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Anales de Otorrinolaringología Mexicana

2025, Number 1

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Otorrinolaringología 2025; 70 (1)

Agenesis of paranasal sinuses

Barrón CAC, Montes SKE, Barrón SMA, Campos NLA

Language: Spanish
References: 13
Page: 48-52
PDF size: 308.33 Kb.


ABSTRACT

Background: Anatomical knowledge of nose and paranasal sinuses, together with technological advances, has been crucial in surgery, allowing better control of infectious processes and reducing complications. Understanding the growth and development of pneumatic cavities is essential for diagnosis, treatment, and surgical planning, especially in endoscopic functional surgery.
Clinical case: A 65-year-old male patient with alterations in the pneumatic development of the paranasal sinuses identified incidentally on computed tomography.
Conclusions: The literature describes multiple predisposing factors, such as genetic and environmental. Tomography remains the gold standard for its diagnosis. These conditions are usually treated conservatively, except of associated symptoms or aesthetic or reconstructive procedures. Understanding embryological development is essential for an adequate interpretation of the alterations.


REFERENCES

  1. Lee S, Fernandez J, Mirjalili SA, Kirkpatrick J. Pediatric paranasal sinuses-Development, growth, pathology,& functional endoscopic sinus surgery. Clin Anat 2022; 35 (6): 745-761. https://doi.org.10.1002/ca.23888

  2. Zalzal HG, O'Brien DC, Zalzal GH. Pediatric anatomy: Nose and sinus. Operative techniques. OtolaryngolHead Neck Surg 2028; 29 (2): 44-50. https://doi.org/10.1016/j.otot.2018.03.002

  3. Hasan TS. Total aplasia of the paranasal sinuses and nasal cavity: the first case report. Egypt J Otolaryngol2022; 38: 36. https://doi.org/10.1186/s43163-022-00224-y

  4. Tatlisumak E, Ovali GY, Asirdizer M, Aslan A, et al. CT study on morpholometry of frontal sinus. ClinAnatomy 2008; 21 (4): 287-293. https://doi.org/10.1002/ca.20617

  5. Ikeda A, Ikeda M, Komatsuzaki A. A CT study of the course of maxillary sinus growth: normal subjects andsubjects with chronic sinusitis. Rev Neurol Oncol 1998; 60 (3): 147-152. https://doi.org/10.1159/000027584

  6. Kim HJ, Friedman EM, Sulek M, Duncan NO, McCluggage C. Paranasal sinus development in chronicsinusitis, cystic fibrosis, and normal comparison population: a computerized tomography correlation study.Am J Rhinol 1997; 11 (4): 275-81. https://doi.org/10.2500/105065897781446676

  7. Kim HY, Kim MB, Dhong HJ, Jung YG, et al. Changes of maxillary sinus volume and bony thickness of theparanasal sinuses in longstanding pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2008; 72(1): 103-108. https://doi.org/10.1016/j.ijporl.2007.09.018

  8. Iwanaga J, Wilson C, Lachkar S, Tomaszewski KA, et al. Clinical anatomy of the maxillary sinus: applicationto sinus floor augmentation. Anat Cell Biol 2019; 52 (1): 17-24. https://doi.org/10.5115/acb.2019.52.1.17

  9. Kapusuz Gencer Z, Ozkiris M, Okur A, Karacavus S, Saydam L. The effect of nasal septal deviation onmaxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorrinolaringol 2013; 270 (12):3069-3073. https://doi.org.10.1007/s00405-013-2435-y

  10. Kucybała I, Janik KA, Ciuk S, Storman D, Urbanik, A. Nasal septal deviation and concha bullosa - Do theyhave an impact on maxillary sinus volumes and prevalence of maxillary sinusitis? Pol J Radiol 2017; 82:126-133. https://doi.org.10.12659/PJR.900634

  11. Hasan TS. Total aplasia of the paranasal sinuses and nasal cavity: the first case report. Egypt J Otolaryngol2022; 38: 36. https://doi.org/10.1186/s43163-022-00224

  12. Goldman-Yassen AE, Meda K, Kadom N. Paranasal sinus development and implications for imaging. PediatrRadiol 2021; 51 (7): 1134-1148. https://doi.org.10.1007/s00247-020-04859-y

  13. Earwaker J. Anatomic variants in sinonasal CT. Radiographics 1993; 13 (2): 381-415. https://doi.org.10.1148/radiographics.13.2.8460226




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