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Article

Correlation Between Nasal Anatomical Variants and SNOT-22 in Patients Affected by Odontogenic Sinusitis: A Retrospective Study

1
Otorhinolaryngology Section, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C), University of Palermo, Via del Vespro, 133, 90127 Palermo, Italy
2
Department of Otorhinolaryngology, Papardo Hospital, Contrada Papardo, 98158 Messina, Italy
3
Otorhinolaringology Section, Department of Biomedicine, Neuroscience and Advanced Diagnostics, AOUP Paolo Giaccone, University of Palermo, Via del Vespro, 133, 90127 Palermo, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(7), 2337; https://doi.org/10.3390/jcm14072337
Submission received: 6 March 2025 / Revised: 22 March 2025 / Accepted: 26 March 2025 / Published: 28 March 2025
(This article belongs to the Section Otolaryngology)

Abstract

Objectives: The aim of this study is to analyze the correlation between the nasal anatomical variants and the clinical and radiological features of odontogenic sinusitis to demonstrate their possible involvement in the genesis of the disease. Methods: This is a retrospective multicentric study of 70 patients with odontogenic sinusitis (OS). Before surgery, all patients performed the classic and mini 22-item Sino-Nasal Outcome Test (SNOT-22 and SNOT-8) and Lund–Mackay Score (LMS). Each nasal anatomical anomaly was collected, including paradoxical middle turbinate (PMT), chonca bullosa (CB), and nasal septal deviation (NSD) on the same side as the sinusitis. Results: The patients presented a significantly higher SNOT-22 and SNOT-8 score only in case of association with NSD and PMT/CB. Logistic regression showed that the variables were significantly associated (p = 0.02 and 0.04). No significant correlation was found between LMS and anatomical variations. Conclusions: This study showed that nasal anatomical variables are correlated with SNOT-22 and SNOT-8. Having a combination of NSD and CB or PMT, on the same side as an OS, is related to a worse quality of life in patients affected by this disease. Regarding the radiological features of OS, no significant correlation was found between LMS and anatomical variations.
Keywords: SNOT-22; odontogenic sinusitis; anatomical variants; endoscopic sinus surgery SNOT-22; odontogenic sinusitis; anatomical variants; endoscopic sinus surgery

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MDPI and ACS Style

Sireci, F.; Cascio, F.; Lorusso, F.; Gazia, F.; Immordino, A.; Gallina, S.; Campofiorito, V.; Comparetto, A.; Gerardi, I.; Dispenza, F. Correlation Between Nasal Anatomical Variants and SNOT-22 in Patients Affected by Odontogenic Sinusitis: A Retrospective Study. J. Clin. Med. 2025, 14, 2337. https://doi.org/10.3390/jcm14072337

AMA Style

Sireci F, Cascio F, Lorusso F, Gazia F, Immordino A, Gallina S, Campofiorito V, Comparetto A, Gerardi I, Dispenza F. Correlation Between Nasal Anatomical Variants and SNOT-22 in Patients Affected by Odontogenic Sinusitis: A Retrospective Study. Journal of Clinical Medicine. 2025; 14(7):2337. https://doi.org/10.3390/jcm14072337

Chicago/Turabian Style

Sireci, Federico, Filippo Cascio, Francesco Lorusso, Francesco Gazia, Angelo Immordino, Salvatore Gallina, Valerio Campofiorito, Andrea Comparetto, Ignazio Gerardi, and Francesco Dispenza. 2025. "Correlation Between Nasal Anatomical Variants and SNOT-22 in Patients Affected by Odontogenic Sinusitis: A Retrospective Study" Journal of Clinical Medicine 14, no. 7: 2337. https://doi.org/10.3390/jcm14072337

APA Style

Sireci, F., Cascio, F., Lorusso, F., Gazia, F., Immordino, A., Gallina, S., Campofiorito, V., Comparetto, A., Gerardi, I., & Dispenza, F. (2025). Correlation Between Nasal Anatomical Variants and SNOT-22 in Patients Affected by Odontogenic Sinusitis: A Retrospective Study. Journal of Clinical Medicine, 14(7), 2337. https://doi.org/10.3390/jcm14072337

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