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INVESTIGATING THE RELATIONSHIP BETWEEN NASAL SEPTAL DEVIATION, CONCHA BULLOSA, AND CHRONIC SINUSITIS: A CT SCAN ANALYSIS
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Sinusitis, an inflammation of the paranasal sinuses, is often linked to anatomical variations involving the nasal cavity and paranasal sinuses. This study aims to explore the interconnections between sinusitis, septal deviations (SeD), and concha bullosa. Thirty-three sinus CT scans were meticulously examined by two ENT trainees over a one-year period, encompassing 463 patients predominantly presenting with chronic sinusitis or nasal obstructions. The CT scans were scrutinized to identify the presence of conchae bullosa and septal deviations, and the severity of sinusitis was assessed using the Lund Mackay criteria. Among the 463 cases studied, 47% exhibited septal deviations, with concha bullosa prevalence recorded at 16.8% on the left side and 27.6% on the right side. Interestingly, the presence of concha bullosa did not correlate with an escalation in sinusitis severity. Moreover, the P-values from analytical tests yielded non-significant results for sinusitis severity in relation to both concha bullosa and osteomeatal involvement. Analysis further revealed no substantial correlation between the presence of SeD (either side) and sinusitis severity. In essence, this study establishes a lack of conclusive association between concha bullosa and sinusitis severity in the osteomeatal complex, emphasizing the absence of significant relationships among sinusitis severity, osteomeatal involvement, and septal deviation. The directional aspect of SeD, whether left or right, also failed to exhibit a notable association with sinusitis severity across different sinusesddd