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Journals / İzmir Tepecik Eğitim Hastanesi Dergisi / 2009 / Cilt: 19 - Sayı: 3

Preoperative radiological analysis of ethmoidal roof in sinonasal pathologies

Sinonazal patolojilerde endoskopik sinüs cerrahisi öncesi etmoid çatının radyolojik analizi

ERDEM ATALAY ÇETİNKAYA
İBRAHİM ÇUKUROVA
Sevim TETİK
Pages
140–144
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: There was no statistically significant difference among two groups regarding to Keros types of classifications.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Skull base composition and the mean height of structures during endoscopic sinus surgery seems to be very important to prevent severe intraoperative complications.
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Key Findings & Data:MATERIAL AND METHOD: We studied preoperative coronal CT scans of 96 patients prior the endoscopic sinus surgery.
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Conclusion & Impact:CONCLUSION: There was no statistically significant difference among two groups regarding to Keros types of classifications.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tomografi · x-ışınlı bilgisayarlı · Anatomi

Abstract

AIM: Skull base composition and the mean height of structures during endoscopic sinus surgery seems to be very important to prevent severe intraoperative complications. In this study, the skull base composition, anatomic variations and the effect of chronic rhinosinusitis and / or nasal polyposis on these measurements have been evaluated. MATERIAL AND METHOD: We studied preoperative coronal CT scans of 96 patients prior the endoscopic sinus surgery. All of them had no previous rhinologic surgery or trauma history. The patients were classified as follows: patients with nasal polyposis (n= 29), patients with chronic rhinosinusitis (n=67). Distance between ethmoid roof and cribriform plate, and distance between etmoid roof and nasal floor were measured, asymmetry was recorded. FINDINGS: 10.4 percent of cases were Keros type 1, 71.9 % Keros type 2 and 17.7 % Keros type 3. In 24 cases ( 25%) olfactory fossa asymmetry was found. CONCLUSION: There was no statistically significant difference among two groups regarding to Keros types of classifications.

Özet

AMAÇ: Kafa tabanını oluşturan yapıları çok iyi bilmek intraoperatif komplikasyonları önlemede çok önemlidir. Bu çalışmada kronik rinosinüzit ve / veya nasal polip gibi endoskopik sinüs cerrahisi planlanan hastaların kafa tabanı yapısını, anatomik varyasyonları ve anatomik işaretler incelenmiştir. GEREÇ VE YÖNTEM: Çalışmamızda daha önce herhangi bir rinolojik cerrahi veya travma öyküsü olmayan, endoskopik sinüs cerrahisi planlanan 96 hastanın ameliyat öncesi koronal düzlemde bilgisayarlı tomografileri incelendi. Hastalar sinonazal patolojilerine göre; nazal polip (s= 29), kronik rinosinüzit (s= 67) olarak ayrıldı. Kesitlerdeki kribiform plak -etmoid çatı derinlik farkları ölçülüp nazal taban - etmoid çatı arasındaki mesafeler hesaplandı ve asimetriler kaydedildi. BULGULAR: Hastaların 10'u (% 10.4) Keros tip 1, 69'u (% 71.9) Keros tip 2 ve 17'si (% 17.7) Keros tip 3 olarak değerlendirildi. 24 hastada (% 25) etmoid çatı asimetrik bulundu. SONUÇ: Sinonazal patoloji grubu içinde, Keros sınıflandırmasına göre istatistiksel olarak anlamlı farklılık bulunmadı.

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Cite This Article

ÇETİNKAYA, E. A., ÇUKUROVA, İ., TETİK, S. (2009). Preoperative radiological analysis of ethmoidal roof in sinonasal pathologies. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 19 - Sayı: 3, 140–144. https://ajindex.com/articles/268464

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References (10)

  1. Zacharek MA, Han JK, Allen R, Weissman JL, Hwang PH. Sagittal and coronal dimensions of the ethmoid roof: a radioanatomic study. Am J Rhinol. 2005; 19 (4): 348-52
  2. Stammberger H: Radiology. In: Hawke M, ed. Functional Endoscopic Sinus Surgery. 5th ed. Philadephia: B C Decker; 1996.86-142
  3. Arikan OK, Unal B, Kazkayasi M, Koc C.The analysis of anterior skull base from two different perspectives: coronal and reconstructed sagittal computed tomography. Rhinology. 2005; 43(2): 115-20
  4. Şahin C, Yılmaz Y, Titiz A, Ozcan M. Türk Toplumunda Etmoid Çatı ve Kafa Tabanı Analizi KBB ve BBC Dergisi. 2007; 15(l):l-6
  5. Kenny TJ, Duncavage J, Bracikowski J, Yildirim A, Murray JJ, Tanner SB. Prospective analsis of sinus symptoms and correlation with paranasal computed tomograhy scan. Otolaryngol Head and Neck Surg. 2001; 125 (1): 40-3
  6. Erdem G, Erdem T, Miman MC, Ozturan O. The radiological anatomic study of the cribriform plate compared with constant structures. Rhinology 2004; 42: 225-9
  7. Anderhuber W, Walch C, Fock C.Configuration of ethmoid roof in children 0-14 years of age. Laryngorhinootologie. 2001; 80 (9): 509-11
  8. Fan J, Wu J, Wang H, Lang J, Lin S, Liao J, et al. Imaging analysis of the ethmoid roof. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005; 19(2): 69-71
  9. Lebowitz RA, Terk A, Jacobs JB, Holliday RA. Asymmetry of the ethmoid roof: analysis using coronal computed tomography. Laryngoscope. 2001; 111 (12): 2122-4
  10. Badia L, Lund VJ, Wie W, Ho WK. Ethnic variation in sinonasal anatomy on CT Scanning. Rhinology 2005; 210-4.