Current Research in Medical Sciences
Babol Univesity of Medical Sciences
Tue, Feb 24, 2026
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Volume 9, Issue 2 (2-2025)
CRMS 2025, 9(2): 1-7 |
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Esmaeili M, Tavassoli A, Shahabandaz H, Gholinia H. Prevalence and relationship between concha bullosa and deviated nasal septum in patients referred to ENT clinic. CRMS 2025; 9 (2) : 1
URL: http://crms.mubabol.ac.ir/article-1-211-en.html
URL: http://crms.mubabol.ac.ir/article-1-211-en.html
Clinical Research Development Unit of Babol University of Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran , dralitavasoli@gmail.com
Abstract: (24 Views)
Background: Concha bullosa and nasal septal deviation are common anatomical variants observed in paranasal sinus (PNS) CT scans. Previous studies suggest a significant association between these conditions. This study aimed to investigate their prevalence and relationship.
Methods: This cross-sectional study evaluated patients referred to the ENT clinic at Ayatollah Rouhani Hospital, Babol, Iran (July 1, 2018– October 20, 2019) using coronal CT scans. Concha bullosa was categorized by size (small, medium, large) and laterality (unilateral/bilateral). Rhinosinusitis was diagnosed based on CT findings, including mucosal thickening and sinus secretions. Data were analyzed using SPSS version 22.
Results: Among 399 patients (48% male, 52% female), concha bullosa was present in 199 patients (49.9%; 95% confidence interval [CI], 44.8–54.9%), with a significantly higher prevalence in females (60.8% vs. 39.2%, P=0.001). Rhinosinusitis was more frequent in patients with concha bullosa (37.7% vs. 27.5% without; P=0.03). Nasal septal deviation was observed in 265 patients (66.4%; 95% CI, 61.5%–71.0) and was significantly associated with concha bullosa (71.4% vs. 61.5%; P=0.037).
Conclusion: Our findings indicated that there is a significant relationship between concha bullosa, nasal septal deviation, and rhinosinusitis. Nasal septal deviation may exacerbate concha bullosa, leading to sinus inflammation and necessitating antibiotic treatment.
Methods: This cross-sectional study evaluated patients referred to the ENT clinic at Ayatollah Rouhani Hospital, Babol, Iran (July 1, 2018– October 20, 2019) using coronal CT scans. Concha bullosa was categorized by size (small, medium, large) and laterality (unilateral/bilateral). Rhinosinusitis was diagnosed based on CT findings, including mucosal thickening and sinus secretions. Data were analyzed using SPSS version 22.
Results: Among 399 patients (48% male, 52% female), concha bullosa was present in 199 patients (49.9%; 95% confidence interval [CI], 44.8–54.9%), with a significantly higher prevalence in females (60.8% vs. 39.2%, P=0.001). Rhinosinusitis was more frequent in patients with concha bullosa (37.7% vs. 27.5% without; P=0.03). Nasal septal deviation was observed in 265 patients (66.4%; 95% CI, 61.5%–71.0) and was significantly associated with concha bullosa (71.4% vs. 61.5%; P=0.037).
Conclusion: Our findings indicated that there is a significant relationship between concha bullosa, nasal septal deviation, and rhinosinusitis. Nasal septal deviation may exacerbate concha bullosa, leading to sinus inflammation and necessitating antibiotic treatment.
Article number: 1
Type of Study: Original Article |
Subject:
گوش و حلق و بینی
Received: 2025/07/13 | Accepted: 2025/12/28 | Published: 2026/02/22
Received: 2025/07/13 | Accepted: 2025/12/28 | Published: 2026/02/22
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