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Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis

Received: 3 April 2015     Accepted: 14 April 2015     Published: 27 April 2015
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Abstract

Objective: To study the prevalence of anatomical variants in frontal recess region and their impact on frontal sinus surgery. Setting: University referral center. Patients and Methods: This was a clinical trial prospective study approved by Menoufia University research ethics board (REB) and included 50 Egyptian patients selected from the ENT department of Menoufia University between June 2011 to November 2014, who were suffering from chronic frontal sinusitis. Preoperative CT with coronal, axial and sagittal cuts were examined to show anatomical variants. Frontalsinusotomy was doneendoscopically and surgicall easiness was evaluated. Results: Increased aggernasi cell size was associated with increased operative easiness. Increase danteroposteri or diameter of frontal sinus ostium was associated with increased operative easiness.Type3frontoethmoidal air cell and interfrontal sinusseptal cells were more difficult in surgery than other frontoethmoidal air cells. Operativeeasiness correlated with different types of uncinate process superior attachment. Conclusions: Preoperative meticulous study of CT is very important for decision making in endoscopic frontal sinus surgery. Each anatomical variant in frontal recess area can be a predictor for operative easiness.

Published in American Journal of Health Research (Volume 3, Issue 3)
DOI 10.11648/j.ajhr.20150303.15
Page(s) 140-145
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Frontal Recess, Multiplanar CT, Sinusotomy, Agger Nasi Cell, Frontal Sinus Ostium, Frontoethmoidal Cells

References
[1] Mizukoshi O. Clinical Otorhinolaryngology and Head and Neck Surgery. Vol. 6A. 1989.
[2] Stammberger H., Kopp W., Dekornfeld T.J. Special endoscopic anatomy. In Stammberger H, Hawke M, Kopp W (eds). Functional endoscopic sinus surgery: the Messerklinger technique. Philadelphia. BC Decker Publishers: 1991: 61-90.
[3] Schaefer J.P. The lateral wall of the cavumnasi in man, with special reference to the various developmental stages. J. Morph, 1910. 24: p. 613-707.
[4] Zuckerkandl E. Normale und pathologische Anatomie der Nasenhöhle und ihrer pneumatischen Anhänge. Band 2te Auflage, Wilhelm BraumUller, Wien & Leipzig, 1893.
[5] Coates M.H., Whyte A.M. and Earwaker J.W.S. Frontal recess air cells: spectrum of CT appearances. Australasian Radiology. 2003; 47: 4-10.
[6] Wormald P.J. Endoscopic sinus surgery anatomy, three-dimensional reconstruction and surgical technique. ThiemrNew York. Stuttgart. Second Edition, 2007; 43-81.
[7] Bolger W.E., ButzinC.A., Parsons D.S.Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991; 101, 56-64.
[8] Lee W.T., Kuhn F.A., Citardi M.J.: 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngology-Head and neck surger. 2004; 131: 164-73.
[9] Wormald P.J. Anatomy of the frontal recess and frontal sinus with three-dimensional reconstruction/endoscopic sinus surgery: anatomy, three-dimensional reconstruction, and surgical technique. 2nd. New York: Thieme; 2008: 43-82.
[10] Draf W. Endonasal Frontal Sinus Drainage Type I-III. In: Kountakis SE, Senior BA, Draf W, eds. Berlin, Germany: Springer-Verlag; 2005;219-233
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    Omer Abd El-Moneim El-Banhawy, Adel Tharwat Atalla, Mohamed Ramadan El-Kholy, Ahmed Abd El-Halim Mohammed, Ahmed El-Mohamedy El-Neily. (2015). Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis. American Journal of Health Research, 3(3), 140-145. https://doi.org/10.11648/j.ajhr.20150303.15

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    ACS Style

    Omer Abd El-Moneim El-Banhawy; Adel Tharwat Atalla; Mohamed Ramadan El-Kholy; Ahmed Abd El-Halim Mohammed; Ahmed El-Mohamedy El-Neily. Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis. Am. J. Health Res. 2015, 3(3), 140-145. doi: 10.11648/j.ajhr.20150303.15

