title: Anatomical Variations of Ostiomeatal Complex in CBCT of Patients Seeking Rhinoplasty.
abstract: BACKGROUND
  Anatomic variation can potentially impact the surgical safety.
  
  
  OBJECTIVE
  The purpose of this cross-sectional study was to assess the prevalence of ostiomeatal complex variations based on cone beam computed tomography (CBCT) images of the patients seeking rhinoplasty.
  
  
  METHODS
  In this cross-sectional study, CBCT images of 281 patients including 153 female and 128 male with Mean±SD age of 26.97±7.38 were retrieved and analyzed for presence of variations of ostiomeatal complex and mucosal thickening. All CBCT images were acquired by NewTom VGi scanner with 15×15 field of view, as a part of preoperative recording of patients seeking rhinoplasty in an otolaryngology clinic. Chi- square test and Odds ratio were used for statistical analysis of the obtained data and p< 0.05 was considered to be statistically significant.
  
  
  RESULTS
  Agger nasi cells which were seen in 93.2% of the cases were the most common anatomic variation. It was followed by Haller cells (68%), concha bullosa (67.3%), uncinate process variations (54.8%), nasal sepal deviation (49.5%) and paradoxical curvature of middle turbinate (10%). Mucosal thickening were detected in 60.7% of the studied cases.
  
  
  CONCLUSIONS
  Ostiomeatal complex variations and mucosal thickening are considerably prevalent among the patients seeking rhinoplasty. This study also revealed that CBCT evaluation of paranasal sinuses has comparable result in delineation of the sinonasal anatomy.
authors.affiliation: Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Khojastepour
authors.affiliation: Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: Sabah
authors.initials: S
authors.lastname: Mirhadi
authors.affiliation: Dept. of Otolaryngology and Plastic Surgery, Khodadoust Hospital, Shiraz Iran.
authors.forename: Seyed Alireza
authors.initials: SA
authors.lastname: Mesbahi
keywords: Cone Beam CT; Mucosal Thickening; Ostiomeatal Complex; Rhinoplasty; Variations