. Statistical analyses included Fisher's exact test, Chi-square test, logistic regression analysis, and McNemar's test. P-values less than 0.05 were considered statistically significant. Results: The frequency of RCMs was significantly higher in the septoplasty group (29.3%) compared to the control group (5.0%). A significant correlation was found between the type of septal deviation and RCMs format ion, with in which the deviations at the level of the middle turbinate showing the highest frequency (49.1%). Additionally, a strong association was observed between osteomeat al complex obstruction and RCMs presence, as well as between the side of deviation and the side of the cyst. Females were significantly more likely to develop RCMs than males. No significant relationships were identified between retention cysts and accessory os tium or conchal pathology. Conclusion: Septal deviation may be associated with RCMs formation. This relationship is especially evident in deformities close to the middle turbinate.