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The effect of paranasal anatomic variations on chronic rhinosinusitis

Year 2022, Volume: 39 Issue: 1, 245 - 249, 01.01.2022

Abstract

Rhinosinusitis is the inflammation of the paranasal sinus mucosa and the most common pathophysiological event causing rhinosinusitis is the ostiomeatal complex disease. The aim of the study is to determine the prevalence of anatomical variations and mucosal pathologies in paranasal computed tomography images of patients with chronic rhinosinusitis and to reveal the relationship between anatomical variations and sinus pathologies. Anatomical variations and mucosal pathologies in coronal paranasal tomography images were evaluated in 100 patients diagnosed with chronic rhinosinusitis and 32 individuals in the control group without any sinus complaints. The rate of having at least one anatomical variation in the control group was 64.1%, while this rate was 87.5% in patients with chronic rhinosinusitis (p<0.001). The most common variation, Agger nasi cell, was found to be present in 34.3% of the individuals in the control group and in 53.5% in the rhinosinusitis group (p<0.05). In patients with rhinosinusitis, maxillary sinus was affected in 66.5%, anterior ethmoid sinus in 42.5%, frontal sinus in 32.5%, posterior ethmoid sinus in 20%, sphenoid sinus in 18.5% either in isolation or in combination. The relationship between anatomical variations and mucosal pathologies of the sinuses was evaluated. A significant correlation was found between anatomical variations such as Agger nasi cell, concha bullosa, septum deviation, ethmoid bulla and Haller cell with maxillary sinusitis, between Agger nasi cell and septum deviation with frontal sinusitis, and between Agger nasi cell, concha bullosa, septum deviation and ethmoid bulla with ethmoid sinusitis. In conclusion; it was concluded that anatomical variations are an important factor in the development of chronic sinusitis and that not only sinuses but also anatomical variations that impair drainage should be corrected during the surgical treatment of rhinosinusitis.

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References

  • 1. Knops JL, McCaffrey TV, Kern EB. Phisoology clinical applications. Otolaryngol Clin North Am. 1993; 8(1):517-34. PMID: 8414525.
  • 2. Lazar RH, Younis RT, Long TE. Functional endonasal sinus surgery in adults and children. Laryngoscope. 1993; 103(1 Pt 1):1-5.
  • 3. Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology. 1987 Jun;163(3):769-75. doi: 10.1148/radiology.163.3.3575731. PMID: 3575731.
  • 4. Önerci M, Haberal İ. Sinüzit. Kurtsan Ofset, 1999.
  • 5. Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl. 1988 Sep-Oct; 134:3-23.
  • 6. İnanlı S, Öztürk Ö, Tutkun A, Batman Ç, Üneri C, Şehitoğlu MA. Sinonazal hastalıkların tedavisinde endoskopik sinüs cerrahisi:403 olgunun değerlendirilmesi. KBB İhtisas Dergisi. 2001;8(1):13-39.
  • 7. Lanza DC, Kennedy DW. Current concepts in the surgical management of chronic and recurrent acute sinusitis. J Allergy Clin Immunol. 1992; 90(3 Pt 2):505-10; discussion 511.
  • 8. Levine HL. Functional endoscopic sinus surgery: evaluation, surgery, and follow-up of 250 patients. Laryngoscope. 1990;100(1):79-84.
  • 9. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991 Jan;101(1 Pt 1):56-64. 10. Çınar F. Endoskopik sinüs cerrahisi. İstanbul, Turgut Yayıncılık, 1998.
  • 11. Yousem DM. Imaging of sinonasal inflammatory disease. Radiology. 1993 Aug;188(2):303-14. doi: 10.1148/radiology.188.2.8327669. PMID: 8327669.
  • 12. Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr. 1988; 12(5):778-84.
  • 13. Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg. 1991 Apr;104(4):480-3.
  • 14. Stammberger H. Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol Suppl. 1985, 119:1-11.
  • 15. Zinreich SJ. Paranasal sinus imaging. Otolaryngol Head Neck Surg. 1990 Nov;103(5 (Pt 2)):863-8; discussion 868-9.
  • 16. Som PM. CT of the paranasal sinuses. Neuroradiology. 1985;27(3):189-201.
  • 17. Kaygusuz İ, Karlıdağ T, Gök Ü, Susaman N, Demirbağ E, Yalçın Ş. Paranazal sinüs enfeksiyonlarında anatomik varyasyonların önemi ve bilgisayarlı tomogrofinin yeri. Kulak Burun Boğaz Klinikleri. 2000;2(3):143-147.
  • 18. Ünlü HH, Akyar S, Nalça Y, Altuntaş A, Ünal A, Çaylan R, et al. Anatomic variations of the middle meatus in patients with sinusitis.Gazi Medical Journal. 1992; 3:145-150.
  • 19. Kennedy DW, Zinreich SJ. Functional endoscopic approach to inflammatory sinus disease, current perspectives and technique modifications. 1988; 2:89-96.
  • 20. Yousem DM, Kennedy DW, Rosenberg S. Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otolaryngol. 1991 Dec;20(6):419-24.
  • 21. Milczuk HA, Dalley RW, Wessbacher FW, Richardson MA. Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. 1993 Mar;103(3):247-52.
  • 22. Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg. 1988;114(8):856-9.
Year 2022, Volume: 39 Issue: 1, 245 - 249, 01.01.2022

