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KMID : 0948320050050010099
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Konyang Medical Journal
2005 Volume.5 No. 1 p.99 ~ p.102
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Anatomical Factors of the Unilateral Chronic Sinusitis
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Choi Jong-Cheol
In Seung-Min
Park Byung-Keon
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Abstract
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Background: The large portion of unilaterally affected sinus lesion is chronic sinusitis, even though a considerable number of unilateral sinus lesions included inverted papilloma, cyst, malignancy and fungal infection.
Objectives: This study was designed to determine anatomically related factors of unilateral chronic sinusitis. Materials and Methods: We obtained the computer tomograph (CT) scans in series of 87 patients with unilaterally affected sinus lesions from April 2001 through April 2004, and retrospectively analysed 56 patients with unilateral chronic sinusitis excluding cystic or tumorous disorders.
Results: The major proportion of unilateral sinus lesions are simple chronic sinusitis. The CT scan reveals that bony anatomical variation of ostiomeatal unit (OMU) are significant factors related with development of unilateral chronic sinusitis. Nasal polyp is also, one of the factors associated with unilateral chronic sinusitis. The direction of nasal septal deviation has no signficant relation with unilateral chronic sinusitis.
Conclusions: These results suggest that the anatomical variations of OMU, either singly or in combination, interfere with the normal air flow and mucociliary clearance and they may contribute development of unilateral sinusitis.
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KEYWORD
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Unilateral sinusitis, Anatomical factors
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