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Surgical and Radiologic Anatomy

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01.12.2015 | Original Article

Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients

verfasst von: B. Anusha, A. Baharudin, R. Philip, S. Harvinder, B. Mohd Shaffie, R. R. Ramiza

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 10/2015

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Abstract

Purpose

Failure of a surgeon to understand the local variations of the anatomical landmarks of the sphenoid sinus is a potential risk factor to cause damage to the optic nerve (ON) or internal carotid artery (ICA) that lies on the walls of the sphenoid sinus. The aim of this study was to identify the anatomical variants of the sphenoid sinus and its related surrounding structures among the Southeast Asian (SEA) population, based on computed tomography (CT) scans.

Materials and methodology

This cross-sectional study analyzed 300 CT scans of the brain, paranasal sinuses (PNS), and head and neck (H&N) at a tertiary referral centre in Malaysia utilizing the Osirix software. The images were reconstructed into 1 mm cuts on bone window. Demographic details and scan findings were documented in a standardized data collection sheet.

Results

The rates of ON dehiscence, ICA dehiscence and ICA protrusion in the SEA population were 7.0, 3.0 and 10.0 %, respectively. The rate of ON protrusion was 2.3 %. There was no statistically significant relationship (p > 0.05) noted on Chi-square test, between anterior clinoid process (ACP) pneumatization and ON protrusion. The rate of Onodi cells in our population was 14.3 %. The average vertical distance of the ostia from the roof of the posterior choanae was 1.42 cm (±0.32). The horizontal distance of the ostia from the anterior end of the superior turbinate was 1.58 cm (±0.41) and the oblique distance of the ostia from the anterior nasal spine was 5.35 cm (±0.48). Independent t tests showed that there is a statistically significant difference between the means of each of these parameters (p < 0.001) and their international averages.

Conclusion

The rate of ON protrusion is lower in the SEA population, whereas the rates of ON dehiscence, ICA dehiscence and ICA protrusion fall within the range of international averages. In our population, ACP pneumatization is not related to ON protrusion. The distance of the ostia from given landmarks was significantly shorter than in other studies.

Abuzayed B, Tanriover N, Ozlen F et al (2009) Endoscopic endonasal transsphenoidal approach to the sellar region: results of endoscopic dissection on 30 cadavers. Turk Neurosurg 19(3):237–244PubMed

Anusha B, Baharudin A, Philip R et al (2014) Anatomical variations of the sphenoid sinus and its adjacent structures: a review of existing literature. Surg Radiol Anat 36(5):419–427CrossRefPubMed

Arslan H, Aydinlioğlu A, Bozkurt M et al (1999) Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 26(1):39–48CrossRefPubMed

Batra PS, Citardi MJ, Gallivan RP et al (2004) Software-enabled computed tomography analysis of the carotid artery and sphenoid sinus pneumatization patterns. Am J Rhinol 18(4):203–208PubMed

Bayram M, Sirikci A, Bayazit YA (2001) Important anatomic variations of the sinonasal anatomy in light of endoscopic sinus surgery: a pictorial review. Eur Radiol 11:1991–1997CrossRefPubMed

Cho JH, Kim JK, Lee JG et al (2010) Sphenoid sinus pneumatization and its relation to bulging of surrounding neurovascular structures. Ann Otol Rhinol Laryngol 119(9):646–650PubMed

Davis WE, Templer J, Parsons DS (1996) Anatomy of the paranasal sinuses. Otolaryngol Clin North Am 29:57–74PubMed

Davoodi M, Saki N, Saki G et al (2009) Anatomical variations of neurovascular structures adjacent sphenoid sinus by using CT scan. Pak J Biol Sci 12:522–525CrossRefPubMed

Dessi P, Moulin G, Castro F et al (1994) Protrusion of the optic nerve into the ethmoid and sphenoid sinus: prospective study of 150 CT studies. Neuroradiology 36(7):515–516CrossRefPubMed

10.

Elwany S, Yacout YM, Talaat M et al (1983) Surgical anatomy of the sphenoid sinus. J Laryngol Otol 97:227–241CrossRefPubMed

11.

Fuji K, Chambers SM, Rhoton AL Jr (1979) Neurovascular relationships of the sphenoid sinus. A microsurgical study. Neurosurgery 50:31–39CrossRef

12.

