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AMAÇ: Fasiyal asimetri yüzün iki tarafı arasındaki boyut veya oran uyumsuzluğudur. Nazal morfoloji ve maksiller kemik yakın embriyolojik gelişim nedeniyle önemli anatomik bağlantılara sahiptir. Bazı araştırmalar nazal septum deviasyonu (NSD) ve yüz asimetrisi arasında pozitif bir ilişki olduğunu göstermiştir. Bu çalışmada, orbital ve oküler asimetri varlığının nontravmatik NSD ile ilişkisinin araştırılması amaçlanmıştır. GEREÇ VE YÖNTEM: Yüz veya kafa travması, burun kemiği kırığı ve önceden septal cerrahi öyküsü olmayan, paranazal sinüs bilgisayarlı tomografi (BT) tetkiki yapılmış 34 hasta retrospektif olarak incelendi. NSD açısı, sert damak ile orbita tabanı arasındaki açı ve interzigomatik hatta göre göz küresinin anterior yarıçapı ölçüldü. Bunlar arasındaki ilişki spearman korelasyon testi ile incelendi. BULGULAR: Sağ deviasyon olanlarda sağ orbita tabanındaki eğim ve proptozis istatistiksel olarak anlamlı olarak artış gösterdi. Sola deviasyon olanlarda sol proptozis ve orbita tabanındaki eğim arasında korelasyon mevcut olup istatistiksel olarak anlamlı değildi. Yaş açısından kısmi korelasyon yapıldığında hem sağ hem de solda deviasyon açısıyla orbita tabanındaki eğim ve proptozis ilişkiliydi. SONUÇ: Travma dışı nazal septal deviasyonun, nazal septumun çevresindeki kemiklerin büyüme farklılıkları ile ilişkili olabileceği gösterilmiştir.
Fascular asymmetry is an incoherence of size or proportion between both sides of the face. Nasal morphology and muscles have significant anatomical connections due to close embryological development of the bone. Some studies have shown that there is a positive relationship between nasal septum deviation (NSD) and face asymmetry. This study aims to investigate the relationship between orbital and ocular asymmetry presence and non-traumatic NSD. WORK AND METHOD: 34 patients with face or head trauma, nasal bone fractures and no previous septal surgical history, paranasal sinus computer tomography (BT) examination was examined as retrospective. The NSD angle was measured between the corner and the orbit base and the interzigomatic or even the front semiconductor of the eye. The relationship between them was tested by the spearman correlation test. STATISTICS: In those with right deviation, the curvature and proptosis in the right orbit base have statistically significantly increased. There was a correlation between the left proptosis and the curvature in the base of the orbit in those with a left deviation and it was not statistically meaningful. When a partial correlation was made in terms of age, both the right and the left deviation angles were linked to the curvature and proptosis in the base of the orbit. The outcome: Untraumatic nasal septal deviation has been shown to be associated with the growth differences of the bones around the nasal septum.
OBJECTIVE: Facial asymmetry is the size or ratio mismatch between the two sides of the face. Nasal morphology and maxillary bone have important anatomical connections due to close embryological development. Some studies have shown a positive relationship between nasal septal deviation (NSD) and facial asymmetry. The aim of this study was to determine the presence of orbital and ocular asymmetry and investigating their relationship with nontraumatic NSD. MATERIAL AND METHODS: Thirty-four patients who underwent a paranasal sinüs computed tomography (CT) examination without face or head trauma, nasal bone fracture and previous history of septal surgery were evaluated retrospectively. NSD angle was measured in CT. The anterior diameter of the eyeball was measured. The relationship between these was investigated by spearman correlation test. RESULTS: The right orbital floor angle and proptosis increased significantly in those with right deviation. There was a relationship between the left proptosis and orbital floor angle at the left deviation but it was not statistically significant. When partial correlation was made in terms of age, the orbital floor angle and proptosis were correlated with deviation angle in both right and left sides. CONCLUSIONS: Non-traumatic nasal septal deviation seems to be associated with growth differences in the bones around the nasal septum.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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