Aycan CANLI, Alper VATANSEVER, Emrah AKAY

Morphometric relationship of nasolacrimal duct with maxillary sinus and nasal septum

Objectives: The aim of this study was to evaluate the morphometric properties of the bony part of the nasolacrimal duct and its relationship with nasal septum and maxillary sinus. Methods: High resolution three-dimensional paranasal sinus computed tomography images of 115 individuals (39 women, 76 men) with a mean age of 39.08 years (min: 20, max: 79) were evaluated retrospectively. Individuals with any pathology, trauma or history of surgery were excluded from the study. Volume of bony nasolacrimal duct and maxillary sinus was calculated with free licensed Osirix Lite software. Nasal septum was evaluated according to MLADINA classification. Results: Volume of maxillary sinus was higher in men while volume of bony nasolacrimal duct had no significant differences between genders. There was significant correlation between maxillary sinus volume and anteroposterior cranial distance, however volume of bony nasolacrimal duct had no significant correlation with anteroposterior cranial distance. Relation between volume of maxillary sinus and bony nasolacrimal duct was significant. The nasal septum deviation had no effect on volume of maxillary sinus and bony nasolacrimal duct. Conclusion: A detailed knowledge on morphometric relationship of nasolacrimal duct with maxillary sinus and nasal septum is important for physicians during sinus surgeries and treatment of nasolacrimal duct obstructions. We suggest that there is a significant correlation between volume of maxillary sinus and bony nasolacrimal duct. This information may be useful for explaining one of the etiological factors of acquired nasolacrimal duct obstruction.

Keywords:

computed tomography, maxillary sinus nasal septum, nasolacrimal duct, radiological anatomy,

