본문 바로가기
KERD
논문KCI 등재

한국인에서 비루관 위치의 영상학적 연구

A Radiological Study on the Location of Nasolacrimal Duct in Koreans

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류이비인후과학

초록

Background and Objectives The prelacrimal recess (PA) approach can be used to removePA lesions while preserving the nasolacrimal duct (NLD). In this regard, it is important to un-derstand the anatomical structure of NLD in relation to the lateral nasal wall. The purpose ofthis study was to measure NLD and the surrounding structure using the sinus CT. Subjects and Method We used the coronal, axial, and sagittal images to measure the fol-lowing areas: a distance (M1) between nostril and the most anterior part of the lower end ofNLD (NLD-LE); a vertical distance (M2) between the attachment line of inferior turbinate(IT) to lateral wall and the NLD-LE; a distance (M3) between the NLD-LE and nasal cavityfloor (NF); a diameter (M4) of the NLD-LE; and an angle (M5) between NF and the extendedline of the diameter of the NLD-LE. Results The right side of M1 was 26.45±3.69 mm and the left was 25.95±3.77 mm. Theright side of M2 was 1.36±2.07 mm and the left was 0.98±1.86 mm. The right side of M3 was17. 39±3.46 mm and the left was 17.52±3.15 mm. The right side of M4 was 7.89±1.66 mm andthe left was 7.96±1.60 mm. The right side of M5 was 46.69°±9.97° and the left was 45.04°±10. 25°. Conclusion In Korean adults, on the average, the NLD-LE was present at 25 mm and 45°from the nasal entrance, 17 mm above the NF, and the diameter of NLD-LE was 8 mm. TheNLD-LE is adjacent to the lateral wall attachment of the IT, but there may be individual dif-ferences.

Abstract

Background and Objectives The prelacrimal recess (PA) approach can be used to removePA lesions while preserving the nasolacrimal duct (NLD). In this regard, it is important to un-derstand the anatomical structure of NLD in relation to the lateral nasal wall. The purpose ofthis study was to measure NLD and the surrounding structure using the sinus CT. Subjects and Method We used the coronal, axial, and sagittal images to measure the fol-lowing areas: a distance (M1) between nostril and the most anterior part of the lower end ofNLD (NLD-LE); a vertical distance (M2) between the attachment line of inferior turbinate(IT) to lateral wall and the NLD-LE; a distance (M3) between the NLD-LE and nasal cavityfloor (NF); a diameter (M4) of the NLD-LE; and an angle (M5) between NF and the extendedline of the diameter of the NLD-LE. Results The right side of M1 was 26.45±3.69 mm and the left was 25.95±3.77 mm. Theright side of M2 was 1.36±2.07 mm and the left was 0.98±1.86 mm. The right side of M3 was17. 39±3.46 mm and the left was 17.52±3.15 mm. The right side of M4 was 7.89±1.66 mm andthe left was 7.96±1.60 mm. The right side of M5 was 46.69°±9.97° and the left was 45.04°±10. 25°. Conclusion In Korean adults, on the average, the NLD-LE was present at 25 mm and 45°from the nasal entrance, 17 mm above the NF, and the diameter of NLD-LE was 8 mm. TheNLD-LE is adjacent to the lateral wall attachment of the IT, but there may be individual dif-ferences.

참고문헌 (20)

  1. Wormald PJ, "Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy", Laryngoscope, 113(5), pp.867~873 (2003)
  2. Hosemann W, "Evaluation of telescopes and forceps for endoscopic transnasal surgery on the maxillary sinus", Am J Rhinol, 17(5), pp.311~316 (2003)
  3. Healy DY Jr, "Surgical risk factors for recurrence of inverted papilloma", Laryngoscope, 126(4), pp.796~801 (2016)
  4. Weber RK, "Comprehensive review on endonasal endoscopic sinus surgery", GMS Curr Top Otorhinolaryngol Head Neck Surg, 14, pp.Doc08~ (2015)
  5. Krouse JH, "Endoscopic treatment of inverted papilloma : Safety and efficacy", Am J Otolaryngol, 22(2), pp.87~99 (2001)
  6. Tomenzoli D, "Different endoscopic surgical strategies in the management of inverted papilloma of the sinonasal tract : Experience with 47patients", Laryngoscope, 114(2), pp.193~200 (2004)
  7. Singhal D, "The incidence of complications using new landmarks and a modified technique of canine fossa puncture", Am J Rhinol, 21(3), pp.316~319 (2007)
  8. Pagella F, "Evolution in the treatment of sinonasal inverted papilloma : Pedicle-oriented endoscopic surgery", Am J Rhinol Allergy, 28(1), pp.75~81 (2014)
  9. Eloy P, "Endoscopic endonasal medial maxillectomy : Case series", Indian J Otolaryngol Head Neck Surg, 62(3), pp.252~257 (2010)
  10. Zhou B, "Intranasal endoscopic prelacrimal recess approach to maxillary sinus", Chin Med J(Engl), 126(7), pp.1276~1280 (2013)
  11. Ali MJ, "Anatomic relationship of nasolacrimal duct and major lateral wall landmarks : Cadaveric study with surgical implications", Int Forum Allergy Rhinol, 4(8), pp.684~688 (2014)
  12. Bolger WE, "Lacrimal drainage system injury in functional endoscopic sinus surgery: Incidence, analysis, and prevention", Arch Otolaryngol Head Neck Surg, 118(11), pp.1179~1184 (1992)
  13. Yanagisawa E, "Endoscopic view of a long-term inferior meatal antrostomy", Ear Nose Throat J, 86(6), pp.318~319 (2007)
  14. Orhan M, "Anatomical features of the opening of the nasolacrimal duct and the lacrimal fold(Hasner’s valve)for intranasal surgery : A cadaveric study", Clin Anat, 22(8), pp.925~931 (2009)
  15. Lang J, "Clinical Anatomy of the Nose, Nasal Cavity and Paranasal Sinuses", pp.99~102 (1989), Thieme Medical publishers
  16. Yanagisawa E, "Endoscopic view of ostium of nasolacrimal duct", Ear Nose Throat J, 72(7), pp.491~492 (1993)
  17. Unlü HH, "Anatomical guidelines for intranasal surgery of the lacrimal drainage system", Rhinology, 35(1), pp.11~15 (1997)
  18. 구형본, "한국인에서의 사골 지붕의 편측성", Journal of Rhinology, 28(2), pp.102~105 (2021), 대한비과학회[DOI]
  19. Trenouth MJ, "Asymmetry of the human skull during fetal growth", Anat Rec, 211(2), pp.205~212 (1985)
  20. Pessa JE, "The effect of skeletal remodeling on the nasal profile : Considerations for rhinoplasty in the older patient", Aesthetic Plast Surg, 23(4), pp.239~242 (1999)

관련 논문AI추천

이 간행물의 다른 논문 (10건)