Gupta T, Aggarwal A, Sahni D (2013) Anatomical landmarks for locating the sphenoid ostium during endoscopic endonasal approach: a cadaveric study. Surg Radiol Anat 35(2):137–142CrossRefPubMed

13.

Hamid O, Fiky LE, Hassan O et al (2008) Anatomic variations of the sphenoid sinus and their impact on trans-sphenoid pituitary surgery. Skull Base 18(1):9–15PubMedCentralCrossRefPubMed

14.

Hammer G, Radberg C (1961) The sphenoidal sinus. An anatomical and roentgenological study with reference to transphenoid hypophysectomy. Acta Radiol 56:401–422CrossRefPubMed

15.

Hewaidi G, Omami G (2008) Anatomic variation of sphenoid sinus and related structures in Libyan population: CT scan study. Libyan J Med 3(3):128–133PubMedCentralCrossRefPubMed

16.

Hidir Y, Battal B, Durmaz A et al (2011) Optimum height from the roof of the choana for seeking the sphenoid ostium. J Craniofac Surg 22(3):1077–1079CrossRefPubMed

17.

Isyk AO, Bulut S (1994) Concha bullosa. Relations with sinus disease and septal deviation. Turk J Diagn Intervent Radiol 1:301–304

18.

Kazkayasi M, Karadeniz Y, Osman KA (2005) Anatomic variations of the sphenoid sinus on computed tomography. Rhinology 43:109–114PubMed

19.

Kim HU, Kim SS, Kang SS (2001) Surgical anatomy of the natural ostium of the sphenoid sinus. Laryngoscope 111:1599–1602CrossRefPubMed

20.

Lanza DC, Kennedy DW (1993) Endoscopic Sinus Surgery. In: Bailey BJ (ed) Head and neck surgery-otolaryngology. JB Lippincott, Philadelphia

21.

Madiha AES, Raouf AA (2007) Endoscopic anatomy of the sphenoidal air sinus. Bull Alex Fac Med 43:1021–1026

22.

Meloni F, Mini R, Rovasio S et al (1992) Anatomic variations of surgical importance in ethmoid labyrinth and sphenoid sinus. A study of radiological anatomy. Surg Radiol Anat 14(1):65–70CrossRefPubMed

23.

Sapçi T, Derin E, Almaç S et al (2004) The relationship between the sphenoid and the posterior ethmoid sinuses and the optic nerves in Turkish patients. Rhinology 42(1):30–34PubMed

24.

Sareen D, Agarwal AK, Kaul JM et al (2005) Study of sphenoid sinus anatomy in relation to endoscopic surgery. Int J Morphol 23(3):261–266CrossRef

25.

Sirikci A, Bayazit YA, Bayram M et al (2000) Variations of sphenoid and related structures. Eur Radiol 10(5):844–848CrossRefPubMed

26.

Stammberger H (1991) Functional endoscopic sinus surgery: the Messerklinger technique. BC Decker, Philadelphia

27.

Tan HK, Ong YK (2007) Sphenoid sinus: an anatomic and endoscopic study in Asian cadavers. Clin Anat 20(7):745–750CrossRefPubMed

28.

Tomovic S, Esmaeili A, Chan NJ et al (2013) High-resolution computed tomography analysis of variations of the sphenoid sinus. J Neurol Surg B Skull Base 74(2):82–90PubMedCentralCrossRefPubMed

29.

Turgut S, Gumusalan Y, Arifoglu Y et al (1996) Endoscopic anatomic distances on the lateral nasal wall. J Otolaryngol 25:371–374PubMed

30.

Unal B, Bademci G, Bilgili YK et al (2006) Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 28(2):195–201CrossRefPubMed

31.

Van Alyea OE (1941) Sphenoid sinus. Anatomic study, with consideration of the clinical significance of the structural characteristics of sphenoid sinus. Arch Otolaryngol 34:225–253CrossRef

32.

Yeoh KH, Tan KK (1994) The optic nerve in the posterior ethmoid in Asians. Acta Otolaryngol 114(3):329–336CrossRefPubMed

Titel: Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients
verfasst von: B. Anusha
A. Baharudin
R. Philip
S. Harvinder
B. Mohd Shaffie
R. R. Ramiza
Publikationsdatum: 01.12.2015
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 10/2015
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-015-1494-8

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Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients

Abstract

Purpose

Materials and methodology

Results

Conclusion

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Springer Medizin

Abstract

Purpose

Materials and methodology

Results

Conclusion

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