Computed tomography evaluation of cephhalometric changes in patients with cronic sinüsitis and septum deviation

Aim: In this study it is aimed to determine how the cephalometric measurements of patients with chronic sinusitis (KS), septum deviation (SD) and healthy individuals to be used as a control group (CG) change with Computed Tomography (CT) measurements. Material and Method: The study was carried out in İnönü University Faculty of Medicine Department of Anatomy and Turgut Özal Medical Center Training and Research Hospital Department of Radiology. Our study was evaluated retrospectively using paranasal CT images taken from a total of 153 (77 female, 76 male) patients aged 20-51 years. A total of 15 cephalometric parameters were evaluated in each CT image included in the study. The conformity of the data to the normal distribution was examined with the Kolmogorov Smirnov test. Kruskall Wallis H test was applied to the data to compare the same age groups of patients in KS, SD and CG. Mann Whitney U test was applied to the data to compare the patients within the same group. Results: When we compared male and female patients according to the analysis results, in the group with KS, Sna-EgT Snp-EgT, Sna-H, Snp-H, SMVÇ-R, MSM; In SD group, Sna-Snp, Sna-EgT, Snp-EgT, Sna-H, Snp-H, SMH-R, SMH-L SMVÇ-R, SMTÇ-L, SMVÇ-L, and CG while Sna-EgT, Snp-EgT, Sna-H, Snp-H parameters were found to be significantly different (p<0.05). When we compared the men aged 20-35 and 36-51 years in KS, SD and CG in threes, a significant difference was found in MPA-R, SMH-L, SMTÇ-L, SMVÇ-L, MPA-R parameters (p<0.05). When we compared the women between the ages of 20-35 and 36-51 in KS, SD and CG, a significant difference was found in the SMVÇ-L parameter (p<0.05). Conclusion: We think that certain parameters as a result of cephalometric analyzes may provide convenience to specialists in the evaluation of anatomical structures in KS and SD diseases. Keywords: Chronic sinusitis, septum deviation, cephalometry, computed tomography