Türk halkındaki agger nasi hücresinin görülme sıklığının anatomik olarak incelenmesi

Amaç: Bu çalışmada burun boşluğu dış duvarındaki cerrahi işlemlerde agger nasi hücresinin anatomisiyle ilgili bilgi verildi.Gereç ve Yöntem: Türk erkek kadavralarından rastgele elde edilmiş ve formalinle fikse edilmiş 20 sagital kesitli baş piyesi örneklerinde 12 sol, 8 sağ taraf agger nasi hücresinin varlığı ve anatomik yapısı cerrahi mikroskop ile incelendi.Bulgular: Alınan 20 örneğin sekizinde %40 burun boşluğu ile lakrimal kese arasında bulunan agger nasi hücresi saptandı. Üç örnekte burun boşluğu dış duvarında belirgin şişlik görülürken beş agger nasi hücresi örneğinde yüzeyel olarak hiçbir şişlik görülmedi.Sonuç: Bu anatomik çalışma, agger nasi hücresinin karışık anatomisiyle ilgili mikrocerrahi bilgi vermektedir

Anahtar Kelimeler:

Agger nasi hücresi, anatomi, burun boşluğu

Anatomical analysis of the prevalence of agger nasi cell in the Turkish population

Objectives: The aim of this study is to give information about the anatomy of agger nasi cell for the surgery of the nasal cavity lateral wall. Material and Methods: Twenty mid-sagittal head sections were obtained at random from formalin fixed male Turkish cadavers 12 left sides, 8 right sides . The presence and anatomical structure of agger nasi cell were investigated under operating microscope. Results: Agger nasi cell, which lies between nasal cavity and lacrimal sac, was observed in eight of 20 specimens 40% . Whereas three of them showed a remarkable swelling along the lateral nasal wall, in five specimens of agger nasi cells there was superficially no swelling observed. Conclusion: This anatomic study presents microsurgical information on the convoluted anatomy of agger nasi cell.

Keywords:

Agger nasi cell, anatomy, nasal cavity,

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Yanagisawa E, Joe JK. The surgical significance of the agger nasi cell. Ear Nose Throat J 1999;78:328-30.
Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in para- nasal sinus region and their clinical importance. Eur J Radiol 2004;50:296-302.
Berkowitz BKB. Nose, nasal cavitiy, paranasal sinuses and pterygopalatine fossa. In: Standring S, editor. Gray’s anatomy. 39th ed. Baltimore: Elsevier Churchil Livingstone; 2005. p. 567-579.
Cho JH, Citardi MJ, Lee WT, Sautter NB, Lee HM, Yoon JH, et al. Comparison of frontal pneumatization pat- terns between Koreans and Caucasians. Otolaryngol Head Neck Surg 2006;135:780-6.
Kayalioglu G, Oyar O, Govsa F. Nasal cavity and para- nasal sinus bony variations: a computed tomographic study. Rhinology 2000;38:108-13.
Brunner E, Jacobs JB, Shpizner BA, Lebowitz RA, Holliday RA. Role of the agger nasi cell in chronic frontal sinusitis. Ann Otol Rhinol Laryngol 1996;105: 694-700.
Wormald PJ. The agger nasi cell: the key to understand- ing the anatomy of the frontal recess. Otolaryngol Head Neck Surg 2003;129:497-507.
Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormali- ties: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
Bradley DT, Kountakis SE. The role of agger nasi air cells in patients requiring revision endoscopic fron- tal sinus surgery. Otolaryngol Head Neck Surg 2004; 131:525-7.
Lee WT, Kuhn FA, Citardi MJ. 3D computed tomo- graphic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngol Head Neck Surg 2004;131:164-73.
Zhang L, Han D, Ge W, Xian J, Zhou B, Fan E, et al. Anatomical and computed tomographic analysis of the interaction between the uncinate process and the agger nasi cell. Acta Otolaryngol 2006;126:845-52.
Calhoun KH, Rotzler WH, Stiernberg CM. Surgical anatomy of the lateral nasal wall. Otolaryngol Head Neck Surg 1990;102:156-60.
Lessa MM, Voegels RL, Cunha Filho B, Sakae F, Butugan O, Wolf G. Frontal recess anatomy study by endo- scopic dissection in cadavers. Braz J Otorhinolaryngol 2007;73:204-9.
Tsirbas A, Davis G, Wormald PJ. Revision dacryocysto- rhinostomy: a comparison of endoscopic and external techniques. Am J Rhinol 2005;19:322-5.
Mazza D, Bontempi E, Guerrisi A, Del Monte S, Cipolla G, Perrone A, et al, Paranasal sinuses anatomic variants: 64-slice CT evaluation. Minerva Stomatol 2007;56:311-8.
Watkins LM, Janfaza P, Rubin PA. The evolution of endonasal dacryocystorhinostomy. Surv Ophthalmol 2003;48:73-84.
Wormald PJ, Kew J, Van Hasselt A. Intranasal anatomy of the nasolacrimal sac in endoscopic dacryocystorhi- nostomy. Otolaryngol Head Neck Surg 2000;123:307- 10.
Gökçek A, Argin MA, Altintas AK. Comparison of failed and successful dacryocystorhinostomy by using computed tomographic dacryocystography findings. Eur J Ophthalmol 2005;15:523-9.