Radiological comparison of inferior turbinate hypertrophy between allergic and non-allergic rhinitis: does allergy really augment turbinate hypertrophy?

Salma Saud Al Sharhan, Eun Jung Lee, Chi Sang Hwang, Jae Sung Nam, Joo Heon Yoon, Chang Hoon Kim, Hyung Ju Cho

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Inferior turbinate hypertrophy could be a result of allergic rhinitis (AR) that leads to nasal congestion and nasal airway obstruction, which is the most bothersome complaint in patients with AR. However, evidence regarding whether patients with AR have a more hypertrophied inferior turbinate than do patients with non-AR is lacking. Objective: We aimed to evaluate the degree of inferior turbinate hypertrophy according to the presence of AR using radiological measurements of the inferior turbinate. Methods: For evaluating the inferior turbinate, which contributes to nasal obstruction in patients with AR, we enrolled 90 adult patients with septal deviation and divided them into two groups (AR group: n = 49; non-AR group: n = 41). Allergic rhinitis was diagnosed according to the presence of an allergic history, positive multiple allergen simultaneous test, and serological total immunoglobulin E level (≥ 100 kU/L). We analyzed the minimal cross-sectional area on acoustic rhinometry for both groups. The bilateral total width as well as medial mucosa and nasal cavity space in the anterior and posterior portions of the inferior turbinate were measured using computed tomography. Results: We could not find any significant differences in the anterior and posterior dimensions of the inferior turbinate, intranasal space, and choanal spaces between the AR and non-AR groups. Instead, the anterior part of the inferior turbinate in both the groups showed significant differences between the deviated and contralateral sides. The contralateral side had a larger width than did the deviated side, but no significant difference was noted in the posterior portion of the inferior turbinate. Conclusion: The degree of inferior turbinate hypertrophy showed no difference between patients with and without AR. Therefore, we suggest that surgical treatment for reducing the size of the inferior turbinate hypertrophy should be considered when performing septoplasty in patients with symptoms of nasal obstruction, regardless of the presence of AR.

Original languageEnglish
Pages (from-to)923-929
Number of pages7
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume275
Issue number4
DOIs
Publication statusPublished - 2018 Apr 1

Fingerprint

Turbinates
Rhinitis
Hypertrophy
Hypersensitivity
Nasal Obstruction
Acoustic Rhinometry
Allergic Rhinitis
Nasal Cavity
Serologic Tests
Nose
Allergens
Immunoglobulin E
Mucous Membrane
History
Tomography

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Sharhan, Salma Saud Al ; Lee, Eun Jung ; Hwang, Chi Sang ; Nam, Jae Sung ; Yoon, Joo Heon ; Kim, Chang Hoon ; Cho, Hyung Ju. / Radiological comparison of inferior turbinate hypertrophy between allergic and non-allergic rhinitis : does allergy really augment turbinate hypertrophy?. In: European Archives of Oto-Rhino-Laryngology. 2018 ; Vol. 275, No. 4. pp. 923-929.
@article{92b2f672569e4e3dbb2b7ba5cb1a70b5,
title = "Radiological comparison of inferior turbinate hypertrophy between allergic and non-allergic rhinitis: does allergy really augment turbinate hypertrophy?",
abstract = "Background: Inferior turbinate hypertrophy could be a result of allergic rhinitis (AR) that leads to nasal congestion and nasal airway obstruction, which is the most bothersome complaint in patients with AR. However, evidence regarding whether patients with AR have a more hypertrophied inferior turbinate than do patients with non-AR is lacking. Objective: We aimed to evaluate the degree of inferior turbinate hypertrophy according to the presence of AR using radiological measurements of the inferior turbinate. Methods: For evaluating the inferior turbinate, which contributes to nasal obstruction in patients with AR, we enrolled 90 adult patients with septal deviation and divided them into two groups (AR group: n = 49; non-AR group: n = 41). Allergic rhinitis was diagnosed according to the presence of an allergic history, positive multiple allergen simultaneous test, and serological total immunoglobulin E level (≥ 100 kU/L). We analyzed the minimal cross-sectional area on acoustic rhinometry for both groups. The bilateral total width as well as medial mucosa and nasal cavity space in the anterior and posterior portions of the inferior turbinate were measured using computed tomography. Results: We could not find any significant differences in the anterior and posterior dimensions of the inferior turbinate, intranasal space, and choanal spaces between the AR and non-AR groups. Instead, the anterior part of the inferior turbinate in both the groups showed significant differences between the deviated and contralateral sides. The contralateral side had a larger width than did the deviated side, but no significant difference was noted in the posterior portion of the inferior turbinate. Conclusion: The degree of inferior turbinate hypertrophy showed no difference between patients with and without AR. Therefore, we suggest that surgical treatment for reducing the size of the inferior turbinate hypertrophy should be considered when performing septoplasty in patients with symptoms of nasal obstruction, regardless of the presence of AR.",
author = "Sharhan, {Salma Saud Al} and Lee, {Eun Jung} and Hwang, {Chi Sang} and Nam, {Jae Sung} and Yoon, {Joo Heon} and Kim, {Chang Hoon} and Cho, {Hyung Ju}",
year = "2018",
month = "4",
day = "1",
doi = "10.1007/s00405-018-4893-8",
language = "English",
volume = "275",
pages = "923--929",
journal = "Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde",
issn = "0003-9195",
publisher = "Springer Verlag",
number = "4",

}

Radiological comparison of inferior turbinate hypertrophy between allergic and non-allergic rhinitis : does allergy really augment turbinate hypertrophy? / Sharhan, Salma Saud Al; Lee, Eun Jung; Hwang, Chi Sang; Nam, Jae Sung; Yoon, Joo Heon; Kim, Chang Hoon; Cho, Hyung Ju.

