M. Oğuz BORAHAN, Gamze ULAY, Ayşe Nur YILDIZ SADIKOĞLU, Filiz NAMDAR PEKİNER

The Prevalence of Paranasal Sinus Anatomic Variations on Cone Beam Computed Tomography Scan Images of Turkish Populationanatomical

Objectives: The paranasal sinuses include anatomic structures at the maxillofacial region that matters great importance for the surgeons working in the maxillofacial area. The imaging of anatomic variations of the paranasal sinuses is fundamental to evaluate the predisposing factors for the pathologic changes of paranasal sinuses. The aim of this study is to investigate the prevalence of anatomic variations of the paranasal sinuses by retrospective assessment of cone beam computed tomography (CBCT) images.

Keywords:

CBCT, paranasal sinuses, anatomic variations,

PDF

___

[1] de Oliveira AG, dos Santos Silveira O, Francio LA, de Andrade Marigo Grandinetti H, Manzi FR. Surg. Radiol. Anat. 2013; 35: 535-8.
[2] Mendiratta V, Baisakhiya N, Singh D, Datta G, Mittal A, Mendiratta P. Sinonasal Anatomical Variants: CT and Endoscopy Study and Its Correlation with Extent of Disease. Indian J Otolaryngol Head Neck Surg. 2016; 68: 352-8.
[3] Huang BY, Lloyd KM, DelGaudio JM, Jablonowski E, Hudgins PA. Failed endoscopic sinus surgery: spectrum of CT findings in the frontal recess. Radiographics 2009; 29: 177-195.
[4] Musy PY, Kountakis SE. Anatomic findings in patients undergoing revision endoscopic sinus surgery. Am. J. Otolaryngo. 2004; 25: 418-422.
[5] Khalil HS, Eweiss AZ, Clifton N. Radiological findings in patients undergoing revision endoscopic sinus surgery: a retrospective case series study. BMC Ear Nose Throat Disord. 2011;7:11:4. [6] Wani AA, Kanotra S, Lateef M, Ahmad R, Qazi SM, Ahmad S. CT scan evaluation of the anatomical variations of the ostiomeatal complex. Indian J Otolaryngol Head Neck Surg. 2009; 61: 163- 8. [7] Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology. 1987; 163: 769-75.
[8] Namdar Pekiner F. Anatomic Variations of Paranasal Sinus on Multidetector Computed Tomography Examinations for Functional Endoscopic Sinus Surgery. MÜSBED 2013; 3: 102- 106.
[9] Leunig A, Sommer B, Betz CS, Sommer F. Surgical anatomy of the frontal recess—is there a benefit in multiplanar CTreconstruction? Rhinology 2008; 46: 188-194.
[10] Sillers MJ, Kuhn FA, Vickery CL. Radiation exposure in paranasal sinus imaging. Otolaryngol Head Neck Surg. 1995; 112:248- 251.
[11] Bent JP, Cuilty-Siller C, Kuhn FA. The frontal cell as a cause of frontal sinus obstruction. Am. J. Rhinol. 1994; 8: 185-191.
[12] Kew J, Rees G, Close D, Sdralis T, Sebben, R, Wormald PJ. Multiplanar reconstructed CT images improves depiction and understanding of the anatomy of the frontal sinus and recess. Am. J. Rhinol. 2002; 16:119-123.
[13] Lee WT, Kuhn FA, Citardi MJ. 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngol Head Neck Surg. 2004; 131:164-173.
[14] Donizeth-Rodrigues C, Fonseca-Da Silveira M, Gonçalves-De Alencar AH, Garcia-Santos-Silva MA, Francisco-De-Mendonça E, Estrela C. Three-dimensional images contribute to the diagnosis of mucous retention cyst in maxillary sinus. Med. Oral Patol. Oral Cir. Bucal. 2013; 18:e151-157.
[15] Rege IC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 2012; 10; 12:30.
[16] Park SS, Yoon BN, Cho KS, Roh HJ. Pneumatization pattern of the frontal recess: relationship of the anterior-to-posterior length of frontal isthmus and/or frontal recess with the volume of agger nasi cell. Clin. Exp Otorhinolaryngol. 2010; 3:76-83.
[17] Arslan H, Aydinlioğlu A, Bozkurt M, Egeli E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx. 1999; 26: 39-48.
[18] Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol. 2004; 50: 296-302.
[19] Pekiner FM, Borahan MO, Dumlu A, Özbayrak S. Infraorbital ethmoid (Haller) cells: A Cone-beam computed tomographic study. Oral Radiol. 2014; 30: 219-225.
[20] Basic N, Basic V, Jukic T, Basic M, Jelic M, Hat J. Computed tomographic imaging to determine the frequency of anatomical variations in pneumatization of the ethmoid bone. Eur. Arch. Otorhinolaryngol. 1999; 256: 69–71.
[21] Luxenberger W, Anderhuber W, Stammberger H. Mucocele in an orbitoethmoidal (Haller’s) cell (accidentally combined with acute contralateral dacryocystitis). Rhinology. 1999; 37: 37–9.
