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Evaluation of choroidal thickness measurements in patients with marked nasal septal deviation / Avaliação das medidas da espessura da coroide em pacientes com acentuado desviode septo nasal
Üstün Bezgin, Selin; Çakabay, Taliye; Bayramoğlu, Sadık Etka; Sayın, Nihat; Koçyiğit, Murat.
  • Üstün Bezgin, Selin; Istanbul Kanuni Sultan Süleyman Training and Research Hospital. Department of Otorhinolaryngology. Istanbul. TR
  • Çakabay, Taliye; Istanbul Kanuni Sultan Süleyman Training and Research Hospital. Department of Otorhinolaryngology. Istanbul. TR
  • Bayramoğlu, Sadık Etka; Istanbul Kanuni Sultan Süleyman Training and Research Hospital. Department of Ophthalmology. Istanbul. TR
  • Sayın, Nihat; Istanbul Kanuni Sultan Süleyman Training and Research Hospital. Department of Ophthalmology. Istanbul. TR
  • Koçyiğit, Murat; Istanbul Kanuni Sultan Süleyman Training and Research Hospital. Department of Otorhinolaryngology. Istanbul. TR
Braz. j. otorhinolaryngol. (Impr.) ; 86(2): 242-246, March-Apr. 2020. tab
Article in English | LILACS | ID: biblio-1132568
ABSTRACT
Abstract

Introduction:

Chronic upper airway obstruction due to marked nasal septal deviation may cause chronic hypoxia. It may change the balance of the sympathetic-parasympathetic system and may affect blood flow in the choroid.

Objective:

To assess choroidal thickness measurements of patients with marked nasal septal deviation.

Methods:

The patients who had nasal obstruction symptoms diagnosed with marked nasal septal deviation by anterior rhinoscopy and nasal endoscopy and scheduled for septoplasty were included in the study. The control group consisted of age, sex and body mass index-matched healthy individuals. The choroidal measurements at the central fovea and 1000 µm away from the fovea in the nasal and temporal regions were performed using enhanced depth imaging optical coherence tomography.

Results:

In the study group, 52 eyes of 26 patients with a mean age of 26.34 ± 8.14 years were examined. In the control group, 52 eyes of 28 healthy individuals with a mean age of 26.69 ± 7.84 years were examined. There was no statistically significant difference in terms of choroidal thickness measurements between the groups (p > 0.05).

Conclusion:

Our results suggest that marked nasal septal deviation may not lead to significant hypoxia and sympathetic activation, resulting in deterioration of the choroidal blood flow and consequent choroidal thickening.
RESUMO
Resumo

Introdução:

A obstrução crônica das vias aéreas superiores devido a acentuado desvio do septo nasal pode causar hipóxia crônica. Pode alterar o equilíbrio do sistema simpático-parassimpático e afetar o fluxo sanguíneo na coroide.

Objetivo:

Avaliar as medidas da espessura da coroide em pacientes com acentuado desvio de septo nasal.

Método:

Foram incluídos no estudo pacientes que apresentavam sintomas de obstrução nasal, com diagnóstico de acentuado desvio de septo realizado por rinoscopia anterior e endoscopia nasal, e com septoplastia programada. O grupo controle consistiu de indivíduos saudáveis pareados por idade, sexo e índice de massa corporal. As medidas da coroide na fóvea central e a 1.000 µm da fóvea nas regiões nasal e temporal foram feitas com tomografia de coerência óptica com imagem de profundidade melhorada.

Resultados:

No grupo de pacientes, 52 olhos de 26 pacientes com média de 26,34 ± 8,14 anos foram examinados. No grupo controle, 52 olhos de 28 indivíduos saudáveis com média de 26,69 ± 7,84 anos foram examinados. Não houve diferença estatisticamente significante em termos de medidas da espessura da coroide entre os grupos (p > 0,05).

Conclusão:

Nossos resultados sugerem que desvios do septo nasal acentuados podem não levar à hipóxia significativa e ativação simpática, resultar na deterioração do fluxo sanguíneo coroidal e consequente espessamento da coroide.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Choroid / Nasal Septum Type of study: Observational study Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: Turkey Institution/Affiliation country: Istanbul Kanuni Sultan Süleyman Training and Research Hospital/TR

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Full text: Available Index: LILACS (Americas) Main subject: Choroid / Nasal Septum Type of study: Observational study Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: Turkey Institution/Affiliation country: Istanbul Kanuni Sultan Süleyman Training and Research Hospital/TR