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Published in: European Archives of Oto-Rhino-Laryngology 12/2020

01-12-2020 | Rhinoscopy | Rhinology

Morphological, anatomical, radiological and clinical features of Mladina type 6 nasal septum deformations in humans

Authors: Borna Arsov, Romano Antunovic, Lana Kovac Bilic, Selma Hodzic Redzic, Mario Bilic

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2020

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Abstract

Purpose

The objective of this study was to prove the higher frequency of the type 6 deformations overall compared to the results obtained by conventional diagnostic methods, such as computed tomography images and clinical examination.

Methods

The study was performed at the Institute of Anatomy, where a total of 114 randomly selected skulls were examined. The skulls were then scanned in a fixed position using the cone-beam technique (CBCT). The literature epidemiological data of the clinical incidence of type 6 in studies that also used Mladina classification were obtained.

Results

There was a statistically significant difference (p < 0.0001) in the frequency of type 6 deformation as diagnosed by visual inspection (22.8%) and computed tomography (7.9%). The frequency obtained by CT imaging amounted 7.9% and was almost the same as the results obtained by a clinical examination which varied between 9 and 11%.

Conclusions

The frequency of type 6 nasal septal deformation is higher by visual inspection of the skulls than by computed tomography imaging at a level of significance of 0.05. The incidence of type 6 findings on coronal CT images of paranasal sinuses is approximately the same as that found with anterior rhinoscopy. Type 6, visible or concealed; probably have one-fourth to one-fifth people in population, so the number of clinically overlooked and/or unrecognized types 6 is much greater than we thought it to be.
Literature
2.
go back to reference Mladina R (1985) REKAS (recurrent epistaxis from Kiesselbach’s area syndrome). Chir Maxillofac Plast 15:91–95PubMed Mladina R (1985) REKAS (recurrent epistaxis from Kiesselbach’s area syndrome). Chir Maxillofac Plast 15:91–95PubMed
3.
go back to reference Mladina R, Čavčić J, Šubarić M (2002) Recurrent epistaxis from Kiesselbach’s area syndrome in patients suffering from hemorrhoids: fact or fiction. Arch Med Res 33:1–2CrossRef Mladina R, Čavčić J, Šubarić M (2002) Recurrent epistaxis from Kiesselbach’s area syndrome in patients suffering from hemorrhoids: fact or fiction. Arch Med Res 33:1–2CrossRef
5.
go back to reference Carić T, Mladina R, Cingi C et al (2016) Could nasal septal deformities type 5 and 6 be a predictive factor of the individual genetic predilection for the onset of an acute coronary syndrome? B-ENT 12:227–233PubMed Carić T, Mladina R, Cingi C et al (2016) Could nasal septal deformities type 5 and 6 be a predictive factor of the individual genetic predilection for the onset of an acute coronary syndrome? B-ENT 12:227–233PubMed
6.
go back to reference Verwoerd CDA, Mladina R, Nolst Trenite GJ, Pigott RW (1995) The nose in children with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol 32(Suppl):45–52CrossRef Verwoerd CDA, Mladina R, Nolst Trenite GJ, Pigott RW (1995) The nose in children with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol 32(Suppl):45–52CrossRef
7.
go back to reference Mladina R, Ostojić D, Koželj V, Heinzel B, Lj B (1997) Pathological septal deformities in cleft palate children. L’Otorinolaryngol Pediatr 2–3:75–80 Mladina R, Ostojić D, Koželj V, Heinzel B, Lj B (1997) Pathological septal deformities in cleft palate children. L’Otorinolaryngol Pediatr 2–3:75–80
8.
go back to reference Mladina R, Šubarić M (2003) Are some septal deformities inherited type 6 revisited. Int J Ped Otorhinolaryngol 67:1291–1294CrossRef Mladina R, Šubarić M (2003) Are some septal deformities inherited type 6 revisited. Int J Ped Otorhinolaryngol 67:1291–1294CrossRef
9.
go back to reference Mladina R, Čujić E, Šubarić M, Vuković K (2008) Nasal septal deformities in ear, nose and throat patients: an international study. Am J Otolaryngol 29:75CrossRefPubMed Mladina R, Čujić E, Šubarić M, Vuković K (2008) Nasal septal deformities in ear, nose and throat patients: an international study. Am J Otolaryngol 29:75CrossRefPubMed
11.