PDF

___

Standring S. Gray’s anatomy: the anatomical basis of clinical practice. Forty-first ed. New York: Elsevier Limited; 2016. p. 1562.
Bewes T, Sacks R, Sacks PL, Chin D, Mrad N, Wilcsek G, Tumuluri K, Harvey R. Incidence of neoplasia in patients with unilateral epiphora. J Laryngol Otol 2015;129 Suppl 3:S53−7.
Ali MJ, Paulsen F. Etiopathogenesis of primary acquired nasolacrimal duct obstruction: what we know and what we need to know. Ophthalmic Plast Reconstr Surg 2019;35:426−33.
Fasina O, Ogbole GI. CT Assessment of the nasolacrimal canal in a black African population. Ophthalmic Plast Reconstr Surg 2013;29:231−3.
Avdagic E, Phelps PO. Nasolacrimal duct obstruction as an important cause of epiphora. Dis Mon 2020;66:101043.
Gore SK, Naveed H, Hamilton J, Rene C, Rose GE, Davagnanam I. Radiological comparison of the lacrimal sac fossa anatomy between black Africans and Caucasians. Ophthalmic Plast Reconstr Surg 2015; 31:328−31.
Lin Z, Kamath N, Malik A. High-resolution computed tomography assessment of bony nasolacrimal parameters: variations due to age, sex, and facial features. Orbit 2021;40:364−9.
Yong AMY, Zhao DB, Siew SC, Goh PS, Liao JM, Amrith S. Assessment of bony nasolacrimal parameters among asians. Ophthalmic Plast Reconstr Surg 2014;30:322−7.
Lin Z, Kamath N, Malik A. Morphometric differences in normal bony nasolacrimal anatomy: comparison between four ethnic groups. Surg Radiol Anat 2021;43:179−85.
Lorkiewicz-Muszynska D, Kociemba W, Rewekant A, Sroka A, Jonczyk-Potoczna K, Patelska-Banaszewska M, Przystanska A. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. Int J Pediatr Otorhinolaryngol 2015;79:1393−400.
Ayyildiz H, Akgunlu F. Are maxillary sinus variations related to maxillary sinus diameters? Oral Radiol 2023;39:425−36.
Zhu JH, Lim KM, Thong KTM, Wang DY, Lee HP. Assessment of airflow ventilation in human nasal cavity and maxillary sinus before and after targeted sinonasal surgery: a numerical case study. Resp Physiol Neurobiol 2014;194:29−36.
Jadia S, Qureshi S, Agrawal S, Singh SG. Effect of deviated nasal septum on maxillary sinus volume and occurrence of sinusitis. Indian J Otolaryngol Head Neck Surg 2019;71:1871−5.
Karatas D, Koc A, Yuksel F, Dogan M, Bayram A, Cihan MC. The Effect of nasal septal deviation on frontal and maxillary sinus volumes and development of sinusitis. J Craniofac Surg 2015;26:1508−12.
Erçakmak Güneş B, Vatansever A, Demiryürek D, Gümeler E. Morphometric evaluation of nasolacrimal duct. Anatomy 2021;15:64−8.
Bulbul E, Yazici A, Yanik B, Yazici H, Demirpolat G. Morphometric evaluation of bony nasolacrimal canal in a caucasian population with primary acquired nasolacrimal duct obstruction: a multidetector computed tomography study. Korean J Radiol 2016;17:271−6.
Belgin CA, Bayrak S, Atakan C. Determination of alveolar bone height according to the relationship between molar teeth and maxillary sinus. Oral Maxillofac Surg 2021;25:175−80.
Yamaguchi K, Munakata M, Kataoka Y, Uesugi T, Shimoo Y. Effects of missing teeth and nasal septal deviation on maxillary sinus volume: a pilot study. Int J Implant Dent 2022;8:19.
Mladina R, Skitarelic N, Poje G, Subaric M. Clinical implications of nasal septal deformities. Balkan Med J 2015;32:137−46.
Rotsides JM, Franco A, Albader A, Casiano RR, Lieberman SM. Nasolacrimal duct management during endoscopic sinus and skull base surgery. Ann Otol Rhinol Laryngol 2019;128:932−7.
Sadeghi N, Joshi A. Management of the nasolacrimal system during transnasal endoscopic medial maxillectomy. Am J Rhinol Allergy 2012;26:e85−8.
Avram E. Insights in the treatment of congenital nasolacrimal duct obstruction. Rom J Ophthalmol 2017;61:101−6.
Eustis HS, Nguyen AH. The treatment of congenital nasolacrimal duct obstruction in children: a retrospective review. J Pediatr Ophthalmol Strabismus 2018;55:65−7.
Gazit I, Pras E, Or L, Hartstein ME. Balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction. Eur J Ophthalmol 2021;31:334−9.
Petris C, Liu D. Probing for congenital nasolacrimal duct obstruction. Cochrane Database Syst Rev 2017;7:CD011109.
Keilani C, Keller P, Piaton JM. Incision of Hasner’s valve under endoscopic intranasal surgery for the treatment of nasolacrimal duct obstruction in children. J Laryngol Otol 2020;134:56−62.
Alakus MF, Dag U, Balsak S, Erdem S, Oncul H, Akgol S, Diri H. Is there an association between congenital nasolacrimal duct obstruction and cesarean delivery? Eur J Ophthalmol 2020;30:1228−31.
