Correlations between anatomical variations of the nasal cavity and ethmoidal sinuses on cone-beam computed tomography scans
Shokri Abbas, Faradmal Mohammad Javad, Hekmat Bahareh,
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( Shokri Abbas ) - Hamadan University of Medical Sciences Dental School Department of Oral and Maxillofacial Radiology
( Faradmal Mohammad Javad ) - Hamadan University of Medical Sciences School of Public Health Department of Biostatistics and Epidemiology
( Hekmat Bahareh ) - Zanjan University of Medical Sciences Dental School Department of Oral and Maxillofacial Radiology
Abstract
Purpose: Anatomical variations of the external nasal wall are highly important, since they play a role in obstruction or drainage of the ostiomeatal complex and ventilation and can consequently elevate the risk of pathological sinus conditions. This study aimed to assess anatomical variations of the nasal cavity and ethmoidal sinuses and their correlations on cone-beam computed tomography (CBCT) scans.
Materials and Methods: This cross-sectional study evaluated CBCT scans of 250 patients, including 107 males and 143 females, to determine the prevalence of anatomical variations of the nasal cavity and ethmoidal sinuses. All images were taken using a New Tom 3G scanner. Data were analyzed using the chi-square test, Kruskal-Wallis test, and the Mann-Whitney test.
Results: The most common anatomical variations were found to be nasal septal deviation (90.4%), agger nasi air cell (53.6%), superior orbital cell (47.6%), pneumatized nasal septum (40%), and Onodi air cell (37.2%). Correlations were found between nasal septal deviation and the presence of a pneumatized nasal septum, nasal spur, and Haller cell. No significant associations were noted between the age or sex of patients and the presence of anatomical variations (P>0.05).
Conclusion: Radiologists and surgeons must pay close attention to the anatomical variations of the sinonasal region in the preoperative assessment to prevent perioperative complications.
키워드
Ethmoid Sinus; Cone-Beam Computed Tomography; Anatomical Variation
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