go back to reference Yildirim I, Okur E (2003) The prevalence of nasal septal deviation in children from Kahramanas, Turkey. Int J Pediatr Otorhinolaryngol 67:1203–1206CrossRefPubMed Yildirim I, Okur E (2003) The prevalence of nasal septal deviation in children from Kahramanas, Turkey. Int J Pediatr Otorhinolaryngol 67:1203–1206CrossRefPubMed
12.
go back to reference Teul I, Zbislawski W, Baran S, Czerwinski F (2009) Deformation of the nasal septum in children, adolescents, and adults in Western Pomerania province of Poland. Eur J Med Res 14(Suppl 4):244–247CrossRefPubMedPubMedCentral Teul I, Zbislawski W, Baran S, Czerwinski F (2009) Deformation of the nasal septum in children, adolescents, and adults in Western Pomerania province of Poland. Eur J Med Res 14(Suppl 4):244–247CrossRefPubMedPubMedCentral
13.
go back to reference Wee JH, Kim DW, Lee JE et al (2012) Classification and prevalence of nasal septal deformity in Koreans according to two classification systems. Acta Otolaryngol 132:52–57CrossRef Wee JH, Kim DW, Lee JE et al (2012) Classification and prevalence of nasal septal deformity in Koreans according to two classification systems. Acta Otolaryngol 132:52–57CrossRef
14.
go back to reference Aljibori AS, Hassan AD, Alwan AM (2010) Assessment of nasal septal deformities by anterior rhinoscopy and nasal endoscopy. Tikrit Med J 16:14–22 Aljibori AS, Hassan AD, Alwan AM (2010) Assessment of nasal septal deformities by anterior rhinoscopy and nasal endoscopy. Tikrit Med J 16:14–22
15.
go back to reference Šubarić M, Mladina R (2002) Nasal septum deformities in children and adolescents: a cross sectional study of children from Zagreb, Croatia. Int J Pediatr Otorhinolaryngol 63:41–47CrossRefPubMed Šubarić M, Mladina R (2002) Nasal septum deformities in children and adolescents: a cross sectional study of children from Zagreb, Croatia. Int J Pediatr Otorhinolaryngol 63:41–47CrossRefPubMed
16.
go back to reference Song SY, Kim IT, Chang KH, Lee KS, Kim HJ, Lim HJ (1999) The prevalence of nasal septal deformities among children in kindergarten and first grade in Anyang and Kunpo cities. J Rhinol 6:58–60 Song SY, Kim IT, Chang KH, Lee KS, Kim HJ, Lim HJ (1999) The prevalence of nasal septal deformities among children in kindergarten and first grade in Anyang and Kunpo cities. J Rhinol 6:58–60
17.
go back to reference Rao JJ, Vinay Kumar EC, Ram Babu K et al (2005) Classification of nasal septal deviations-relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg 57:199–201PubMedPubMedCentral Rao JJ, Vinay Kumar EC, Ram Babu K et al (2005) Classification of nasal septal deviations-relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg 57:199–201PubMedPubMedCentral
18.
go back to reference Min YG, Jung HW, Kim CS (1995) Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. Rhinology 33:61–65PubMed Min YG, Jung HW, Kim CS (1995) Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. Rhinology 33:61–65PubMed
19.
go back to reference Zielnik-Jurkiewicz B, Olszewska-Sosinska O (2006) The nasal septum deformities in children and adolescents from Warsaw, Poland. Int J Pediatr Otorhinolaryngol 70:731–736CrossRefPubMed Zielnik-Jurkiewicz B, Olszewska-Sosinska O (2006) The nasal septum deformities in children and adolescents from Warsaw, Poland. Int J Pediatr Otorhinolaryngol 70:731–736CrossRefPubMed
20.
go back to reference Neves Pinto RM, Saraiva MS (1993) On the incidence of septal deformities according to Mladina classification and some correlated aspects. Folia Med 106:73–77 Neves Pinto RM, Saraiva MS (1993) On the incidence of septal deformities according to Mladina classification and some correlated aspects. Folia Med 106:73–77
21.
go back to reference Daghistani KJ (2002) Nasal septal deviation in Saudi patients: a hospital based study. J KAU Med Sci 10:39–46 Daghistani KJ (2002) Nasal septal deviation in Saudi patients: a hospital based study. J KAU Med Sci 10:39–46
22.
go back to reference Chmielik M, Brożek-Mądry E, Chmielik LP (2006) Influence of the type of septum deviation on some parameters in the upper airways. New Med 3:71–73 Chmielik M, Brożek-Mądry E, Chmielik LP (2006) Influence of the type of septum deviation on some parameters in the upper airways. New Med 3:71–73
Metadata
Title
Morphological, anatomical, radiological and clinical features of Mladina type 6 nasal septum deformations in humans
Authors
Borna Arsov
Romano Antunovic
Lana Kovac Bilic
Selma Hodzic Redzic
Mario Bilic
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 12/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-06215-0

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