en Clinical Medicine Clinical Medicine مقاله پژوهشی Original Research Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Background and Objective:</span></span>&nbsp;</strong><span style="line-height:150%">Among facial plastic surgical procedures, septorhinoplasty is deemed the most complex. A critical stage in this process is the effective handling of variations in the septum and turbinate. This research aimed to assess the differences and pathological irregularities in the septum and lateral nasal wall of patients scheduled for septorhinoplasty at a university-based hospital in northern Iran.</span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Materials and Methods:</span></span>&nbsp;</strong><span style="line-height:150%">This cross-sectional study focused on all septorhinoplasty candidates aged between 18-60 years. Observations during surgery, such as the location and category of septal abnormalities, and the location and type of lateral nasal wall abnormalities (including lower and middle turbinate hypertrophy, concha bullosa, and paradoxical turbinate) were meticulously documented and analyzed.</span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Results:</span></span></strong>&nbsp;<span style="line-height:150%">Of the 672 participants, 469 patients (69.8%) presented with septum abnormalities, while 143 patients (21.3%) demonstrated disorders of the lateral nasal wall. The most frequent findings were spurred vomer (24.6%) and lower turbinate hypertrophy (46.9%).</span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Conclusion:</span></span>&nbsp;</strong><span style="line-height:150%">Given the broad range and high incidence of disorders in the septum and lateral nasal wall, it is reasonable to routinely incorporate radiological investigations into the preoperative assessment of surgical candidates. This approach can potentially identify pathological findings, minimize postoperative complications, and optimize the surgical outcomes.</span></span></span></p> Concha Bullosa, Nasal Septum, Deviated Nasal Septum, Septorhinoplasty 275 281 http://journal.zums.ac.ir/browse.php?a_code=A-10-6231-1&slc_lang=en&sid=1 Ali Faghih Habibi dr.faghih.habibi@gmail.com 5200319475328460076748 5200319475328460076748 No Dept. of Otolaryngology, Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Sevil Nasirmohtaram sevil198@yahoo.com 5200319475328460076749 5200319475328460076749 No Dept. of Otolaryngology, Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Shadman Nemati drshadmannemati_ent@yahoo.com 5200319475328460076750 5200319475328460076750 Yes Dept. of Otolaryngology, Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Ehsan Kazemnezhad Leyli kazem-eh@yahoo.com 5200319475328460076751 5200319475328460076751 No Dept. of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Maliheh Akbarpour akbarpour_malihe@yahoo.com 5200319475328460076752 5200319475328460076752 No Dept. of Otolaryngology, Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Hedieh Ramezani hediehr1392@gmail.com 5200319475328460076753 5200319475328460076753 No Dept. of Otolaryngology, Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Rastin Hosseinzadeh Asli rastinhz@gmail.com 5200319475328460076754 5200319475328460076754 No School of Medicine, Guilan University of Medical Sciences, Rasht, Iran