ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2022.79.09ymj-58Research ArticleМЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯMETHODS OF DIAGNOSIS AND TREATMENTОпределение паттернов развития перегородки носа у детей коренного населения от 0 до 4 лет в РС(Я)Determination of nasal septum development patterns in indigenous children aged 0 to 4 years in the Republic of Sakha (Yakutia)ГармаеваД. К.GarmaevaD. K.

Гармаева Дарима Кышектовна – д.м.н., проф.

Якутск

Garmaeva Darima Kyshektovna – MD, Professor of the Department of   Normal and Pathological Anatomy, Operative Surgery with Topographic Anatomy and Forensic Medicine 

 

dari66@mail.ruПоповИ. О.PopovI. O.

Попов Иван Олегович – аспирант

Якутск

Popov Ivan Olegovich – postgraduate student of the Department of Normal and Pathological Anatomy, with the Course of Operative Surgery, Topographic Anatomy and Forensic Medicine 

 

pv25008@gmail.comШивкинД. В.ShivkinD. V.

Шивкин Денис Валерьевич – студент

Якутск

Shivkin Denis Valerievich – third-year student of the Faculty of General Medicine

 

irtvwbzo@gmail.comМединститут СВФУ им. М.К. АммосоваРоссияNEFU’s Medical InstituteRussian Federation202203022025033639Copyright © Гармаева Д.К., Попов И.О., Шивкин Д.В., 20252025Гармаева Д.К., Попов И.О., Шивкин Д.В.Garmaeva D.K., Popov I.O., Shivkin D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/58

В статье рассмотрен способ описания паттернов развития перегородки носа как один из практических методов ранней диагностики на основе данных компьютерной томографии детей коренного населения Республики Саха (Якутия). По результатам анализа выявлены статистически значимые корреляции, позволяющие судить о наличии линейной зависимости между возрастными группами и каждым из параметров перегородки носа, а также отмечены тенденции к уменьшению угла отклонения перегородки носа с возрастом.

Dynamics in the development of otorhinolaryngological pathologies among Sakha Republic’s population has a positive upward trend, and one of the main reasons is the deformity of the nasal septum, which, according to some authors, makes up 56 to 95% of all treatment cases. Congenital deformities or developmental anomalies leading to deviation of the nasal septum in children with untimely diagnosis can lead to chronic inflammatory processes in the mucous membrane of the cavity and paranasal sinuses. This causes a violation of the airway function of the upper respiratory tract and increased probability of infectious diseases. Diagnosis of these conditions in children under 6 years of age will prevent these consequences, as well as reduce the need for surgical treatment of septoplasty. This article discusses a method for describing the developmental patterns of the nasal septum as one of the practical methods for early diagnosis of children. The method uses computed tomography data of children of the indigenous population of the Sakha (Yakutia) Republic. We have analyzed the results of studies of multislice CT of the head in multiplanar mode for children aged 0 to 4 with a total of 48 patients. At the same time, the grouping of research subjects was based on gender (boys, girls) and age (by years). While analyzing the images, we used the linear dimensions of the nasal septum, including the length and height of the septum, as well as its angle of deviation. According to the results of the analysis, we found statistically significant correlations, which made it possible to conclude that there is a linear relationship between age groups and each of the indicators, as well as a decrease in the deviation angle of the nasal septum with age.

