Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis

Sivaslı, Ercan; Şirikçi, Akif; Ya, Bayazýt; Gümüşburun, Erdem; Erbaǧcı, Hülya; Metin, Bayram; Kanlýkama, M

doi:10.1007/s00276-002-0074-x

Cited by 51 publications

(62 citation statements)

References 15 publications

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“…22,23 Anatomic abnormalities resulting in nasal obstruction and disruption of mucociliary clearance, most notably adenoid hypertrophy, also play a unique role in the pathogenesis of CRS in children. 7 Unlike in adults, CRSwNP is exceedingly rare in children and is usually indicative of an underlying diagnosis of cystic fibrosis. 24 Given the phenotypic differences in CRS between adults and children, it is reasonable to assume that any underlying genetic susceptibility differs between the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the unique anatomical and molecular characteristics observed in children with CRS, [4][5][6][7] and the likelihood that the etiology of the disease in older pediatric patients is more similar to adults, 2 we defined our patient population as children 12 years of age or younger. Using statewide hospital inpatient and ambulatory facility discharge data linked to the UPDB, we identified CRS patients at index diagnosis with an ICD-9-CM diagnosis of CRS, defined as one or more of ICD-9-CM codes 473.0-473.9, appearing in the medical record (any diagnostic position) from 1996 to 2011.…”

Section: Case Populationmentioning

confidence: 99%

“…[4][5][6] Additionally, anatomic features unique to children, most notably adenoid hypertrophy, are also believed to play an important role in the pathogenesis of CRS. 7 However, by 12 years of age the adenoid tissue largely involutes. 8 As a result, adenoid hypertrophy is much less likely to be involved in the pathogenesis of CRS in older patients.…”

Section: Introductionmentioning

confidence: 99%

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Familial risk of pediatric chronic rhinosinusitis

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Case Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Familial risk of pediatric chronic rhinosinusitis

et al. 2015

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“…1 Conventional radiographs can provide information regarding maxillary and frontal sinus disease but has got limited role in assessing nasal pathologies, sphenoethmoidal complex disease and anatomical variations. 2 MRI has got excellent soft tissue resolution with limited display of skeletal anatomy when compared to computed tomography. As surgeon should aware of these bony anatomical variations before surgery, computed tomography become the imagine modality of choice and serve as a navigation tool intraoperatively for safe surgical outcome.…”

Section: Introductionmentioning

confidence: 99%

Prospective evaluation of chronic rhinosinusitis with reference to anatomical variation

Sindhura¹,

Kandipilli²,

Shaik³

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Rhinosinusitis is one of the commonest sinonasal condition with chronic Rhinosinusitis affecting 10% of population worldwide. Although the diagnosis of chronic rhinosinusitis is clinical, the final diagnosis should be confirmed by objective measures like radiography and nasal endoscopy. Though anatomical variations in sinonasal region are rare, they have significant impact in the causation of sinonasal diseases and pose difficulties during surgery.Methods: This was a prospective study conducted on 60 patients who attended to the Department of ENT and HNS, Konaseema Institute of Medical Science, Amalapuram between December 2017 to July 2019. By considering AAO-HNS criteria patients were selected and subjected to high resolution computerized tomography para nasal sinuses and diagnostic nasal endoscopy. Results: As per study, 60% patients are having deviated nasal septum, followed by aggar nasi in 58.3%, concha bullosa in 26.8%, Haller cells in 11.7%, paradoxical middle turbinate in 11.7%, uncinate pneumatisation in 5%, and onodi cells in 5% of cases.Conclusions: Anatomical variations in sinonasal cavity predispose to chronic rhinosinusitis and hence require correction. Also, detecting these variations preoperatively by computed tomography of paranasal sinus helps in avoiding complications during functional endoscopic sinus surgery.

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“…(6,7) Therefore, the standard average size rather than correlating with the contralateral side can be used for treatment planning and assessment of the outcome in sinus surgery. (8,9) Additionally, it is necessary to have an average index, which much corresponds to the volume. (10) Gender determination is an essential stride in identification in forensic medicine and measurements of maxillary sinuses have been proven useful in sex determination.…”

Section: Introductionmentioning

confidence: 99%

Cone Beam Computed Tomographic Assessment of Maxillary Sinus Volume Variability Among Adult Egyptians

Desouky

Rawdy

2017

Egyptian Dental Journal

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Anatomical variability in the maxillary sinus volume has been studied and reported by several researchers. Objective:The purpose of the present study was to assess the variety in the maxillary sinus volume between genders and between the right and left sides using cone beam computed volumetric imaging. Methods:The present retrospective study was carried on fifty cone beam computed tomography (CBCT) records of adult Egyptians aging from 20-40 years. The records were equally partitioned into two groups; the male group (G1) and the female group (G2). Volumetric examination of the antrum was conducted and statistically analyzed to compare between right and left sides and between males and females.Results: Statistically significant differences was found in the antral volume between male and female subjects as well as between the right and left sides. Conclusion:The volume of the maxillary sinus (MS) in male subjects was larger than the female subjects, in addition, the right-side volume was found to be larger than the left side for both genders.

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Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis

Cited by 51 publications

References 15 publications

Familial risk of pediatric chronic rhinosinusitis

Familial risk of pediatric chronic rhinosinusitis

Prospective evaluation of chronic rhinosinusitis with reference to anatomical variation

Cone Beam Computed Tomographic Assessment of Maxillary Sinus Volume Variability Among Adult Egyptians

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