{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T06:03:10Z","timestamp":1781935390966,"version":"3.54.5"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T00:00:00Z","timestamp":1592870400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Isolated nasal obstruction (INO) is a common complaint of multiple etiology. The preoperative evaluation of patients presenting with nasal obstruction and deviated nasal septum (DNS) does not typically include imaging. The benefits of performing computed tomography (CT) in the preoperative setting are inconclusive.<\/jats:p><jats:p>\n          Objective\u2003Assessing the contribution of preoperative CT to the surgical treatment of non-sinusitis patients presenting with INO and DNS.<\/jats:p><jats:p>\n          Methods\u2003A retrospective cohort study on patients referred to surgery for nasal obstruction due to DNS or turbinate hypertrophy between 2006 and 2015. Data was retrieved from patients' medical charts. The CT scans and clinical data were reassessed by a second surgeon blinded to the patients' clinical course.<\/jats:p><jats:p>\n          Results\u2003Seventy of the 843 patients (8.06%) who underwent endoscopic sinonasal procedures during the study period had presented with INO and met the inclusion criteria. Thirty-eight (55.88%) of them underwent CT scans during their preoperative assessment. Modification of the initial preoperative planning based on the radiological findings was required in 32 cases (84.2%). When reassessed by a second blinded surgeon, 58% of cases required surgical modification rather than classical submucosal resection of nasal septum and turbinate reduction (P\u2009=\u20090.048).<\/jats:p><jats:p>\n          Conclusion\u2003Computed tomography was found beneficial in the preoperative planning for patients with INO. The original surgical plan based upon physical examination findings was modified based on radiological findings in 84.2% of the patients.<\/jats:p>","DOI":"10.1055\/s-0040-1712933","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T23:23:07Z","timestamp":1592954587000},"page":"e242-e248","source":"Crossref","is-referenced-by-count":11,"title":["The Role of Imaging in the Preoperative Assessment of Patients with Nasal Obstruction and Septal Deviation\u2014A Retrospective Cohort Study"],"prefix":"10.1055","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0628-1942","authenticated-orcid":false,"given":"Narin Nard","family":"Carmel-Neiderman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Safadi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anat","family":"Wengier","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomer","family":"Ziv-Baran","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Warshavsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barak","family":"Ringel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilad","family":"Horowitz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan M.","family":"Fliss","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avraham","family":"Abergel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,6,23]]},"reference":[{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/j.1749-4486.2011.02279.x","article-title":"Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review","volume":"36","author":"M Moore","year":"2011","journal-title":"Clin Otolaryngol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.otohns.2003.12.004","article-title":"Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study","volume":"130","author":"M G Stewart","year":"2004","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1097\/SCS.0b013e3182902729","article-title":"The contribution of computed tomography to nasal septoplasty","volume":"24","author":"D Karata\u015f","year":"2013","journal-title":"J Craniofac Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.2214\/AJR.14.13762","article-title":"CT of Anatomic Variants of the Paranasal Sinuses and Nasal Cavity: Poor Correlation With Radiologically Significant Rhinosinusitis but Importance in Surgical Planning","volume":"204","author":"K A Shpilberg","year":"2015","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1177\/0194599815572097","article-title":"Clinical Practice Guideline (Update): Adult Sinusitis","volume":"152","author":"R M Rosenfeld","year":"2015","journal-title":"Otolaryngol Neck Surg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0030-6665(20)31438-9","article-title":"The biophysics of nasal airflow","volume":"22","author":"P W Scherer","year":"1989","journal-title":"Otolaryngol Clin North Am"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1002\/alr.21445","article-title":"Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings","volume":"5","author":"A R Sedaghat","year":"2015","journal-title":"Int Forum Allergy Rhinol"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/000348941212100409","article-title":"Correlation of nasal obstruction with nasal cross-sectional area measured by computed tomography in patients with nasal septal deviation","volume":"121","author":"G S Cho","year":"2012","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"199","DOI":"10.4329\/wjr.v3.i8.99","article-title":"Computed tomography scans of paranasal sinuses before functional endoscopic sinus surgery","volume":"3","author":"E C Cashman","year":"2011","journal-title":"World J Radiol"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1148\/radiol.2433050207","article-title":"Multidetector CT of the paranasal sinus: potential for radiation dose reduction","volume":"243","author":"M H Brem","year":"2007","journal-title":"Radiology"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1712933.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T22:39:51Z","timestamp":1620167991000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1712933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,23]]},"references-count":10,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2021,5,4]]},"published-print":{"date-parts":[[2021,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1712933","relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,23]]}}}