전두동염과 연관된 해부학적 변이
Frontal Sinusitis Related to Anatomic Variations
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Abstract
Background and Objectives：The frontal recess is the drainage pathway for the frontal sinus and its boundaries are formed by adjacent structures：they include agger nasi (anterior wall), medial orbital wall (lateral wall), ethmoid bulla/agger nasi (lateral wall), ground lamella (posterior wall), and anterior ethmoid air cells (posterosuperior). It is known that the drainage of the frontal recess is influenced by anatomic variants (agger nasi cell, frontal cells, supraorbital cell, intersinus septal cell, and attachment type of uncinate process). Because of its complex anatomy, the frontal sinus has been a difficult area in which to obtain consistently good long-term surgical results. Subjects and Method：To show the prevalence of anatomic variants and the relationship between the variants and frontal sinusitis, we analyzed the coronal and axial computed tomography of 225 patients, and 450 side sinuses (from 2001-6-1 to 2002-12-31). Results：Frontal cells are observed in 176 cases (40.1%), agger nasi cell in 380 cases (84.8%), supraorbital cell in 17 cases (3.8%), and intersinus septal cell in 19 cases (11%). In the attachment type of the uncinate process, the lamellar type was seen in 272 cases (60.2%), the skull base type in 171 cases (26%), and the middle turbinate type in 62 cases (13.8%). The frontal sinusitis were seen in 8 cases (88.9%) among the type IV frontal cell group (9 cases) and in 149 cases (39.1%) among the agger nasi group. Conclusion：Relatively higher prevalence of anatomic variants was seen. The type IV frontal cells and agger nasi cells were significantly related to the frontal sinusitis.
참고문헌 (17)
- "Computed tomographic findings of frontalsinusitis", 40, pp.169~174 (1997)
- "The frontal cell as a course offrontal sinus obstruction", 8, pp.185~191 (1994)
- "Frontal recess cells:Spectrumof CT appearances", 47, pp.4~10 (2003)
- "Coronal computed tomographyanalysis of frontal cell", 17, pp.163~168 (2003)
- "A computer-assissted anatomical study of thenasofrontal region", 111, pp.2125~2130 (2001)
- "The agger nasi cell in frontal recessobstruction: An anatomic radiologic and clinical correlation: Ananatomic radilogic and clinical correlation.", 2, pp.226~231 (1991)
- "Frontal cells:An anatomic study of these cells withconsideration of their clinical significance", 34, pp.11~23 (1941)
- "Paranasal sinus bony anatomicvariants and mucosal abnormalities:CT analysis for endoscopic sinussurgery", 101, pp.56~64 (1991)
- "Special endoscopic anatomy of the lateral nasalwall and ethmoidal sinuses.", pp.49~88 (1991), Mosby Year Book
- "Sinus disease", pp.281~308 (1997), Ilchokak publishing Co
- "Functional endoscopic approach to inflammatorysinus disease:Current perspectives and technique modifications", 2, pp.89~96 (1998)
- "Endoscopic endonasal surgery: Concepts in treatmentof recurrent rhinosinusitis. Part I. Anatomic and pathophysiologicconsiderations.", 94, pp.143~147 (1986)
- "Paranasal sinuses:CT imaging requirements forendoscopic surgery", 163, pp.769~775 (1987)
- "Funtionalendoscopic sinus surgery:Theory and diagnotic evaluation", 111, pp.576~582 (1985)
- "Nasofrontal connections:A study based on 100 consecutivedissections", 23, pp.322~343 (1936)
- "Funtional endoscopic surgery(FESS) What radiologist need to know.", 53, pp.650~658 (1998)
- "Preoperativesagittal CT evaluation of the frontal recess", 14, pp.33~37 (2000)