دورية أكاديمية
Morphology, Not Only Volume: A Study on Empty Nose Syndrome and Inferior Turbinates.
| العنوان: | Morphology, Not Only Volume: A Study on Empty Nose Syndrome and Inferior Turbinates. |
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| المؤلفون: | Fu CH; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan., Chen CC; Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan., Huang CC; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan., Chang PH; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan., Chen YW; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan., Tang YC; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan., Lee TJ; Department of Otolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan. |
| المصدر: | The Laryngoscope [Laryngoscope] 2024 Jul; Vol. 134 (7), pp. 3060-3066. Date of Electronic Publication: 2024 Mar 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell Original Publication: St. Louis, Mo. : [s.n., 1896- |
| مواضيع طبية MeSH: | Turbinates*/diagnostic imaging , Turbinates*/pathology , Tomography, X-Ray Computed* , Nasal Obstruction*/diagnostic imaging , Nasal Obstruction*/diagnosis, Humans ; Female ; Male ; Adult ; Middle Aged ; Syndrome ; Surveys and Questionnaires ; Sino-Nasal Outcome Test ; Nose Diseases/pathology ; Nose Diseases/diagnostic imaging ; Nose Diseases/diagnosis ; Severity of Illness Index ; Aged ; Phenotype |
| مستخلص: | Objectives: Empty nose syndrome (ENS) is an underdiagnosed but burdensome clinical condition. Studies that have addressed the impact of remnant inferior turbinate volume (ITV) on ENS are scarce. We aimed to evaluate the impact of ITV and phenotyping on the severity and presentation of ENS. Methods: All the enrolled patients underwent the following subjective assessments: the ENS 6-Item Questionnaire (ENS6Q), Sino-Nasal Outcome Test-25 (SNOT-25), Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI). The ITV was obtained from finely cut (1-mm-thick slices) sino-nasal computed tomography scan images and analyzed using ImageJ. The correlation between ITV, subjective measurements, and morphology of inferior turbinates was evaluated. ENS was categorized as torpedo type (balanced tissue volume) or pistol type (posterior dominance) based on the morphology. Results: Overall, 54 patients met the inclusion criteria. The ITV was positively correlated with the ENS6Q score and domain of ENS symptoms in SNOT-25. Neither BDI-II nor BAI scores had a significant correlation with ITV. Based on their morphological classification, the torpedo type exhibited diverse manifestations in the SNOT-25 analysis in response to changes in ITV, while the pistol type demonstrated an elevated rhinologic symptom burden and ENS-specific symptoms as their ITV increased. Nasal resistance did not correlate with the ITV in either type of ENS. Conclusions: Symptoms were paradoxically worse in ENS patients with greater remnant ITV, and distinct morphological phenotypes in the nasal cavities may result in different presentations. Further investigation into the correlation between remnant inferior turbinates and nerve function is warranted. Level of Evidence: 3 Laryngoscope, 134:3060-3066, 2024. (© 2024 The American Laryngological, Rhinological and Otological Society, Inc.) |
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| معلومات مُعتمدة: | CMRPG1M0151 Chang Gung Memorial Hospital; CMRPG1L0091 Chang Gung Memorial Hospital |
| فهرسة مساهمة: | Keywords: ENS‐6Q; SNOT‐25; empty nose syndrome; inferior turbinate volume; morphological phenotype |
| تواريخ الأحداث: | Date Created: 20240323 Date Completed: 20240617 Latest Revision: 20240617 |
| رمز التحديث: | 20240617 |
| DOI: | 10.1002/lary.31328 |
| PMID: | 38520707 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1531-4995 |
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| DOI: | 10.1002/lary.31328 |