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    AMA Style

    Omer Abd El-Moneim El-Banhawy, Adel Tharwat Atalla, Mohamed Ramadan El-Kholy, Ahmed Abd El-Halim Mohammed, Ahmed El-Mohamedy El-Neily. Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis. Am J Health Res. 2015;3(3):140-145. doi: 10.11648/j.ajhr.20150303.15

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  • @article{10.11648/j.ajhr.20150303.15,
      author = {Omer Abd El-Moneim El-Banhawy and Adel Tharwat Atalla and Mohamed Ramadan El-Kholy and Ahmed Abd El-Halim Mohammed and Ahmed El-Mohamedy El-Neily},
      title = {Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis},
      journal = {American Journal of Health Research},
      volume = {3},
      number = {3},
      pages = {140-145},
      doi = {10.11648/j.ajhr.20150303.15},
      url = {https://doi.org/10.11648/j.ajhr.20150303.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150303.15},
      abstract = {Objective: To study the prevalence of anatomical variants in frontal recess region and their impact on frontal sinus surgery. Setting: University referral center. Patients and Methods: This was a clinical trial prospective study approved by Menoufia University research ethics board (REB) and included 50 Egyptian patients selected from the ENT department of Menoufia University between June 2011 to November 2014, who were suffering from chronic frontal sinusitis. Preoperative CT with coronal, axial and sagittal cuts were examined to show anatomical variants. Frontalsinusotomy was doneendoscopically and surgicall easiness was evaluated. Results: Increased aggernasi cell size was associated with increased operative easiness. Increase danteroposteri or diameter of frontal sinus ostium was associated with increased operative easiness.Type3frontoethmoidal air cell and interfrontal sinusseptal cells were more difficult in surgery than other frontoethmoidal air cells. Operativeeasiness correlated with different types of uncinate process superior attachment. Conclusions: Preoperative meticulous study of CT is very important for decision making in endoscopic frontal sinus surgery. Each anatomical variant in frontal recess area can be a predictor for operative easiness.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Anatomical Variants in Frontal Recess Region and their Impact on Frontal Sinus Surgery in Chronic Sinusitis
    AU  - Omer Abd El-Moneim El-Banhawy
    AU  - Adel Tharwat Atalla
    AU  - Mohamed Ramadan El-Kholy
    AU  - Ahmed Abd El-Halim Mohammed
    AU  - Ahmed El-Mohamedy El-Neily
    Y1  - 2015/04/27
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajhr.20150303.15
    DO  - 10.11648/j.ajhr.20150303.15
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 140
    EP  - 145
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20150303.15
    AB  - Objective: To study the prevalence of anatomical variants in frontal recess region and their impact on frontal sinus surgery. Setting: University referral center. Patients and Methods: This was a clinical trial prospective study approved by Menoufia University research ethics board (REB) and included 50 Egyptian patients selected from the ENT department of Menoufia University between June 2011 to November 2014, who were suffering from chronic frontal sinusitis. Preoperative CT with coronal, axial and sagittal cuts were examined to show anatomical variants. Frontalsinusotomy was doneendoscopically and surgicall easiness was evaluated. Results: Increased aggernasi cell size was associated with increased operative easiness. Increase danteroposteri or diameter of frontal sinus ostium was associated with increased operative easiness.Type3frontoethmoidal air cell and interfrontal sinusseptal cells were more difficult in surgery than other frontoethmoidal air cells. Operativeeasiness correlated with different types of uncinate process superior attachment. Conclusions: Preoperative meticulous study of CT is very important for decision making in endoscopic frontal sinus surgery. Each anatomical variant in frontal recess area can be a predictor for operative easiness.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • E.N.T. Department, Faculty of Medicine, Menoufia University, Egypt

  • E.N.T. Department, Faculty of Medicine, Menoufia University, Egypt

  • Radiology Department, Faculty of Medicine, Menoufia University, Egypt

  • E.N.T. Department, Faculty of Medicine, Menoufia University, Egypt

  • E. N.T. Department, Elminshawy General Hospital, Tanta, Egypt

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