Classification and prevalence of nasal septal deformity in Koreans according to two classification systems

Abstract

Conclusion: Guyuron type 2 and Mladina type 1 were the most common types of nasal septal deformity (NSD) in Koreans. The Guyuron classification showed a higher concordance rate with computed tomography (CT) findings than the Mladina classification. Objectives: The purpose of this study was to classify the NSD according to the Guyuron and Mladina classifications, and to evaluate the correlation between anterior rhinoscopy and CT findings. Methods: Each septum of the patients who visited Seoul National University Hospital Health Care Center was classified according to the Guyuron and Mladina classifications. For the patients who underwent septoplasty, the correlation of NSD between anterior rhinoscopy and CT findings was evaluated. Results: Of 970 patients, 50.3% had NSD. According to the Guyuron and Mladina classifications, type 2 (41.4%) and type 1 (35.4%) were most common, respectively. Among 64 patients who underwent septoplasty, the concordance rates with CT findings were 71.9% for the Guyuron classification and 50% for the Mladina classification. This difference was statistically significant (chi-squared test, p = 0.026).

Keywords::

• Guyuron classification
• Mladina classification
• rhinoscopy
• computed tomography
• CT

Declaration of interest: This research was supported by Grant No. 04-2010-1100 from the Seoul National University Hospital Reserch Fund.