The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children

Al‐Qudah, Mohannad

doi:10.1016/j.ijporl.2008.02.006

Cited by 60 publications

(75 citation statements)

References 19 publications

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“…Coronal CT images provide the clear identification of the ANC; however, sagittal views demonstrate the relation between the frontal sinus ostium, FR and ANC (Figure 2) [19]. The reported prevalence of ANC ranges from 15 to 92% [17,[19][20][21][22]. Also, Scribano et al [23] reported that ANC was seen in nearly all patients.…”

Section: Agger Nasi Cellmentioning

confidence: 99%

“…If there is an extensive pneumatization, it is thought that an enlarged ANC may narrow the drainage pathway of the frontal sinus and result in a chronic sinusitis [19]. However, no significant relationship was found between the ANC and frontal sinusitis [17,20,21]. …”

Section: Agger Nasi Cellmentioning

confidence: 99%

“…The frequency rates of Haller's cell have been variously reported to be between 6 and 51% [17,[19][20][21][22][24][25][26][27]. These cells are closely related with the maxillary sinus ostium, and according to its size, they may negatively affect the maxillary sinus ventilation (Figure 3).…”

Section: Infraorbital Ethmoid Cell (Haller's Cell)mentioning

confidence: 99%

“…These cells are closely related with the maxillary sinus ostium, and according to its size, they may negatively affect the maxillary sinus ventilation (Figure 3). Although the presence of this anatomic variant was thought to be a predisposing factor for sinusitis, no statistically significant correlation was found in many studies [17,[20][21][22]27]. However, Stackpole and Edelstein [26] classified Haller's cell as small, medium and large, and they found a statistically significant increase in maxillary sinus mucosal disease in patients with medium and large cells than the small ones.…”

Section: Infraorbital Ethmoid Cell (Haller's Cell)mentioning

confidence: 99%

“…This anatomic variation was divided into three groups according to extent of the pneumatization: lamellar type (pneumatization in the lamellar portion), bulbous type (pneumatization in the bulbous portion; Figure 5), and extensive type (pneumatization in the both vertical lamellar and inferior bulbous portion) [35]. The prevalence of the CB varies from 4.6 to 89.5% [17,[20][21][22][36][37][38][39]. This may be due to the different definition criteria for CB.…”

Section: Concha Bullosamentioning

confidence: 99%

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CBCT Imaging of Paranasal Sinuses and Variations

Orhan¹,

Aksoy²,

Oz³

2017

Paranasal Sinuses

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Paranasal sinuses located in the bones surrounding the nasal cavity are called maxillary, ethmoid, frontal and sphenoid sinuses. In relation with their location, these sinuses contribute to the development of the facial structures, jaws and upper airway. During the developmental process of the paranasal sinuses, anatomic variations can occur in consequence of intra and extramural migration of the ethmoid air cells, overpneumatization or hypoplasia of the sinuses and bulging of the neurovascular structures to the sinuses. Some of these anatomic variations may affect the drainage pathways, pave the way for chronic infections and cause difficulties when performing paranasal sinuses surgery.Therefore, the aim of this chapter was to examine the paranasal sinus anatomic variations with cone beam computed tomography (CBCT).

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Section: Agger Nasi Cellmentioning

confidence: 99%

Section: Agger Nasi Cellmentioning

confidence: 99%

Section: Infraorbital Ethmoid Cell (Haller's Cell)mentioning

confidence: 99%

Section: Infraorbital Ethmoid Cell (Haller's Cell)mentioning

confidence: 99%

Section: Concha Bullosamentioning

confidence: 99%

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CBCT Imaging of Paranasal Sinuses and Variations

Orhan¹,

Aksoy²,

Oz³

2017

Paranasal Sinuses

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Nasal septal deviation in a mediaeval population

Mays

2012

American J Phys Anthropol

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In modern populations, there is evidence that nasal septal deviation (NSD) may be associated with maxillary sinusitis, and that those with NSD may differ in craniofacial morphology from those without or with less severe NSD. Whether these associations hold true for earlier populations has yet to be investigated. The current work is a step toward remedying this. The study group comes from a mediaeval English archaeological site. NSD was quantified using image analysis. Maxillary sinusitis was identified from new bone formation in the antrum. Cranial morphology was assessed using standard craniometric measurements. The results provided no evidence for a relationship between NSD and maxillary sinus disease. NSD was associated with reduced measures of upper facial height, suggesting decoupling of growth in vertical height of the nasal septum and the bony structures surrounding it.

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The Pediatric Sinus Staging System: A Computed Tomography–Based Approach to Grading Pediatric Sinus Disease

et al. 2020

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Objectives/Hypothesis Pediatric chronic rhinosinusitis (CRS) is a prevalent disease with few objective measurements available to predict which patients will require surgical intervention. The Lund‐Mackay (LM) score for computed tomography (CT) scans is one objective data point available for the adult population; however, a dedicated scoring system in the pediatric population has not been popularized. We present a Pediatric Sinus Staging System (PSSS) that considers both opacification and the varying developmental stages of each sinus. Study Design Retrospective chart review. Methods We analyzed CT scans of pediatric patients with a diagnosis of CRS. Both LM and PSSS scores were calculated for each scan. Groups were formed based on treatment outcomes and included patients who were treated successfully with medical therapy and/or adenoidectomy (med/adenoid), patients who required functional endoscopic sinus surgery (FESS), and patients who required revision FESS. Results Overall, 76 patient scans were reviewed. PSSS values were significantly less than LM for the control group (P = .001) and significantly higher for patients with cystic fibrosis (P = .027) and with CRS with polyps (P = .001). The ideal cutoff for PSSS to distinguish between med/adenoid and single FESS treatment with a sensitivity 90.6% and specificity of 50.0% was ≥2. Conclusions The PSSS gives a more descriptive score by accounting for the opacification and pneumatization of each sinus. Our current results show similar values between PSSS and LM scores, which suggests internal validity. In addition, a PSSS score of ≥2 may help physicians better counsel families on the likelihood of requiring FESS. Further investigation is needed to fully validate the PSSS. Level of Evidence 3b Laryngoscope, 131:E642–E648, 2021

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The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children

Cited by 60 publications

References 19 publications

CBCT Imaging of Paranasal Sinuses and Variations

CBCT Imaging of Paranasal Sinuses and Variations

Nasal septal deviation in a mediaeval population

The Pediatric Sinus Staging System: A Computed Tomography–Based Approach to Grading Pediatric Sinus Disease

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