A computed tomography study on the olfactory fossa in dried skulls.

Computed tomography Cribriform plate Morphology Morphometry Olfactory fossa Skull base

Journal

Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 13 02 2022
accepted: 13 04 2022
pubmed: 12 5 2022
medline: 6 7 2022
entrez: 11 5 2022
Statut: ppublish

Résumé

The computed tomography (CT) study investigates the olfactory fossa (OF) morphometry and morphology. Fifty Greek adult dried skulls were macroscopically investigated for the detection of the OF morphological patterns and after a multiplanar CT reconstruction, the OF morphometry was accurately calculated using a digital ruler. Types I and II surface contour patterns were the most frequently identified (36 and 32%), followed by types III, IV, and V (16, 12, and 4%). Crista galli mean length, height, and width were 19.46 ± 2.34 mm, 12.69 ± 2.7 mm, and 5.18 ± 1.11 mm. The OF mean maximum length was 22.29 ± 2.16 mm on the right and 22.10 ± 2.44 mm on the left side, and symmetry was detected. The OF median values of the maximum depth for its anterior, middle, and posterior third were 4.91 mm, 4.72 mm, and 2.78 mm on the right and 4.55 mm, 4.75 mm, and 2.55 mm on the left side. Symmetry was observed in any third of the OF. The OF median values of the surface maximum width for the anterior, middle, and posterior thirds were 9.29 mm, 11.48 mm, and 13.07 mm. A significant gradual increase of the OF surface maximum width was detected in the anteroposterior direction in the total sample (p < 0.001), with the highest value (23.12 mm) in the posterior third. A significant (p < 0.001) very strong (r The study helps to familiarize with the calculation of the OF dimensions and simplifies the understanding of its complex anatomy, to reach successful surgical planning and minimize perioperative complications.

Identifiants

pubmed: 35543750
doi: 10.1007/s00276-022-02949-0
pii: 10.1007/s00276-022-02949-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

