Prevalence of accessory septations of sphenoid sinus in pediatric population: Applications to endoscopic sinus surgery.
3D segmentation
CT-scan
accessory septa
sphenoid sinus
Journal
Anatomical record (Hoboken, N.J. : 2007)
ISSN: 1932-8494
Titre abrégé: Anat Rec (Hoboken)
Pays: United States
ID NLM: 101292775
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
03
12
2019
revised:
29
01
2020
accepted:
10
02
2020
pubmed:
5
5
2020
medline:
25
3
2021
entrez:
5
5
2020
Statut:
ppublish
Résumé
Sphenoid sinus accessory septations and their possible insertion on internal carotid artery (ICA) may represent a risk for endoscopic sinus surgical procedures. However, scarce data on this variant for children are available so far. This retrospective study included 220 maxillofacial CT-scans equally divided among males (13.4 ± 2.1 years) and females (13.9 ± 2.2 years). On each CT-scan, prevalence of accessory septations, number of septations in sphenoid sinuses, and their possible insertion onto ICA bone walls were recorded. Significant differences in protrusion and insertion of septations onto the ICA bone walls according to sex were assessed through Chi-square test (p < .05). Possible correlations between the prevalence of accessory septations, ICA insertion, and number of accessory septations and age were assessed by means of Pearson's regression (p < .05). On average, 66% of males and 71% of females had at least one accessory septation, without significant differences according to sex or age (p > .05): septal insertion on ICA was found in 13% of subjects, without any significant difference for sex or age (p > .05). The number of septations was significantly increased with age (p < .05). The present study showed that the prevalence of accessory septations and insertion onto the ICA are independent of age and these results are similar to those reported in adults. Results will be useful for the management of endoscopic sinus surgery.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2171-2176Informations de copyright
© 2020 American Association for Anatomy.
Références
Abdullah, B. J., Arasaratnam, A., Kumar, G., & Gopala, K. (2001). The sphenoid sinuses: Computed tomographic assessment of septation. Relationship to the internal carotid arteries and sidewall thickness in the Malaysian population. J HK Coll Radiol, 4, 185-188.
Anusha, B., Baharudin, A., Philip, R., Harvinder, S., & Mohd, S. B. (2014). Anatomical variations of the sphenoid sinus and its adjacent structures: A review of existing literature. Surgical and Radiologic Anatomy, 36, 419-427.
Basak, S., Karaman, C. Z., Akdilli, A., Mutlu, C., Odabasi, O., & Erpek, G. (1998). Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery. Rhinology, 36, 162-167.
Bonneville, J. F., & Dietemann, J. L. (1981). Radiology of the Sella turcica. Berlin, Germany: Springer.
Cohen, O., Adi, M., Shapira-Galitz, Y., Halperin, D., & Warman, M. (2019). Anatomic variations of the paranasal sinuses in general pediatric population. Rhinology, 57, 206-212.
Elwany, S., Yacout, Y. M., Talaat, M., El-Nahass, M., Gunied, A., & Talaat, M. (1983). Surgical anatomy of the sphenoid sinus. The Journal of Laryngology and Otology, 97, 227-241.
Fernandez-Miranda, J. C., Prevedello, D. M., Madhok, R., Morera, V., Barges-Coll, J., Reineman, K., … Kassam, A. B. (2009). Sphenoid septations and their relationship with internal carotid arteries: Anatomical and radiological study. Laryngoscope, 119, 1893-1896.
Fujoka, M., & Yung, L. (1978). The sphenoid sinuses: Radiographic patterns of normal development and abnormal findings in infants and children. Radiology, 129, 133-139.
Gibelli, D., Cellina, M., Gibelli, S., Cappella, A., Oliva, A. G., Termine, G., … Sforza, C. (2019a). Relationship between sphenoid sinus volume and protrusion of internal carotid artery and optic nerve: A 3D segmentation study on maxillofacial CT-scans. Surgical and Radiologic Anatomy, 41, 507-512.