In: European Archives of Oto-Rhino-Laryngology, Vol. 275, No. 4, 01.04.2018, p. 923-929.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Radiological comparison of inferior turbinate hypertrophy between allergic and non-allergic rhinitis

T2 - does allergy really augment turbinate hypertrophy?

AU - Sharhan, Salma Saud Al

AU - Lee, Eun Jung

AU - Hwang, Chi Sang

AU - Nam, Jae Sung

AU - Yoon, Joo Heon

AU - Kim, Chang Hoon

AU - Cho, Hyung Ju

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Background: Inferior turbinate hypertrophy could be a result of allergic rhinitis (AR) that leads to nasal congestion and nasal airway obstruction, which is the most bothersome complaint in patients with AR. However, evidence regarding whether patients with AR have a more hypertrophied inferior turbinate than do patients with non-AR is lacking. Objective: We aimed to evaluate the degree of inferior turbinate hypertrophy according to the presence of AR using radiological measurements of the inferior turbinate. Methods: For evaluating the inferior turbinate, which contributes to nasal obstruction in patients with AR, we enrolled 90 adult patients with septal deviation and divided them into two groups (AR group: n = 49; non-AR group: n = 41). Allergic rhinitis was diagnosed according to the presence of an allergic history, positive multiple allergen simultaneous test, and serological total immunoglobulin E level (≥ 100 kU/L). We analyzed the minimal cross-sectional area on acoustic rhinometry for both groups. The bilateral total width as well as medial mucosa and nasal cavity space in the anterior and posterior portions of the inferior turbinate were measured using computed tomography. Results: We could not find any significant differences in the anterior and posterior dimensions of the inferior turbinate, intranasal space, and choanal spaces between the AR and non-AR groups. Instead, the anterior part of the inferior turbinate in both the groups showed significant differences between the deviated and contralateral sides. The contralateral side had a larger width than did the deviated side, but no significant difference was noted in the posterior portion of the inferior turbinate. Conclusion: The degree of inferior turbinate hypertrophy showed no difference between patients with and without AR. Therefore, we suggest that surgical treatment for reducing the size of the inferior turbinate hypertrophy should be considered when performing septoplasty in patients with symptoms of nasal obstruction, regardless of the presence of AR.

AB - Background: Inferior turbinate hypertrophy could be a result of allergic rhinitis (AR) that leads to nasal congestion and nasal airway obstruction, which is the most bothersome complaint in patients with AR. However, evidence regarding whether patients with AR have a more hypertrophied inferior turbinate than do patients with non-AR is lacking. Objective: We aimed to evaluate the degree of inferior turbinate hypertrophy according to the presence of AR using radiological measurements of the inferior turbinate. Methods: For evaluating the inferior turbinate, which contributes to nasal obstruction in patients with AR, we enrolled 90 adult patients with septal deviation and divided them into two groups (AR group: n = 49; non-AR group: n = 41). Allergic rhinitis was diagnosed according to the presence of an allergic history, positive multiple allergen simultaneous test, and serological total immunoglobulin E level (≥ 100 kU/L). We analyzed the minimal cross-sectional area on acoustic rhinometry for both groups. The bilateral total width as well as medial mucosa and nasal cavity space in the anterior and posterior portions of the inferior turbinate were measured using computed tomography. Results: We could not find any significant differences in the anterior and posterior dimensions of the inferior turbinate, intranasal space, and choanal spaces between the AR and non-AR groups. Instead, the anterior part of the inferior turbinate in both the groups showed significant differences between the deviated and contralateral sides. The contralateral side had a larger width than did the deviated side, but no significant difference was noted in the posterior portion of the inferior turbinate. Conclusion: The degree of inferior turbinate hypertrophy showed no difference between patients with and without AR. Therefore, we suggest that surgical treatment for reducing the size of the inferior turbinate hypertrophy should be considered when performing septoplasty in patients with symptoms of nasal obstruction, regardless of the presence of AR.

UR - http://www.scopus.com/inward/record.url?scp=85041507482&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041507482&partnerID=8YFLogxK

U2 - 10.1007/s00405-018-4893-8

DO - 10.1007/s00405-018-4893-8

M3 - Article

C2 - 29417277

AN - SCOPUS:85041507482

VL - 275

SP - 923

EP - 929

JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

SN - 0003-9195

IS - 4

ER -