925-932

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

Références

Adeel M, Ikram M, Rajput MS, Arain A, Khattak YJ (2013) Asymmetry of lateral lamella of the cribriform plate: a software-based analysis of coronal computed tomography and its clinical relevance in endoscopic sinus surgery. Surg Radiol Anat 35:843–847. https://doi.org/10.1007/s00276-013-1106-4
doi: 10.1007/s00276-013-1106-4 pubmed: 23525641
Alazzawi S, Omar R, Rahmat K, Alli K (2012) Radiological analysis of the ethmoid roof in the Malaysian population. Auris Nasus Larynx 39:393–396. https://doi.org/10.1016/j.anl.2011.10.002
doi: 10.1016/j.anl.2011.10.002 pubmed: 22055509
Babu AC, Nair M, Kuriakose AM (2018) Olfactory fossa depth: CT analysis of 1200 patients. Indian J Radiol Imaging 28:395–400. https://doi.org/10.4103/ijri.IJRI_119_18
doi: 10.4103/ijri.IJRI_119_18 pubmed: 30662198 pmcid: 6319094
Chong VF, Fan YF, Lau D, Sethi DS (1998) Functional endoscopic sinus surgery (FESS): what radiologists need to know. Clin Radiol 53:650–658. https://doi.org/10.1016/s0009-9260(98)80291-2
doi: 10.1016/s0009-9260(98)80291-2 pubmed: 9766718
Coelho DH, Pence TS, Abdel-Hamid M, Costanzo RM (2018) Cribriform plate width is highly variable within and between subjects. Auris Nasus Larynx 45:1000–1005. https://doi.org/10.1016/j.anl.2018.01.013
doi: 10.1016/j.anl.2018.01.013 pubmed: 29452829
Gauba V, Saleh GM, Dua G, Agarwal S, Ell S, Vize C (2006) Radiological classification of anterior skull base anatomy prior to performing medial orbital wall decompression. Orbit 25:93–96. https://doi.org/10.1080/01676830600674627
doi: 10.1080/01676830600674627 pubmed: 16754215
Giannetti AV, Guimarães RE, Santiago AP, Perpétuo FO, Machado MA (2012) A tomographic study of the skull base in primary spontaneous cerebrospinal fluid leaks. Neuroradiology 54:459–466. https://doi.org/10.1007/s00234-011-0901-z
doi: 10.1007/s00234-011-0901-z pubmed: 21739220
Gupta P, Ramesh P (2017) Radiological observation of ethmoid roof on basis of keros classification and its application in endonasal surgery. Int J Anat Res 5:4204–4207. https://doi.org/10.16965/ijar.2017.284
doi: 10.16965/ijar.2017.284
Jacob TG, Kaul JM (2014) Morphology of the olfactory fossa—a new look. J Anat Soc India 63:30–35. https://doi.org/10.1016/j.jasi.2014.04.006
doi: 10.1016/j.jasi.2014.04.006
Jones TM, Almahdi JM, Bhalla RK, Lewis-Jones H, Swift AC (2002) The radiological anatomy of the anterior skull base. Clin Otolaryngol Allied Sci 27:101–105. https://doi.org/10.1046/j.1365-2273.2002.00540.x
doi: 10.1046/j.1365-2273.2002.00540.x pubmed: 11994115
Kainz J, Stammberger H (1988) Das Dach des vorderen Siebbeines: Ein Locus minoris resistentiae an der Schädelbasis [The roof of the anterior ethmoid: a locus minoris resistentiae in the skull base]. Laryngol Rhinol Otol (Stuttg) 67:142–149
doi: 10.1055/s-2007-998473
Kaplanoglu H, Kaplanoglu V, Dilli A, Toprak U, Hekimoğlu B (2013) An analysis of the anatomic variations of the paranasal sinuses and ethmoid roof using computed tomography. Eurasian J Med 45:115–125. https://doi.org/10.5152/eajm.2013.23
doi: 10.5152/eajm.2013.23 pubmed: 25610263 pmcid: 4261488
Keros P (1962) On the practical value of differences in the level of the lamina cribrosa of the ethmoid. Z Laryngol Rhinol Otol 41:809–813
pubmed: 14032071
Komut E, Golpinar M (2021) A comprehensive morphometric analysis of crista galli for sex determination with a novel morphological classification on computed tomography images. Surg Radiol Anat 43:1989–1998
doi: 10.1007/s00276-021-02799-2
Krmpotić-Nemanić J, Vinter I, Judas M (1997) Transformation of the shape of the ethmoid bone during the course of life. Eur Arch Otorhinolaryngol 254:347–349. https://doi.org/10.1007/BF02630727
doi: 10.1007/BF02630727 pubmed: 9298671
Lebowitz RA, Terk A, Jacobs JB, Holliday RA (2001) Asymmetry of the ethmoid roof: analysis using coronal computed tomography. Laryngoscope 111:2122–2124. https://doi.org/10.1097/00005537-200112000-00007
doi: 10.1097/00005537-200112000-00007 pubmed: 11802008
McMains KC (2008) Safety in endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 16:247–251. https://doi.org/10.1097/MOO.0b013e3282fdccad
doi: 10.1097/MOO.0b013e3282fdccad pubmed: 18475080
Nair S (2012) Importance of ethmoidal roof in endoscopic sinus surgery. Otolaryngology 1:251. https://doi.org/10.4172/scientificreports.251
doi: 10.4172/scientificreports.251
Nitinavakarn B, Thanaviratananich S, Sangsilp N (2005) Anatomical variations of the lateral nasal wall and paranasal sinuses: A CT study for endoscopic sinus surgery (ESS) in Thai patients. J Med Assoc Thai 88:763–768
pubmed: 16083216
Psaltis AJ, Schlosser RJ, Banks CA, Yawn J, Soler ZM (2012) A systematic review of the endoscopic repair of cerebrospinal fluid leaks. Otolaryngol Head Neck Surg 147:196–203. https://doi.org/10.1177/0194599812451090
doi: 10.1177/0194599812451090 pubmed: 22706995
Savvateeva DM, Güldner C, Murthum T, Bien S, Teymoortash A, Werner JA, Bremke M (2010) Digital volume tomography (DVT) measurements of the olfactory cleft and olfactory fossa. Acta Otolaryngol 130:398–404. https://doi.org/10.3109/00016480903283741
doi: 10.3109/00016480903283741 pubmed: 19883175
Skorek A, Tretiakow D, Szmuda T, Przewozny T (2017) Is the Keros classification alone enough to identify patients with the “dangerous ethmoid”? An anatomical study. Acta Otolaryngol 137:196–201. https://doi.org/10.1080/00016489.2016.1225316
doi: 10.1080/00016489.2016.1225316 pubmed: 27608833
Souza SA, Souza MMAd, Idagawa M, Wolosker ÂMB, Ajzen SA (2008) Computed tomography assessment of the ethmoid roof: a relevant region at risk in endoscopic sinus surgery. Radiol Bras 41:143–147. https://doi.org/10.1590/S0100-39842008000300003
doi: 10.1590/S0100-39842008000300003
Stammberger HR, Kennedy DW (1995) Paranasal sinuses: anatomic terminology and nomenclature. Ann Otol Rhinol Laryngol 104:7–16. https://doi.org/10.1177/000348949510410s01
doi: 10.1177/000348949510410s01
Stankiewicz JA (1987) Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 97:1270–1273. https://doi.org/10.1288/00005537-198711000-00004
doi: 10.1288/00005537-198711000-00004 pubmed: 3669837
Terrier F, Weber W, Ruefenacht D, Porcellini B (1985) Anatomy of the ethmoid: CT, endoscopic, and macroscopic. AJR 144:493–500. https://doi.org/10.2214/ajr.144.3.493
doi: 10.2214/ajr.144.3.493 pubmed: 3871558
Ulualp SO (2008) Complications of endoscopic sinus surgery: appropriate management of complications. Curr Opin Otolaryngol Head Neck Surg 16:252–259. https://doi.org/10.1097/MOO.0b013e3282fdc3b2
doi: 10.1097/MOO.0b013e3282fdc3b2 pubmed: 18475081
Vasvári G, Reisch R, Patonay L (2005) Surgical anatomy of the cribriform plate and adjacent areas. Minin Invasive Neurosurg 48:25–33. https://doi.org/10.1055/s-2004-830180
doi: 10.1055/s-2004-830180
Welch KC, Palmer JN (2008) Intraoperative emergencies during endoscopic sinus surgery: CSF leak and orbital hematoma. Otolaryngol Clin North Am 41:581. https://doi.org/10.1016/j.otc.2008.01.005
doi: 10.1016/j.otc.2008.01.005 pubmed: 18436000

Auteurs

Panagiotis Papadopoulos-Manolarakis (P)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Department of Neurosurgery, General Hospital of Nikaia-Piraeus, Athens, Greece.

Vasiliki Xenaki (V)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Department of Neurosurgery, School of Medicine, University Hospital of Patras, Rio, Greece.

Moschos Fratzoglou (M)

Department of Neurosurgery, General Hospital of Nikaia-Piraeus, Athens, Greece.

Konstantinos Natsis (K)

Department of Anatomy and Surgical Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Theodosis Kalamatianos (T)

Department of Neurosurgery, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.

Maria Piagkou (M)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece. mapian@med.uoa.gr.

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