The anatomical variations in the neurovascular relations of the sphenoid sinus: an evaluation by coronal computed tomography.

نویسندگان

  • Priyadarshini D
  • Latha V Prabhu
  • Ashvini Kumar
  • Mangala M Pai
  • Dananjay Kvn
چکیده

AIM The sphenoid sinus is deeply situated in the skull and is the least accessible paranasal sinus. The sphenoid sinus is surrounded by vital structures such as the optic nerve and internal carotid artery, and therefore additional radiological assessment of the sphenoid sinus and the related neurovascular structures is inevitable before surgery. The aim of this study was to note the anatomic variations in the relationship of these structures with the sphenoid sinus by analyzing the coronal computed tomography (CT) scans. MATERIAL AND METHODS The consecutive coronal CT scans of 100 patients that included 43 males and 57 females were evaluated. RESULTS Variations in the neurovascular boundaries of the sphenoid sinus were a common finding in the present study and were seen in as many as 66% of the cases. Variations involving the Vidian canal were the commonest in our study and were seen in around 42%, followed by those involving the bony canal for internal carotid artery, 33%; maxillary nerve, 21 % and optic nerve, 9%. CONCLUSION These variations do not represent disease as such, but may increase the risk of endoscopic mishaps. CT of the paranasal sinus region is therefore an essential prerequisite prior to sinonasal and trans-sphenoidal surgeries.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Anatomic variations of sphenoid sinus from Cone Beam Computed Tomography images in the Iranian population

Aims: Sphenoid sinus is one of the most inaccessible paranasal sinus, and is closely correlated to many vascular and neural structures. Anatomic variation of the sphenoid sinus can complicate surgery in this area. The aim of the present investigation was to define the sphenoid sinus variations and the relevant structures using cone-beam computed tomography (CBCT). Methods: This cross-sectiona...

متن کامل

Relationship between Anatomical Variations of Sinonasal Area and Maxillary Sinus Pneumatization

Introduction: Maxillary sinuses are among the largest paranasal sinuses with various shapes and volumes. The dimensions and volumes of maxillary sinuses play an important role in the surgical treatment plan. The higher levels of pneumatization of alveolar bone lead to the increase of odontogenic sinusitis which cause problems in dental implantation. Therefore, this study aimed to evaluate...

متن کامل

Evaluation of neurovascular anatomical variations in maxillary anterior region in cone beam computed tomography images

Introduction: Incisive foramen in the maxilla is the oral terminus of the nasopalatine canal. This region is important in implantology, Therefore, the aim of this study was to investigate the  neurovascular anatomical variations in the maxillary anterior region, observed on cone beam computed tomography (CBCT) images. Materials &Methods: In this cross-sectional study, maxillary CBCT ima...

متن کامل

Evaluation of Anatomical Variations of Paranasal Sinuses in Cone-beam Computed Tomography (CBCT) of Patients with Chronic Rhinosinusitis in Comparing with Normal Individuals

Introdouction: An exact knowledge of the anatomical variations of the paranasal sinuses (PNS) is critical for surgeons performing endoscopic sinus surgery and for radiologists involved in making preoperative evaluations. An important aspect is the determination of correlation between the anatomical variations of PNS and the presence of chronic rhinosinusitis (CR). Cone-beam computed tomograph...

متن کامل

Sinonasal Anatomical Variations: A Multidetector Computed Tomographic Study

Background and Aim: The paranasal sinuses are known for their complex anatomy and significant difference in size and shape. This study aimed to determine the prevalence of anatomical variations of the paranasal sinuses in computed tomography (CT). Materials and Methods: In this cross-sectional study, patients over 18 years of age, who had undergone CT imaging in a private clinic, were screened...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Turkish neurosurgery

دوره 25 2  شماره 

صفحات  -

تاریخ انتشار 2015