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The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography

Received: 2 February 2015     Accepted: 19 February 2015     Published: 8 March 2015
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Abstract

Background: The anatomy of the nose and paranasal sinuses is complex, and many anatomical variations have been thoroughly studied. There is debate about the effect of these variations on the occurrence and severity of sinusitis. Computed Tomography (CT) scan is the modality of choice for evaluation of variable anatomical variations and different forms of sinusitis. Aim: The aim of this research was to study the relation between recurrent sinusitis and anatomical variations of the osteomeatal complex and nasal structures by CT. Patients and Methods: A cross section observation study was performed. We collected data of 89 patients subjected to CT of the paranasal sinuses. CT was performed using SIEMENS SOMATOM SENSATION dual source machine. Data analysis was performed using SPSS program, version (19.0.0): Results: All patients in the study population showed one or more anatomical variations and only 85.3% of them had sinusitis. Infundibular pattern of sinusitis had the highest incidence and the lowest patterns were sphenoethmoid recess and sporadic unclassified patterns. Anatomical variations found by CT, nasal septal deviation represented the most common variation (50%). Conclusion: There was a statistically significant correlation between nasal septal deviation, uncinate process anomalies and some patterns of sinusitis with the p value = <0.05.

Published in International Journal of Medical Imaging (Volume 3, Issue 2)
DOI 10.11648/j.ijmi.20150302.12
Page(s) 16-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Paranasal Sinuses, Osteomeatal Complex, Sinusitis, CT, anatomical Variation

References
[1] Dwivedi A, Singha K. CT of the paranasal sinuses: normal anatomy, variants and pathology. Journal of Optoelectronics and Biomedical Materials 2010; 2: 289 – 281.
[2] Zinreich S, Albayram S, Benson M, Oliverio P. The ostiomeatal complex and functional endoscopic surgery. In: Peter MS, Hugh DC, eds. Head and Neck Imaging. St. Louis: Mosby; 2003: 149-74.
[3] Naimi M, Bakhshaei M. The major obstructive inflammatory patterns of the sinonasal diseases in 200 candidates of functional endoscopic sinus surgery. The Iranian Journal of Otorhinolaryngology 2006; 17, 42: 14-9.
[4] Azila A, Irfan M, Rohaizan Y, Shamim A K. The Prevalence of Anatomical Variations in Osteomeatal Unit in Patients with Chronic Rhinosinusitis. Med J Malaysia 2011; 66 (3):191-4.
[5] Fadda G, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012; 32(4): 244–251.
[6] Kaygusuz A, Hakesever M, Akduman D, Aslan S, Sayar Z. Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease-a computerized tomography assisted anatomical and clinical study. Indian j otolaryngol head neck surg 2014;66(3):260-6. doi: 10.1007/s12070-013-0678-y. Epub 2013 Oct 15.
[7] Babbel WR, Harsnberger HR, Sonkens J. Recurring patterns of inflammatory sinonasal disease demonstrated on screening sinus CT. Seminar in U/S, CT and MRI 1991; 12 (6) : 511-519.
[8] Raut A, Jankharia B. Paranasal Sinuses in Health and Disease. Rhinology and Facial Plastic Surgery. Springer Berlin Heidelberg; 2009, P. 62-35.
[9] Adeel M, Rajput M, Akhter S, Ikram M, Arain A, Khattak Y. Anatomical variations of nose and para-nasal sinuses. CT scan review2013; 63(3):317-9.
[10] Sarna A, Hayman LA, Laine FJ, Taber KH. Coronal imaging of the osteomeatal unit: anatomy of 24 variants. J Comput Assist Tomogr 2002; 26(1):153-7.
[11] Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviations and paranasal sinus disease. Am J Neuroradiol 2004; 25:1613–1618.
[12] Miranda C, Maranho C, Arraes F, Padilha I, Farias L, Jatob M, et al. Anatomical variations of paranasal sinuses at multislice computed tomography: what to look for. Radiol Bras 2011; 44(4): 256–262.
[13] Al-Qudah M A. Anatomical Variations in Sino-Nasal Region: A Computer Tomography (CT) Study. J Med J 2010; Vol. 44 (3): 290-297
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  • APA Style

