Experience of treating patients with lateral sphenoid sinus recess CSF leak

Shelesko, E.V.; Kapitanov, D. N.; Кравчук, А Д; Chernikova, N. A.; Zinkevich, D.N.; Tsukanova, Tatyana

doi:10.17116/neiro20188206168

Cited by 3 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…41 Moreover, the sphenoid lateral recess can be a common site of post-operative CSF leak and meningoencephalocele after transsphenoidal surgery. 42 The reported prevalence of sphenoid lateral recess is 29% to 72.6%. 19,43,44 The prevalence differed significantly by race in our study, and ranged from 51% in Hispanic subjects to 78.6% in Black subjects.…”

Section: Discussionmentioning

confidence: 99%

Racial, Ethnic, and Gender Variations in Sinonasal Anatomy

Kulich

Long

Orozco

et al. 2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Background: Complications during endoscopic sinus surgery often result from unfavorable anatomy. The prevalence rates of such anatomic findings vary tremendously in the literature, in part due to the small, homogenous populations previously studied. Objective: To characterize the prevalence of sinonasal anatomic variants among ethnic groups and genders seen at an academic medical center. Methods: This is a retrospective cross-sectional study of adult subjects who underwent CT imaging of the sinuses from January 2019 to November 2020 at a tertiary academic setting. CT scans were analyzed systematically by 3 trained study personnel for the presence of critical sinus anatomic variants that endoscopic sinus surgeons typically evaluate for preoperatively. Chi-squared tests and analyses of variance were conducted to detect differences in the prevalence of structural findings between genders and races/ethnicities. Results: A total of 489 subjects (57% female) were included: 44 Asian, 14 Black/African American, 101 Hispanic/Latino, 203 White, 127 Other. The prevalence of the following anatomical variants differed by race/ethnicity: Haller cells, Type 3 optic nerve, Onodi cells, maxillary septations, sphenoid lateral recess, anterior clinoid process pneumatization, and carotid artery dehiscence. Asian subjects had higher rates of Haller cells (48% vs 16%, P < .001) and Type 3 optic nerve (18% vs 4%, P = .022) compared to Hispanic subjects, as well as a higher prevalence of Onodi cells (39% vs 17%, P = .003) compared to White subjects. Males had a higher prevalence of mesenteric anterior ethmoid arteries (62% vs 45%, P < .001) and dehiscent carotid arteries (30% vs 21%, P = .024). Conclusion: Certain sinonasal anatomic variants, which have direct implications for complications during endoscopic sinus surgery, were found to be significantly more prevalent in some demographic groups. Surgeons should be aware of these differences in their review of preoperative imaging for safe surgical planning.

show abstract