[22] Chmielik LP, Chmielik A. The prevalence of the onodi cell – Most suitable method of CT evaluation in its detection. Int J Pediatr Otorhinolaryngol. 2017; 97: 202-205.
[23] Kandukuri R, Phatak S. Evaluation of sinonasal diseases by computed tomography. J Clin Diagn Res. 2016;10:TC09-TC12.
[24] Kew J, Rees G, Close D, Sdralis T, Sebben, R, Wormald PJ. Multiplanar reconstructed CT images improves depiction and understanding of the anatomy of the frontal sinus and recess. Am J Rhinol. 2002; 16: 119-23.
[25] Coates MH, Whyte AM, Earwaker JW. Frontal recess air cells: spectrum of CT appearances. Australas Radiol. 2003; 47: 4-10.
[26] Al Abduwani J, ZilinSkiene L, Colley S, Ahmed S. Cone beam CT paranasal sinuses versus standard multidetector and low dose multidetector CT studies. Am J Otolaryngol. 2016; 37: 59-64.
[27] Rafferty MA, Siewerdsen JH, Chan Y, Moseley DJ, Daly MJ, Jaffray DA et al. Investigation of C-Arm Cone-Beam CT-guided surgery of the frontal recess. Laryngoscope. 2005;115:2138- 43.
[28] Zoumalan RA, Lebowitz RA, Wang E, Yung K, Babb JS, Jacobs JB. Flat panel cone beam computed tomography of the sinuses. Otolaryngol Head Neck Surg. 2009; 140: 841-4.
[29] Güldner C, Ningo A, Voigt J, Diogo I, Heinrichs J, Weber R et al. Potential of dosage reduction in cone-beam-computed tomography (CBCT) for radiological diagnostics of the paranasal sinuses.Eur Arch Otorhinolaryngol. 2013; 270: 1307-15.
[30] Wormald PJ, Chan SZX. Surgical techniques for the removal of frontal recess cells obstructing the frontal ostium. Am J Rhinol 2003; 17: 221-226.
[31] Sagar GR, Jha BC, Meghanadh KR. A study of anatomy of frontal recess in patients suffering from ‘chronic frontal sinus disease’. Indian J Otolaryngol Head Neck Surg 2013; 65: 435-439.
[32] Han D, Zhang L, Ge W, Tao J, Xian J, Zhou B. Multiplanar computed tomographic analysis of the frontal recess region in Chinese subjects without frontal sinus disease symptoms. ORL J Otorhinolaryngol Relat Spec. 2008; 70: 104-12.
[33] Talaiepour AR, Sazgar AA, Bagheri A. Anatomic variations of the paranasal sinuses on CT scan Images. J Dent of Tehran Unv MS. 2005; 2: 142-46.
[34] Chaiyasate S, Baron I, Clement P. Analysis of paranasal sinus development and anatomical variations: a CT genetic study in twins. Clin Otolaryngol. 2007; 32: 93-7.
[35] Kayalioglu G, Oyar O, Govsa F. Nasal cavity and paranasal sinus bony variations: a computed tomographic study. Rhinology. 2000; 38: 108-13.
[36] Badia L, Lund VJ, Wei W, Ho WK. Ethnic variation in sinonasal anatomy on CT-scanning. Rhinology. 2005; 43: 210-4.
[37] Angélico Jr FV, Rapoport PB. Analysis of the Agger nasi cell and frontal sinus ostium sizes using computed tomography of the paranasal sinuses. Braz J Otorhinolaryngol. 2013; 79: 285-92.
[38] Horner K, Jacobs R, Schulze R. Dental CBCT equipment and performance issues. Radiat Prot Dosimetry 2013; 153: 212- 218.
[39] Turna, Ö, Aybar MD, Karagöz, Y, Tuzcu, G. Anatomic variations of the paranasal sinus region: Evaluation with multidetector CT. İstanbul Med J. 2014; 15: 104-9.
[40] Aramani A, Karadi RN, Kumar S. A. Study of anatomical variations of osteomeatal complex in chronic rhinosinusitis patients-CT findings. J Clin Diagn Res. 2014; 8: KC01-4.
[41] Caversaccio M., Boschung U., Mudry A. Historical review of Hallers cells. Ann. Anat. 2011; 193: 185–190.
[42] Fadda GLRosso, S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012; 32: 244-25.
[43] Göçmen G, Borahan MO, Aktop S, Dumlu A, Pekiner FN, Göker K. Effect of septal deviation, concha bullosa and Haller’s cell on maxillary sinus’s inferior pneumatization; a retrospective study. Open Dent J. 2015; 31: 282-6.
[44] Turkdogan FT, Turkdogan KA, Dogan M, Atalar MH. Assessment of sphenoid sinus related anatomic variations with computed tomography. Pan Afr Med J. 2017; 13;27: 109.
[45] Meybodi AT, Vigo V, Benet A. The Onodi Cell: An Anatomic illustration. World Neurosurg. 2017;103: 950.e5-950.e6.
[46] Senturk M, Guler I, Azgin I, Sakarya EU, Ovet G, Alatas N, Tolu I, Erdur O. The role of Onodi cells in sphenoiditis: results of multiplanar reconstruction of computed tomography scanning. Braz J Otorhinolaryngol. 2017; 83: 88-93.