Abstract

Project Number

-

References

  • 1. Knops JL, McCaffrey TV, Kern EB. Phisoology clinical applications. Otolaryngol Clin North Am. 1993; 8(1):517-34. PMID: 8414525.
  • 2. Lazar RH, Younis RT, Long TE. Functional endonasal sinus surgery in adults and children. Laryngoscope. 1993; 103(1 Pt 1):1-5.
  • 3. Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology. 1987 Jun;163(3):769-75. doi: 10.1148/radiology.163.3.3575731. PMID: 3575731.
  • 4. Önerci M, Haberal İ. Sinüzit. Kurtsan Ofset, 1999.
  • 5. Stammberger H, Wolf G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl. 1988 Sep-Oct; 134:3-23.
  • 6. İnanlı S, Öztürk Ö, Tutkun A, Batman Ç, Üneri C, Şehitoğlu MA. Sinonazal hastalıkların tedavisinde endoskopik sinüs cerrahisi:403 olgunun değerlendirilmesi. KBB İhtisas Dergisi. 2001;8(1):13-39.
  • 7. Lanza DC, Kennedy DW. Current concepts in the surgical management of chronic and recurrent acute sinusitis. J Allergy Clin Immunol. 1992; 90(3 Pt 2):505-10; discussion 511.
  • 8. Levine HL. Functional endoscopic sinus surgery: evaluation, surgery, and follow-up of 250 patients. Laryngoscope. 1990;100(1):79-84.
  • 9. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991 Jan;101(1 Pt 1):56-64. 10. Çınar F. Endoskopik sinüs cerrahisi. İstanbul, Turgut Yayıncılık, 1998.
  • 11. Yousem DM. Imaging of sinonasal inflammatory disease. Radiology. 1993 Aug;188(2):303-14. doi: 10.1148/radiology.188.2.8327669. PMID: 8327669.
  • 12. Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr. 1988; 12(5):778-84.
  • 13. Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg. 1991 Apr;104(4):480-3.
  • 14. Stammberger H. Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol Suppl. 1985, 119:1-11.
  • 15. Zinreich SJ. Paranasal sinus imaging. Otolaryngol Head Neck Surg. 1990 Nov;103(5 (Pt 2)):863-8; discussion 868-9.
  • 16. Som PM. CT of the paranasal sinuses. Neuroradiology. 1985;27(3):189-201.
  • 17. Kaygusuz İ, Karlıdağ T, Gök Ü, Susaman N, Demirbağ E, Yalçın Ş. Paranazal sinüs enfeksiyonlarında anatomik varyasyonların önemi ve bilgisayarlı tomogrofinin yeri. Kulak Burun Boğaz Klinikleri. 2000;2(3):143-147.
  • 18. Ünlü HH, Akyar S, Nalça Y, Altuntaş A, Ünal A, Çaylan R, et al. Anatomic variations of the middle meatus in patients with sinusitis.Gazi Medical Journal. 1992; 3:145-150.
  • 19. Kennedy DW, Zinreich SJ. Functional endoscopic approach to inflammatory sinus disease, current perspectives and technique modifications. 1988; 2:89-96.
  • 20. Yousem DM, Kennedy DW, Rosenberg S. Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otolaryngol. 1991 Dec;20(6):419-24.
  • 21. Milczuk HA, Dalley RW, Wessbacher FW, Richardson MA. Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. 1993 Mar;103(3):247-52.
  • 22. Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg. 1988;114(8):856-9.
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Yücel Tanyeri 0000-0002-0366-0376

Mehmet Çelebi 0000-0002-0297-3338

Dursun Mehmet Mehel 0000-0002-5613-3393

Project Number -
Early Pub Date January 3, 2022
Publication Date January 1, 2022
Submission Date August 17, 2021
Acceptance Date September 21, 2021
Published in Issue Year 2022 Volume: 39 Issue: 1

Cite

APA Tanyeri, Y., Çelebi, M., & Mehel, D. M. (2022). The effect of paranasal anatomic variations on chronic rhinosinusitis. Journal of Experimental and Clinical Medicine, 39(1), 245-249.
AMA Tanyeri Y, Çelebi M, Mehel DM. The effect of paranasal anatomic variations on chronic rhinosinusitis. J. Exp. Clin. Med. January 2022;39(1):245-249.
Chicago Tanyeri, Yücel, Mehmet Çelebi, and Dursun Mehmet Mehel. “The Effect of Paranasal Anatomic Variations on Chronic Rhinosinusitis”. Journal of Experimental and Clinical Medicine 39, no. 1 (January 2022): 245-49.
EndNote Tanyeri Y, Çelebi M, Mehel DM (January 1, 2022) The effect of paranasal anatomic variations on chronic rhinosinusitis. Journal of Experimental and Clinical Medicine 39 1 245–249.
IEEE Y. Tanyeri, M. Çelebi, and D. M. Mehel, “The effect of paranasal anatomic variations on chronic rhinosinusitis”, J. Exp. Clin. Med., vol. 39, no. 1, pp. 245–249, 2022.
ISNAD Tanyeri, Yücel et al. “The Effect of Paranasal Anatomic Variations on Chronic Rhinosinusitis”. Journal of Experimental and Clinical Medicine 39/1 (January 2022), 245-249.
JAMA Tanyeri Y, Çelebi M, Mehel DM. The effect of paranasal anatomic variations on chronic rhinosinusitis. J. Exp. Clin. Med. 2022;39:245–249.
MLA Tanyeri, Yücel et al. “The Effect of Paranasal Anatomic Variations on Chronic Rhinosinusitis”. Journal of Experimental and Clinical Medicine, vol. 39, no. 1, 2022, pp. 245-9.
Vancouver Tanyeri Y, Çelebi M, Mehel DM. The effect of paranasal anatomic variations on chronic rhinosinusitis. J. Exp. Clin. Med. 2022;39(1):245-9.