KORELASI DERAJAT DAN ARAH DEVIASI SEPTUM NASI TERHADAP MORFOLOGI NASAL BONE MENGGUNAKAN MODALITAS CT SCAN
| Main Author: | Umar, Irma Yani |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Universitas Udayana
, 2023
|
| Online Access: |
https://ojs.unud.ac.id/index.php/eum/article/view/102592 https://ojs.unud.ac.id/index.php/eum/article/view/102592/52912 |
Daftar Isi:
- Pendahuluan : Deviasi septum nasi merupakan variasi anatomis paling sering, yang ditemukan pada hampir 80% orang dewasa. Septum nasi dapat berpengaruh terhadap pertumbuhan os nasal dan morfologi fasial. Saat ini Computed Tomography (CT) scan disarankan sebagai metode pilihan untuk memberikan gambaran detail tentang morfologi septum dan os nasal. CT scan merupakan teknik non invasif yang dapat digunakan untuk mengukur derajat dan sudut deviasi septum nasi dan luas penampang di bagian rongga hidung. Penelitian ini bertujuan untuk mengetahui korelasi derajat dan arah deviasi septum nasi terhadap morfologi nasal bone menggunakan modalitas CT scan Metode: Desain penelitian cross-sectional dilakukan pada 85 pasien yang memenuhi syarat dan menjalani CT scan kepala. Arah deviasi septum dikategorikan kiri atau kanan, sedangkan derajat dikategorikan ringan (<9o), sedang (9-15°) dan berat (>15°). Morfologi os nasal yang dinilai mencakup ketebalan lateral nasal bone, intermediate nasal bone, sudut internasal, panjang nasal bone, jarak nasal bone ke crista maxillaris, lebar apertura piriformis. Penilaian morfologi os nasal dicatat dalam bentuk nilai median. Korelasi antara derajat dan arah deviasi septum nasi terhadap morfologi nasal bone dilakukan dengan pengujian korelasi Spearman. Hasil : Paling banyak pasien menunjukan deviasi septum ke kiri, sebanyak 47 sampel (55,3%) sedangkan pasien dengan deviasi septum ke kanan sebanyak 38 sampel (44,7%). Paling banyak pasien menunjukkan derajat deviasi sedang, sebanyak 44 sampel. Terdapat korelasi yang signifikan antara ketebalan os nasal lateral kanan dan kiri, dan ketebalan os nasal intermediat kanan dan kiri dengan arah deviasi septum nasi (P<0,001). Terdapat pula korelasi yang signifikan antara jarak os nasal dengan crista maxilaris dan lebar apertura piriformis dengan derajat deviasi septum nasi (p = 0,037; p = 0,005) Kesimpulan : Penelitian ini menunjukkan bahwa arah dan derajat deviasi septum nasi dapat mempengaruhi morfologi os nasal. Os nasal lebih tebal pada sisi yang deviasi dibandingkan sisi kontralateralnya. Temuan ini dapat menjadi pertimbangan untuk klinisi terutama sebelum melakukan tindakan operatif untuk pasien dengan deviasi septum nasi. Kata Kunci : Computerized tomography, Deviasi septum nasi, Morfologi nasal bone
- Introduction: Deviation of nasal septum is the most frequent anatomical variation, which is found in nearly 80% of adults. Nasal septum can influence the growth of the nasal bones and facial morphology. Currently, Computed Tomography (CT) scanning is preferred to provide a detailed view of septal and nasal bones morphology. CT scan is a non-invasive technique that can be used to measure the degree and angle of deviation of the nasal septum and the cross-sectional area of the nasal cavity. This study aims to determine the correlation between the degree and direction of nasal septum deviation on the morphology of the nasal bone using CT scan. Methods: A cross-sectional study was performed in 85 eligible patients who underwent head CT scan. The direction of septal deviation is categorized as left or right, while degrees of septal deviation are categorized as mild (<9o), moderate (9-15°) and severe (>15°). The morphology of the nasal bones assessed included thickness of the lateral nasal bone, intermediate nasal bone, internasal angle, length of the nasal bone, distance of nasal bone to the maxillary crest, and width of the piriform aperture. Measurement of the nasal bones was recorded in median values. Correlation between the degree and direction of nasal septum deviation to nasal bone morphology was performed by Spearman's correlation test. Results: Most of the patients showed left septal deviation, 47 samples (55,3%) while patients with right septal deviation were 38 samples (44,7%). Most patients showed moderate degrees of deviation, 44 samples (34,1%). There was a significant correlation between the thickness of right and left lateral nasal bones, and the thickness of right and left intermediate nasal bones with the direction of nasal septum deviation (P<,.001). There was also a significant correlation between the distance of nasal bones and the maxillary crest and the width of the piriformis aperture with degree of deviation of the nasal septum (p = 0,037; p = 0,005). Conclusion: This study shows that the direction and degree of deviation of the nasal septum can affect the morphology of the nasal bones. The nasal bones are thicker on the deviated side than on the contralateral side. These findings can be a consideration for clinicians, especially before performing surgery for patients with nasal septal deviation. Keyword : Computerized tomography, Deviation of nasal septum, Morphology of nasal bone