Gibelli, D., Cellina, M., Gibelli, S., Cappella, A., Oliva, A. G., Termine, G., & Sforza, C. (2019b). Relationships between sphenoid sinus volume and accessory septations: A 3D assessment of risky anatomical variants for endoscopic surgery. The Anatomical Record, 303(5), 1300-1304.
Hebert, R. L., & Bent, J. P. (1998). Meta-analysis of outcomes of pediatric functional endoscopic sinus surgery. Laryngoscope, 108, 796-799.
Hewaidi, G. H., & Omami, G. M. (2008). Anatomical variation of sphenoid sinus and related structures in Libyan population: CT scan study. Libyan Journal of Medicine, 3, 128-133.
Hudgins, P. A. (1993). Complications of endoscopic sinus surgery. Radiologic Clinics of North America, 31, 21-32.
Jaworek-Troc, J., Zarzecki, M., Mroz, I., Troc, P., Chrzan, R., Zawilinski, J., … Urbanik, A. (2018). The total number of septa and antra in the sphenoid sinuses-Evaluation before the FESS. Folia Medica Cracoviensia, 3, 67-81.
Jho, H. D. (1999). Endoscopic pituitary surgery. Pituitary, 2, 139-154.
Kalaycik Ertugay, C., Araz Server, E., Karagoz, Y., Yigit, O., Sunter, A. V., & Yasak, A. G. (2018). Computed tomography analysis of intranasal distance of frontal and sphenoid sinus ostiums in children. European Archives of Oto-Rhino-Laryngology, 275(9), 2281-2289.
Kassam, A. B., Snyderman, C. H., Mintz, A., Gardner, P., & Carrau, R. L. (2005). Expanded endonasal approach: The retrocaudal axis. Part I. Crista galli to the Sella turcica. Neurosurgical Focus, 19, E3.
Lee, J. C., Chuo, P. I., & Hsiung, M. W. (2003). Ischemic optic neuropathy after endoscopic sinus surgery: A case report. European Archives of Oto-Rhino-Laryngology, 260, 429-431.
Lu, Y., Pan, J., Qi, S., Shi, J., Zhang, X., & Wu, K. (2011). Pneumatization of the sphenoid sinus in Chinese: The differences from Caucasian and its application in the extended transsphenoidal approach. Journal of Anatomy, 219, 132-142.
Mutlu, C., Unlu, H. H., Goktan, C., Tarhan, S., & Egrilmez, M. (2001). Radiologic anatomy of the sphenoid sinus for intranasal surgery. Rhinology, 39, 128-132.
Odat, H., Almardeeni, D., Tanash, M., & Al-Qudah, M. (2019). Anatomical variation of the sphenoid sinus in pediatric patients and its association with age and chronic rhinosinusitis. The Journal of Laryngology and Otology, 133, 482-486.
Seddighi, A., Seddighi, A. S., Mellati, O., Ghorbani, J., Raad, N., & Soleimani, M. M. (2014). Sphenoid sinus: Anatomic variations and their importance in transsphenoidal surgery. The International Journal of Neuroscience, 1, 31-34.
Unal, B., Bademci, G., Bilgili, Y. K., Batay, F., & Avci, E. (2006). Risky anatomic variations of sphenoid sinus for surgery. Surgical and Radiologic Anatomy, 28, 195-201.
Wang, P. P., Ge, W. T., Ni, X., Tang, L. X., Zhang, J., Yang, X. J., & Sun, J. (2019). Endoscopic treatment of isolated sphenoid sinus disease in children. Ear Nose Throat, 98(7), 425-430.
World Health Organization. (2014). Basics of radiation protection-How to achieve ALARA: Working tips and guidelines. Retrieved from https://apps.who.int/medicinedocs/documents/s15961e/s15961e.pdf
Yune, H., Holden, R., & Smith, J. (1975). Normal variations and lesions of the sphenoid sinus. American Journal of Roentgenology, 124, 129-138.