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Computed Tomography Description of the Uncinate Process Angulation in Patients With Cystic Fibrosis and Comparison With Primary Ciliary Dyskinesia, Nasal Polyposis, and Controls.

Authors :
Hervochon R
Teissier N
Blondeau JR
Remus N
Bassinet L
Canoui-Poitrine F
Van Den Abbeele T
Prulière-Escabasse V
Source :
Ear, nose, & throat journal [Ear Nose Throat J] 2019 Feb; Vol. 98 (2), pp. 89-93. Date of Electronic Publication: 2019 Feb 07.
Publication Year :
2019

Abstract

Background:: There is a medial bulging of the lateral nasal wall in patients with cystic fibrosis (CF).<br />Aims:: Uncinate process (UP) angulation measurements in patients and controls to objectify this bulging.<br />Materials and Methods:: Thirty CF, 17 primary ciliary dyskinesia (PCD), 13 chronic rhinosinusitis with polyps (CRSwp), and 30 controls were included. Angles were measured bilaterally on computed tomography (CT) scans: A, B, C on coronal sections, D and E on axial sections. Angle A was between the UP and the orbit inner wall, whereas the others were between UP and midline.<br />Results:: There was no significant difference between controls, PCD, and CRSwp. However, CF had 3 statistically different angles with controls, 5 with CRSwp, and 4 with PCD. Angle A average value was 126° (±16°) in patients with CF, 138° (±19°) in controls ( P = .007), 145° (±15°) in PCD ( P = .001), and 138° (±14°) in CRSwp ( P = .001). Angle E average value was 35° (±10°) in patients with CF, 20° (±6°) in controls ( P < .001), 21° (±4°) in PCD ( P < .001), and 22° (±6°) in CRSwp ( P < .001).<br />Conclusion:: Uncinate process's anatomy is only modified in CF: Angle between UP and inner wall of orbit is closed, and angles between UP and midline are opened.<br />Significance:: These measures quantify the medial bulging of lateral nasal wall and support nasofibroscopic observations.

Details

Language :
English
ISSN :
1942-7522
Volume :
98
Issue :
2
Database :
MEDLINE
Journal :
Ear, nose, & throat journal
Publication Type :
Academic Journal
Accession number :
30884997
Full Text :
https://doi.org/10.1177/0145561319828645