SavedAdd your journal

Journals / Turkish Journal of Medical Sciences / 2022 / Cilt: 52 - Sayı: 2

The relationship between ethmoidal foramina and orbital fat herniation

İbrahim TEKDEMİR
Mustafa KAYA
Fatih ÇANKAL
Pages
370–379
Publication Date
2022-11-03
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Being cognizant of this finding may help a surgeon better estimate the anatomical view to be met before functional endoscopic sinus surgery as well as to minimize the risk of possible orbital complications, especially anterior ethmoidal artery injury.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/aim: The aims of this study are to determine the incidence and more frequent localizations of orbital fat tissue herniation accompanying dehiscences in the medial orbital wall and to investigate the relationship between orbital fat tissue herniations and the anterior and posterior ethmoidal foramina.
📊
Key Findings & Data:Results: The incidence of orbital adipose tissue herniation in our study was 7.9%.
💡
Conclusion & Impact:Being cognizant of this finding may help a surgeon better estimate the anatomical view to be met before functional endoscopic sinus surgery as well as to minimize the risk of possible orbital complications, especially anterior ethmoidal artery injury.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: The aims of this study are to determine the incidence and more frequent localizations of orbital fat tissue herniation accompanying dehiscences in the medial orbital wall and to investigate the relationship between orbital fat tissue herniations and the anterior and posterior ethmoidal foramina. Material and methods: One thousand two hundred patients who had undergone computed tomography with a preliminary diagnosis of sinusitis and who had no previous facial, orbital, paranasal sinus surgeries or history of trauma were retrospectively analyzed. The localization of the ethmoidal foramina and orbital fat tissue herniations were marked. In patients with orbital fat tissue herniation, the relationship between the localization of orbital fat tissue herniation and the anterior and posterior ethmoidal foramina was investigated. Results: The incidence of orbital adipose tissue herniation in our study was 7.9%. Of the 98 herniations on the bilateral medial orbital wall, 60 were in zone 3, and the most common herniation site was zone 3. A statistically significant difference was noted between the localization zone of the anterior ethmoidal foramen and the localization zones of orbital fat tissue herniations (Fisher’s exact test, p < 0.001). Conclusion: Zone 3 is the weakest area of the medial orbital wall, and zone 3 is the most prone to herniation of fat tissue. The association of orbital fat tissue herniations with the anterior ethmoidal foramen is extremely common. Being cognizant of this finding may help a surgeon better estimate the anatomical view to be met before functional endoscopic sinus surgery as well as to minimize the risk of possible orbital complications, especially anterior ethmoidal artery injury.

🔖

Cite This Article

TEKDEMİR, İ., KAYA, M., ÇANKAL, F. (2022). The relationship between ethmoidal foramina and orbital fat herniation. Turkish Journal of Medical Sciences, Cilt: 52 - Sayı: 2, 370–379. https://ajindex.com/articles/609204

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngscope 1991
  2. 101(1): 56– 64. doi:10.1288/00005537-199101000-00010 2. Moon HJ, Kim HU, Lee JG, Chung IH, Yoon JH. Surgical anatomy of the anterior ethmoidal canal in ethmoid roof. Laryngoscope 2001
  3. 111(5): 900–904. doi:10.1097/00005537- 200105000-00027 3. Moulin G, Dessi P, Chagnaud C, Bartoli JM, Vignoli P et al. Dehiscence of the lamina papyracea of the ethmoid bone: CT findings. American Journal of Neuroradiology 1994
  4. 15(1): 151–153. 4. Makariou E, Patsalides A, Harley E. Dehiscence of the lamina papyracea: MRI findings. Clinical Radiology Extra 2004
  5. 40–42. doi:10.1016/j.cradex.2003.12.003 5. Akdulum I, Gurun E, Gunaydin G, Beyoglu R, Boyunaga O. Radiation dose reports and determinants of image quality during ECG-triggered cardiac computed tomography angiography in children. Annals of Medical Research 2021
  6. 28(4):700-703. doi:10.5455/annalsmedres.2020.04.386 6. Meyers RM, Valvassori G, Interpretation of anatomic variations of computed to-mography scans of the sinuses: a surgeon’s perspective. Laryngoscope 1998
  7. 108(3): 422–425. doi:10.1097/00005537-199803000-00020 7. Lang J, Schafer K. Ethmoidal arteries: origin, course, regions supplied and anastomoses. Acta Anatomica 1979
  8. 104(2):183- 197. 8. Bhatti MT, Stankiewicz JA. Ophthalmic complications of endoscopic sinus surgery. Survey of Ophthalmology 2003
  9. 48(4): 389–402. doi:10.1016/s0039-6257(03)00055-9 9. Han MH, Chang KH, Min YG, Choi WS, Yeon KM et al. Nontraumatic prolapse of the orbital contents into the ethmoid sinus: evaluation with screening sinus CT. American Journal of Otolaryngology 1996
  10. 17(3): 184–189. doi:10.1016/ s01960709(96)90058-7 10. Ohnishi T, Tachibana T, Kaneko Y, Esaki S. High-risk areas in endoscopic sinus surgery and prevention of complications. Laryngoscope 1993
  11. 103(10): 1181-1185. doi:10.1288/00005537-199310000-00020 11. Javaid W, Riaz M, Sarwar MM, Zahid B. Frequency of orbital cellulitis after functional endoscopic sinus surgery. Pakistan Journal of Medical and Health Sciences 2018
  12. 12 (3): 1136- 1138. doi:10.1177/0003489414558110 12. Lim JC, Hadfield PJ, Ghiacy S, Bleach NR. Medial orbital protrusion - a potentially hazardous anomaly during endoscopic sinus surgery. The Journal of Laryngology and Otology 1999
  13. 113 (8): 754–755. doi:10.1017/ s0022215100145116 13. Chao TK. Protrusion of orbital content through dehiscence