Nasal and Paranasal Sinuses Anatomical Variations in Patients with and without Chronic Rhinosinusitis
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 1 No. 1 (2015),
21 February 2015
,
Page pp. 13-20
https://doi.org/10.22037/orlfps.v1i1.9389
Abstract
Background: The development of computed tomography (CT) technique results in development in visualization of the anatomic structures of the lateral nasal wall. It allows the anatomic variations of this region to be identified precisely, which is important in surgical treatment of chronic rhinosinusitis.
Purpose: The aim of this study was to determine the incidence of anatomic variations of the lateral nasal wall in a group of patients with chronic rhinosinusitis and to compare these results with control group.
Methods: One hundred patients with chronic rhinosinusitis and 50 control subjects who were referred to Loghman Hakim general hospital, Tehran, Iran, included in this retrospective study.
Results: High septal deviation, presence of large bulla ethmoidalis and middle turbinate concha bullosa showed to be statistically correlated to increased risk of chronic rhinosinusitis .For other anatomical variations, no statistically significant differences in incidence of chronic rhinosinusitis observed.
Conclusion: Relation between anatomical variation and rhinosinusitis was confirmed only for high septal deviation, middle turbinate concha bollusa and large bulla ethmoidalis. Surgical Approach to these variations may have a role in prevention or treatment of rhinosinusitis.
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References
Zinreich SJ. Imaging of chronic sinusitis in adults: X-ray, computed tomography, and magnetic resonance imaging. The Journal of allergy and clinical immunology 1992;90:445-451.
Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769-775.
Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. European journal of radiology 2004;50:296-302.
Midilli R, Aladag G, Erginoz E, Karci B, Savas R. Anatomic variations of the paranasal sinuses detected by computed tomography and the relationship between variations and sex. Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat 2005;14:49-56.
Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. The Laryngoscope 1991;101:56-64.
Homsioglou E, Balatsouras DG, Alexopoulos G, Kaberos A, Katotomichelakis M, Danielides V. Pneumatized superior turbinate as a cause of headache. Head & face medicine 2007;3:3.
Roozbahany N, Nasri S. Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache. AurisNasus Larynx 2013;40:177-183.
Arslan H, Aydinlioglu A, Bozkurt M, Egeli E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:39-48.
Scribano E, Ascenti G, Cascio F, Racchiusa S, Salamone I. Computerized tomography in the evaluation of anatomic variations of the ostiomeatal complex. La Radiologia medica 1993;86:195-199.
Bing Z, Demin H, Huachao L, Qian H, Luo Z, Ming L, et al. Endoscopic anatomic characterization of the frontal recess and its implications in frontal sinus surgery. ORL; journal for oto-rhino-laryngology and its related specialties 2008;70:84-90.
Lien CF, Weng HH, Chang YC, Lin YC, Wang WH. Computed tomographic analysis of frontal recess anatomy and its effect on the development of frontal sinusitis. The Laryngoscope 2010;120:2521-2527.
Krmpotic-Nemanic J, Vinter I, Hat J, Jalsovec D. Variations of the ethmoid labyrinth and sphenoid sinus and CT imaging. European archives of oto-rhino-laryngology : 1993;250:209-212.
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