RHINOLOGY The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis Zeliha Kapusuz Gencer • Mahmut O ¨ zkırıs ¸ • Aylin Okur • Seyhan Karac ¸avus ¸ • Levent Saydam Received: 7 January 2013 / Accepted: 5 March 2013 Ó Springer-Verlag Berlin Heidelberg 2013 Abstract Objectives The purpose of this study was to determine the possible role of nasal septal deviation on volume of maxillary sinuses and its relationship with development of maxillary sinusitis. Materials and methods Between May 2010 and Sep- tember 2012, paranasal sinus computed tomography (CT) findings of 825 patients (470 males, 355 females), who admitted to Ear Nose and Throat Department of Bozok University Medical Faculty were retrospectively analyzed. By excluding the other co-existent sino nasal pathologies, 109 consecutive patients (47 males, 62 females mean age 36 ± 13.4 years; range 18–71 years) with isolated nasal septal deviations were recruited for the study. The convex side of the septal curvature was accepted as the direction of deviation. The findings were grouped according to the radiologically measured angle of nasal septal deviations. The deviation angle of the nasal septum was described as; mild ( \ 9°), moderate (the angle between 9° and 15°), or severe (15° and up). The volume of each maxillary sinus (ipsi- and contralateral to the deviation side) was also calculated using the computer program. Sinusitis was defined as any evident thickening of the maxillary sinus mucosa. Results There were 62 females and 47 males with a mean age of 36 ± 13.4. Nasal septal deviation angles were found to range between 5° and 27.2° (mean 13° ± 3.4°). The right sided deviations included 19 mild ( \ 9°, Group I), 16 mod- erate (9°–15°, Group II), and 16 severe (15° and up, Group III) cases. The left sided deviations included 19 mild ( \ 9°, Group I), 19 moderate (9°–15°, Group II), and 20 severe (15° and up, Group III) subjects. Maxillary sinus volumes were compared between right and left sided deviation groups. We could not demonstrate a statistically significant difference between the right maxillary sinus volumes of Groups I and II in left sided deviation cases (p = 0.77). In the same side, comparison of Groups I–III and Groups II–III, the maxillary sinus volume differences were found to be significantly meaningful (p = 0.001 and p = 0.013, respectively). Identical results were yielded in the right sided septal deviation group related to the maxillary sinus volumes of Groups I and II and Groups I–III and Groups II–III compartments (p = 0.99, p = 0.004 and p = 0.003, respectively). In both right and left deviation groups, ipsi and contralateral maxillary sinus volume comparements produced statistically significant results (p = 0.002 and p = 0.04, respectively). The presence of maxillary sinusitis findings were significantly increased in both group (p = 0.00). Statistical significance was set at p \ 0.05. Conclusion Our findings suggest that maxillary sinus volumes tend to be higher at the contralateral side of the severe septum deviations. In addition, the chance of finding maxillary sinusitis findings on ipsilateral to the severe septum deviation was significantly increased. Keyword Maxillary volume Á Maxillary sinusitis Á Septum deviation Z. Kapusuz Gencer (&) Á M. O ¨ zkırıs ¸ Á L. Saydam Department of Otolaryngology, Head and Neck Surgery, Bozok University Medical Faculty, Adnan Menderes Bulvarı No. 42, Yozgat, Turkey e-mail: mzeliha19@hotmail.com A. Okur Department of Radiology, Bozok University Medical Faculty, Yozgat, Turkey S. Karac ¸avus ¸ Department of Nuclear Medicine, Bozok University Medical Faculty, Yozgat, Turkey 123 Eur Arch Otorhinolaryngol DOI 10.1007/s00405-013-2435-y