Original Article

IJMDC. 2020; 4(1): 58-60

The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study

Authors: Mohammad Saad Aldin, Abdullah S. Assalem, Atheer A. Alzubedi, Elham R. Alharbi, Johara M. Abdulkarim, Waad A. Haroun, Malak H. Alfaifi, Haneen S. Almasoudi, Ahmad A. Alzubedi.

ABSTRACT

Background: Septorhinoplasty is a common procedure nowadays. The objective of this study was to assess the role of computed tomography (CT) scan preoperatively in detecting nasal and paranasal pathologies which impact the surgical outcome, and operative plan. Methodology: This was retrospective descriptive study of 81 patients who underwent preoperative CT scan and were referred for functional septorhinoplasty, at King Abdullah Medical City from 2012 to 2018. Results: There were 75 (92.59%) patients with internal nasal valve obstruction, 26 (34.67%) had bilateral internal nasal valve obstruction, followed by 25 (33.33%) had left internal nasal valve obstruction, and 24 (32%) with right internal valve obstruction. Two third of the cases 68 (83.95%) had severely crocked nose with septal deviation, 21 (30.88%) had J shape, 19 (27.94%) had inverted J shape, 12 (17.64%) had inverted C shape, 10 (14.70%) had C shape, 1 (1.47%) had S shape, and only 5 (7.35%) cases had a normal septum. Of the 81 patients, 68 (83.95%) had grade five septal deviation, six (7.41%) had hidden pathology detected, five (6.17%) had medico-legal cases (trauma and septal perforation), and two (2.47%) had congenital anomaly. Conclusion: Preoperative CT for septorhinoplasty is beneficial to detect anatomy of nose and paranasal sinuses, which is better than nasal endoscopy. Although, cost and radiation burden should be considered, especially in regards to the risk of development of future malignancy. CT scan prior to septorhinoplasty might be a proper tool to decrease surgical failure.

Keywords:
Septorhinoplasty, CT scan, indication


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The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study


Authors
Mohammad Saad Aldin
King Abdullah Medical City, Makkah, Saudi Arabia
PubMed articlesGoogle scholar articles

Abdullah S Assalem
Alhada Armed Force Hospital, ORL-HNS, Ministry of Defense, Al Hada Taif, Saudi Arabia
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Atheer A Alzubedi
Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia
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Elham R Alharbi
Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia
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Johara M Abdulkarim
Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia
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Waad A Haroun
General Surgery Resident, King Faisal Hospital, Makkah, Saudi Arabia
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Malak H Alfaifi
Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia
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Haneen S Almasoudi
Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia
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Ahmad A Alzubedi
5th Year Student, Umm Al Qura University, Makkah, Saudi Arabia
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Correspondence to:
. Mohammad Saad Aldin, King Abdullah Medical City, Makkah, Saudi Arabia.; mahmedsaad13@yahoo.com

Publication history
Received 06 Oct 2019
Accepted 30 Nov 2019
Published online 25 Dec 2019
Published in print 13 Jan 2020

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Pubmed Style

Aldin MS, Assalem AS, Alzubedi AA, Alharbi ER, Abdulkarim JM, Haroun WA, Alfaifi MH, Almasoudi HS, Alzubedi AA. The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. IJMDC. 2020; 4(1): 58-60. doi:10.24911/IJMDC.51-1570357791


Web Style

Aldin MS, Assalem AS, Alzubedi AA, Alharbi ER, Abdulkarim JM, Haroun WA, Alfaifi MH, Almasoudi HS, Alzubedi AA. The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. http://www.ijmdc.com/?mno=68520 [Access: January 25, 2020]. doi:10.24911/IJMDC.51-1570357791


AMA (American Medical Association) Style

Aldin MS, Assalem AS, Alzubedi AA, Alharbi ER, Abdulkarim JM, Haroun WA, Alfaifi MH, Almasoudi HS, Alzubedi AA. The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. IJMDC. 2020; 4(1): 58-60. doi:10.24911/IJMDC.51-1570357791


Vancouver/ICMJE Style

Aldin MS, Assalem AS, Alzubedi AA, Alharbi ER, Abdulkarim JM, Haroun WA, Alfaifi MH, Almasoudi HS, Alzubedi AA. The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. IJMDC. (2020), [cited January 25, 2020]; 4(1): 58-60. doi:10.24911/IJMDC.51-1570357791


Harvard Style

Aldin, M. S., Assalem, . A. S., Alzubedi, . A. A., Alharbi, . E. R., Abdulkarim, . J. M., Haroun, . W. A., Alfaifi, . M. H., Almasoudi, . H. S. & Alzubedi, . A. A. (2020) The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. IJMDC, 4 (1), 58-60. doi:10.24911/IJMDC.51-1570357791


Turabian Style

Aldin, Mohammad Saad, Abdullah S. Assalem, Atheer A. Alzubedi, Elham R. Alharbi, Johara M. Abdulkarim, Waad A. Haroun, Malak H. Alfaifi, Haneen S. Almasoudi, and Ahmad A. Alzubedi. 2020. The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. International Journal of Medicine in Developing Countries, 4 (1), 58-60. doi:10.24911/IJMDC.51-1570357791


Chicago Style

Aldin, Mohammad Saad, Abdullah S. Assalem, Atheer A. Alzubedi, Elham R. Alharbi, Johara M. Abdulkarim, Waad A. Haroun, Malak H. Alfaifi, Haneen S. Almasoudi, and Ahmad A. Alzubedi. "The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study." International Journal of Medicine in Developing Countries 4 (2020), 58-60. doi:10.24911/IJMDC.51-1570357791


MLA (The Modern Language Association) Style

Aldin, Mohammad Saad, Abdullah S. Assalem, Atheer A. Alzubedi, Elham R. Alharbi, Johara M. Abdulkarim, Waad A. Haroun, Malak H. Alfaifi, Haneen S. Almasoudi, and Ahmad A. Alzubedi. "The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study." International Journal of Medicine in Developing Countries 4.1 (2020), 58-60. Print. doi:10.24911/IJMDC.51-1570357791


APA (American Psychological Association) Style

Aldin, M. S., Assalem, . A. S., Alzubedi, . A. A., Alharbi, . E. R., Abdulkarim, . J. M., Haroun, . W. A., Alfaifi, . M. H., Almasoudi, . H. S. & Alzubedi, . A. A. (2020) The role of CT scan in primary and revision septorhinoplasty: a retrospective descriptive study. International Journal of Medicine in Developing Countries, 4 (1), 58-60. doi:10.24911/IJMDC.51-1570357791


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