Arana OAL

Language: Spanish
References: 11
Page: 68-71
PDF size: 143.23 Kb.

ABSTRACT

Objective: To find out the relationship between the kind and frecuency of anatomic variants and rhinosinusal disease by using computed tomography of nose and paranasal sinuses within a control group of patients.
Material and methods: Considering tomography scans from 43 patients, 22 women and 21 men, whose average age was 32.3 years old, that presented the rinosinusal disease condition, it was made a description of the presence and extension of that disorder, and at the same time, it was possible to identify the kind and frecuency of anatomic variables, if it exists. The exclusions criteria used were patients with allergic rhinitis or antecedents of surgery or trauma in nose or paranasal sinuses.
Results: Rhinosinusitis was found in 53.4% of the cases, the most common kind was etmoidomaxilar around 52% of the total. The most frequent anatomic variant related with sinusitis was alteration of the middle turbinate (concha bullosa and paradoxical turbinate), whose significance was as much as 58.1% of the whole cases according to the statistical analysis carried out during the investigation.
Conclusions: 54% of the rhinosinusitis cases are explained by variants of the middle turbinate. In contrast, Agger Nasi, Onodi, maxilar and frontal hipoplasic sinuses, osteoma, and septal deflections do not result in rinosinusal disease.

REFERENCES

1. Glodsmith AJ, Rosenfeld RM. Pediatric treatment of sinusitis. Pediatr Clin North Am 2003;50 (2):413-26.

2. Damm M. Impact of the functional endoscopic sinus surgery on symptoms and quality of lie in chronic rhinosinusitis. Laryngoscope 2002;112:310-5.

3. Damodar GS. Econometría. 4ª ed. México: McGraw-Hill Interamericana, 2004.

4. Friedman W, Katsantonis GP, Sivore M, Kay S. Computed tomography staging of the paranasal sinuses in chronic hyperplasic rhinosinusitis. Laryngoscope 1990;100(11):1161-5.

5. Vapor PK, Kumar BN, Watson SD. Maxillary sinus hipoplasia. J Laringology Otl 2002;116(2):135-7.

6. Laine F. et al. The osteomeatal unit endoscopic surgery. Am J Radiology, 1991.

7. Mendenhall W, Reinmuth JE. Estadística para administración y economia. 3ª ed. México: Grupo Editorial Iberoamérica, 1981.

8. Sarna A, Hayman LA, Laine FJ, Taber KH. Coronal imaging of the osteomeatal unit: Anatomy of 24 variants. J Compt Assist Tomogr 2002;26(1):153-7.

9. Shatz CT. Becker TS. Normal CT anatomy of the paranasal sinuses. Radiol Clin North Am 1984;22:107-18.

10. Braun H, Stamberguer H. Pneumatization of turbinates. Laryngoscope 2003;113(4):668-72.

11. Som PM, Curtin HD. Radiología de cabeza y cuello. En: Zinreich SJ, Albairam S, Benson ML, Oliverio PJ, editores. Complejo ostiomeatal y cirugía endoscópica funcional. 4ª ed. Boston: Massachussets, 2004.