Anatomical Variations of the Nose and Paranasal Sinuses Found on CT Scans Images of Adult Chronic Rhinosinusitis Patients

DOI

10.2991/978-94-6463-280-4_59How to use a DOI?

Keywords

Anatomical Variations; Prevalence; Nose; Paranasal Sinuses; CT Scans; Adult; CRS; Predisposition; Surgery Complications; Management

Abstract

Background

Anatomical variations of the nose and paranasal sinuses are one of the contributing factors in developing Chronic Rhinosinusitis (CRS) predisposing factor and complications during surgery complicating factors. CT Scan has an important role in diagnosing. One of the tools used to identify and detecting thesediagnose anatomical variations in patients is CT scans.

Objectives

To study theexamine prevalence of anatomical variations of the nose and paranasal sinuses found on CT Scanscans images of adult chronic rhinosinusitis patients. with CRS.

Methods

The research conduct through aA retrospective descriptive studyresearch was conducted using CT scans images of 43 nose and paranasal sinuses CT Scans of the adult CRS patients who went tovisited the Allergy Rhinology Polyclinic at Dr. Hasan Sadikin hospital, Hospital in Bandung; on 1 between January-31 1 and December 31, 2019. Anatomical variations assessment of the nosewere assessed and paranasal sinuses divided into:categorized as CRS predisposing and surgery-complicating factors. CRS factors include septal deviation, Agger nasi, frontal bullae, concha hypertrophy, bullae ethmoid, pneumatized septum, concha bullosa, accessory ostium, bullous uncinate process; paradoxical, secondary, and sinus concha. While surgery complicating factors are depth of olfactory fossa, fronto ethmoid cells, inter frontal sinus septal cells, Haller cells, supraorbital cells, Onodi cells, intra maxillary sinus septum, and uncinate process attachment. Other include infraorbital nerve, anterior ethmoid artery, optic nerve, internal carotid artery, vidian canal dehiscence, atelectasis uncinate processus, intra sphenoid sinus septum, frontal, maxilla, and sphenoid sinus pneumatization.

Results

The result showed that the most common CRS predisposing factors were septal deviation (90.8%), concha hypertrophy (72.2%), and Agger Nasi Cells (65.1%). Regarding surgery -complicating factors are, the most prevalent ones were Keros II (72.2%), sellar sphenoid sinus (69.8%), and Kuhn I (58.1%).

Conclusion

SeptalIn conclusion, septal deviations, concha hypertrophy, and Agger Nasi cells asCells are the most common anatomical variations associated with CRS predisposing factors; predisposition. Additionally, Keros II, sellar sphenoid sinus sellar, and Kuhn I were identified as the most frequent complicating factors for surgery. These findings emphasize the importance of considering these anatomical variations in managing CRS.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Tita Puspitasari
AU  - Arif Dermawan
AU  - Nur. A. Aroeman
AU  - Atta Kuntara
AU  - Wijana
AU  - Sinta S. Ratunanda
AU  - Melati Sudiro
PY  - 2023
DA  - 2023/10/31
TI  - Anatomical Variations of the Nose and Paranasal Sinuses Found on CT Scans Images of Adult Chronic Rhinosinusitis Patients
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 349
EP  - 360
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_59
DO  - 10.2991/978-94-6463-280-4_59
ID  - Puspitasari2023
ER  -