    Naglaa M. Elsayed, Lujain F. Abdalaal. (2015). The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography. International Journal of Medical Imaging, 3(2), 16-20. https://doi.org/10.11648/j.ijmi.20150302.12

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    ACS Style

    Naglaa M. Elsayed; Lujain F. Abdalaal. The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography. Int. J. Med. Imaging 2015, 3(2), 16-20. doi: 10.11648/j.ijmi.20150302.12

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    AMA Style

    Naglaa M. Elsayed, Lujain F. Abdalaal. The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography. Int J Med Imaging. 2015;3(2):16-20. doi: 10.11648/j.ijmi.20150302.12

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  • @article{10.11648/j.ijmi.20150302.12,
      author = {Naglaa M. Elsayed and Lujain F. Abdalaal},
      title = {The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography},
      journal = {International Journal of Medical Imaging},
      volume = {3},
      number = {2},
      pages = {16-20},
      doi = {10.11648/j.ijmi.20150302.12},
      url = {https://doi.org/10.11648/j.ijmi.20150302.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150302.12},
      abstract = {Background: The anatomy of the nose and paranasal sinuses is complex, and many anatomical variations have been thoroughly studied. There is debate about the effect of these variations on the occurrence and severity of sinusitis. Computed Tomography (CT) scan is the modality of choice for evaluation of variable anatomical variations and different forms of sinusitis. Aim: The aim of this research was to study the relation between recurrent sinusitis and anatomical variations of the osteomeatal complex and nasal structures by CT. Patients and Methods: A cross section observation study was performed. We collected data of 89 patients subjected to CT of the paranasal sinuses. CT was performed using SIEMENS SOMATOM SENSATION dual source machine. Data analysis was performed using SPSS program, version (19.0.0): Results: All patients in the study population showed one or more anatomical variations and only 85.3% of them had sinusitis. Infundibular pattern of sinusitis had the highest incidence and the lowest patterns were sphenoethmoid recess and sporadic unclassified patterns. Anatomical variations found by CT, nasal septal deviation represented the most common variation (50%). Conclusion: There was a statistically significant correlation between nasal septal deviation, uncinate process anomalies and some patterns of sinusitis with the p value = <0.05.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - The Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography
    AU  - Naglaa M. Elsayed
    AU  - Lujain F. Abdalaal
    Y1  - 2015/03/08
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijmi.20150302.12
    DO  - 10.11648/j.ijmi.20150302.12
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 16
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20150302.12
    AB  - Background: The anatomy of the nose and paranasal sinuses is complex, and many anatomical variations have been thoroughly studied. There is debate about the effect of these variations on the occurrence and severity of sinusitis. Computed Tomography (CT) scan is the modality of choice for evaluation of variable anatomical variations and different forms of sinusitis. Aim: The aim of this research was to study the relation between recurrent sinusitis and anatomical variations of the osteomeatal complex and nasal structures by CT. Patients and Methods: A cross section observation study was performed. We collected data of 89 patients subjected to CT of the paranasal sinuses. CT was performed using SIEMENS SOMATOM SENSATION dual source machine. Data analysis was performed using SPSS program, version (19.0.0): Results: All patients in the study population showed one or more anatomical variations and only 85.3% of them had sinusitis. Infundibular pattern of sinusitis had the highest incidence and the lowest patterns were sphenoethmoid recess and sporadic unclassified patterns. Anatomical variations found by CT, nasal septal deviation represented the most common variation (50%). Conclusion: There was a statistically significant correlation between nasal septal deviation, uncinate process anomalies and some patterns of sinusitis with the p value = <0.05.
    VL  - 3
    IS  - 2
    ER  - 

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Author Information
  • Diagnostic Radiology Department, Faculty of Applied Medical Sciences, KAU, Jeddah, KSA

  • Diagnostic Radiology Department, Faculty of Applied Medical Sciences, KAU, Jeddah, KSA

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