паттерны развитияперегородка носакомпьютерная томографияанатомиякоренное населениеискривление перегородки носаdevelopmental patternsnasal septumCT scananatomyindigenous peopledeviated nasal septumReferencesМорфометрические варианты строения наружного носа и внутриносовых структур при риносколиозе: компьютерно-топографическое исследование / С.С. Оганесян, Ю.К. Янов, Н.Н. Науменко [и др.] // РО. - 2009. - №6.Morphometric variants of the structure of the external nose and intra-nasal structures in rhinoscoliosis: computer topographical study / S.S. Oganesyan, YU. K. Yаnov, N. N. Naumenko [et al.] // RO. 2009. No.6.Особенности изменчивости костной части перегородки носа в детском возрасте / М.В. Маркеева [и др.] // Известия вузов. Поволжский регион. Медицинские науки. - 2020. - №2 (54).Features of variability of the bony part of the nasal septum in childhood / Markeeva M.V. [et al.] // University proceedings. Volga region. Medical sciences. - 2020. – No.2 (54)Современные представления о развитии и строении носовой полости человека / Е.Д. Луцай [и др.] // Медицинский вестник Башкортостана. - 2021. - №1 (91).Modern ideas about the development and structure of the human nasal cavity / E.D. Lucaj [et al.] // Bashkortostan medical journal. - 2021. – No.1 (91).Субботина М.В. Влияние нарушения архитектоники полости носа и носоглотки на развитие околоносовых пазух и формирование в них воспалительных процессов / М.В. Субботина, В.С. Коханов // РО. - 2020. -№5 (108).Subbotina M.V. The influence of the violation of the architectonics of the nasal cavity and nasopharynx on the development of the paranasal sinuses and the formation of inflammatory processes in them / M.V. Subbotina, V.S. Kohanov // RO. - 2020. – No.5 (108).Чистякова В.Р. Клиническое значение анатомии и физиологии ЛОР-органов у новорожденных и грудных детей : национальное руководство / В.Р. Чистякова; под общ. ред. М. Р. Богомильского, В. Р. Чистяковой. – М.: ГЭОТАР-Медиа, 2008. – 736 с.Chistyakova V.R. The clinical significance of the anatomy and physiology of ENT organs in newborns and infants: national guide / V.R. Chistyakova. – M.: GEOTAR-Media, 2008, 736 p.Analysis of the nasal bone and nasal pyramid by three-dimensional computed tomography / Lee S.H., Yang T.Y., Han G.S. [et al.] // Eur. Arch. Otorhinolaryngol. – 2008. – 265 р.Analysis of the nasal bone and nasal pyramid by three-dimensional computed tomography / Lee S.H., Yang T.Y., Han G.S. [et al.] // Eur. Arch. Otorhinolaryngol. – 2008. – 265 р.Deformities of the nasal septum in human fetuses / Ruano-Gil D. [et al.] Rhinology. 1980. Vol. 18, № 2.Deformities of the nasal septum in human fetuses / Ruano-Gil D. [et al.] Rhinology. 1980. Vol. 18, № 2.Devareddy M.M. Evaluation of Anatomical Variations in Nose and Paranasal Sinuses by using Multidetector Computed Tomography / M.M. Devareddy, S. Devakar // International Journal of Contemporary Medicine, Surgery and Radiology. - 2019. - Vol. 4, № 3.Devareddy M.M. Evaluation of Anatomical Variations in Nose and Paranasal Sinuses by using Multidetector Computed Tomography / M.M. Devareddy, S. Devakar // International Journal of Contemporary Medicine, Surgery and Radiology. - 2019. - Vol. 4, № 3.Nasal cavities and the nasal septum: Anatomical variants and assessment of features with computed tomography / Cellina M. [et al.] //Neuroradiology Journal. - 2020. - Vol. 33, № 4.Nasal cavities and the nasal septum: Anatomical variants and assessment of features with computed tomography / Cellina M. [et al.] //Neuroradiology Journal. - 2020. - Vol. 33, № 4.Nasal Region Dimensions in Children: A CT Study and Clinical Implications / Likus W. [et al.] // Experimental And Therapeutics Medicine. - 2017. - Vol. 14, №2. — P.1519-1525.Nasal Region Dimensions in Children: A CT Study and Clinical Implications / Likus W. [et al.] // Experimental And Therapeutics Medicine. - 2017. - Vol. 14, №2. — P.1519-1525.Relationship between nasal septum morphology and nasal obstruction symptom severity: computed tomography study / Janovic N. [et al.] // Brazilian Journal of Otorhinolaryngology. - 2020.Relationship between nasal septum morphology and nasal obstruction symptom severity: computed tomography study / Janovic N. [et al.] // Brazilian Journal of Otorhinolaryngology. - 2020.Relationship between the degree and direction of nasal septum deviation and nasal bone morphology / Serifoglu I. [et al.] // Head and Face Medicine. - 2017. - Vol. 13.Relationship between the degree and direction of nasal septum deviation and nasal bone morphology / Serifoglu I. [et al.] // Head and Face Medicine. - 2017. - Vol. 13.Geometric morphometric contribution to septal deviation analysis / Radulesco T. [et al.] // Surgical and Radiologic Anatomy. - 2019. - Vol. 41, № 7.Geometric morphometric contribution to septal deviation analysis / Radulesco T. [et al.] // Surgical and Radiologic Anatomy. - 2019. - Vol. 41, № 7.Som P.M. Illustrated review of the embryology and development of the facial region, part 2: Late development of the fetal face and changes in the face from the newborn to adulthood / P.M. Som, T.P. Naidich // American Journal of Neuroradiology. – 2014. – Vol. 35, No1.– P. 10-18Som P.M. Illustrated review of the embryology and development of the facial region, part 2: Late development of the fetal face and changes in the face from the newborn to adulthood / P.M. Som, T.P. Naidich // American Journal of Neuroradiology. – 2014. – Vol. 35, No1.– P. 10-18Wozniak J. Mathematical assessment of feotal facial skeleton development / J. Wozniak, A. Kedzia, K. Dudek // Archives of Perinatal Medicine. – 2010. – Vol. 16, No4. – P. 211-217.Wozniak J. Mathematical assessment of feotal facial skeleton development / J. Wozniak, A. Kedzia, K. Dudek // Archives of Perinatal Medicine. – 2010. – Vol. 16, No4. – P. 211-217.

The authors declare that there are no conflicts of interest present.