Arnold RW, Olitsky SE, Suh DW, Wasserman BN. Management of congenital nasolacrimal duct obstruction with anatomic anomalies. J Pediatr Ophthalmol Strabismus 2017;54:6−9.
Lee S, Lee UY, Yang SW, Lee WJ, Kim DH, Youn KH, Kim YS. 3D morphological classification of the nasolacrimal duct: anatomical study for planning treatment of tear drainage obstruction. Clin Anat 2021;34:624−33.
Vatansever M, Argin MA, Gorur K. Effect of facial parameters in primary acquired nasolacrimal duct obstruction. J Craniofac Surg 2017;28:e752−6.
Zhang C, Wu Q, Cui Y, Yu G. Anatomy of nasolacrimal canal in congenital nasolacrimal duct obstruction − 18 cases retrospective study. Acta Ophthalmol 2015;93:e404−5.
Groell R, Schaffler GJ, Uggowitzer M, Szolar DH, Muellner K. CT-anatomy of the nasolacrimal sac and duct. Surg Radiol Anat 1997;19:189−91.
Kim YH, Park MG, Kim GC, Park BS, Kwak HH. Topography of the nasolacrimal duct on the lateral nasal wall in Koreans. Surg Radiol Anat 2012;34:249−55.
Takahashi Y, Kakizaki H, Nakano T. Bony nasolacrimal duct entrance diameter: gender difference in cadaveric study. Ophthal Plast Recons 2011;27:204−5.
Tatlisumak E, Aslan A, Comert A, Ozlugedik S, Acar HI, Tekdemir I. Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections. Anat Sci Int 2010;85:8−12.
Valencia MRP, Takahashi Y, Naito M, Nakano T, Ikeda H, Kakizaki H. Lacrimal drainage anatomy in the Japanese population. Ann Anat 2019;223:90−9.
Wang XD, Chen XJ, Zheng M, Liu CY, Wang CS, Zhang L. The relationships between the nasolacrimal duct and the anterior wall of the maxillary sinus. Laryngoscope 2019;129:1030−4.
Khojastepour L, Dokohaki S, Paknahad M. Are of osteomeatal complex variations related to nasolacrimal canal morphometry. Iran J Otorhinolaryngol 2022;34:17−26.
Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, Worthington HV, Coulthard P. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev 2010;17:CD008397.
Lim HC, Kim S, Kim DH, Herr Y, Chung JH, Shin SI. Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction. J Periodontal Implant Sci 2021;51:285−95.
Oz AZ, Oz AA, El H, Palomo JM. Maxillary sinus volume in patients with impacted canines. Angle Orthod 2017;87:25−32.
Al-Rawi NH, Uthman AT, Abdulhameed E, Al Nuaimi AS, Seraj Z. Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: a cone-beam computed tomography study. Imaging Sci Dent 2019;49:45−51.
Asantogrol F, Cosgunarslan A. The effect of anatomical variations of the sinonasal region on maxillary sinus volume and dimensions: a three-dimensional study. Braz J Otorhinolaryngol 2022;88Suppl1:S118−27.
Atsal G, Demir E, Yildirim O, Edizer DT, Olgun L. The relationship between degree of nasal septum deviation with sinonasal structures and variations. J Craniofac Surg 2022;33:e447−9.
Orhan I, Ormeci T, Aydin S, Altin G, Urger E, Soylu E, Yilmaz F. Morphometric analysis of the maxillary sinus in patients with nasal septum deviation. Eur Arch Otorhinolaryngol 2014;271:727−32.
Arslan IB, Uluyol S, Demirhan E, Kozcu SH, Pekcevik Y, Cukurova I. Paranasal sinus anatomic variations accompanying maxillary sinus retention cysts: a radiological analysis. Turk Arch Otorhinol 2017;55:162−5.
Aydin S, Taskin U, Orhan I, Altas B, Oktay MF, Toksoz M, Albayrak R. The analysis of the maxillary sinus volumes and the nasal septal deviation in patients with antrochoanal polyps. Eur Arch Otorhinolaryngol. 2015;272:3347−52.
Kalabalik F, Ertaş ET. Investigation of maxillary sinus volume relationships with nasal septal deviation, concha bullosa, and impacted or missing teeth using cone-beam computed tomography. Oral Radiol 2019;35:287−95.
Dikici O, Ulutaş HG. Relationship between primary acquired nasolacrimal duct obstruction, paranasal abnormalities and nasal septal deviation. J Craniofac Surg 2020;31:782−6.
Lee JS, Lee H, Kim JW, Chang M, Park M, Baek S. Association of facial asymmetry and nasal septal deviation in acquired nasolacrimal duct obstruction in East Asians. J Craniofac Surg 2013;24:1544−8.
Samarei R, Samarei V, Aidenloo NS, Fateh N. Sinonasal anatomical variations and primary acquired nasolacrimal duct obstruction: a single centre, case-control investigation. Eurasian J Med 2020;52:21−4.
Singh S, Alam MS, Ali MJ, Naik MN. Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction. Saudi J Ophthalmol 2017;31:128−30.
Taban M, Jarullazada I, Mancini R, Hwang C, Goldberg RA. Facial asymmetry and nasal septal deviation in acquired nasolacrimal duct obstruction. Orbit 2011;30:226−9.