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The Correlation Between Bullous Concha Volumeand Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis
Background : Chronic rhinosinusitis is inflammation of the mucoperiosteum lining of the
nose and paranasal sinuses for more than 12 weeks. Computed Tomography (CT scan) of
the paranasal sinuses is the gold standard for diagnosing chronic rhinosinusitis. Nasal
septal deviation and bullous concha are anatomical variation that often found in CT scan
of chronic rhinosinusitis patients. The severity of chronic rhinosinusitis can be evaluated
with Lund Mackay CT score. This study was aimed to analyse the correlation between
bullous concha volume and type of nasal septum deviation with Lund-Mackay CT Score in
chronic rhinosinusitis.
Methods : This was an observational study with a cross sectional design. This study was
conducted from March-May 2019. Subjects were CRS patients whom underwent
paranasal sinuses CT scan in Dr. Kariadi Hospital Semarang whom met the criteria. The
inclusion criteria were chronic rhinosinusitis patients more than 17 years old with
deviated nasal septum and conchae bullosa.
Results : There were 50 CRS patients, the age average is 18–67 years. The mean volume
of 3 the bullous concha was 0.534 cm . The highest deviation of the nasal septum is to the
right (53.2%) and the highest total Lund-Mackay CT Score was 4 (56%). There is no
significant correlation between the volume of the bullous concha and the type of septal
deviation with Lund-Mackay CT score.
Conclusion : Lund Mackay CT score didn't correlate with septal type and bullous concha
volume.
Keywords : Bullous Concha, Chronic Rhinosinusitis, Lund Mackay CT score, Nasal Septum
Deviation
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