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>Journals >Revista de Sanidad Militar >Year 2016, Issue 4


Sabido-Bollain GI, Morales-Cadena GM, Fonseca-Chávez MG, Valente-Acosta B2
Tomographic analysis: prevalence of frontoethmoidal cells in Mexican patients of a tertiary care hospital
Rev Sanid Milit Mex 2016; 70 (4)

Language: Español
References: 8
Page: 331-335
PDF: 268.04 Kb.


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ABSTRACT

Background: The paranasal sinuses have a complex anatomy, each one shows significant variation in size and position. The frontal sinus and its drainage, referred as frontal recess, are well known for their complex architecture.
Objectives: The objective of the study was to identify frontoethmoidal cells; determine their prevalence and distribution in Mexican patients of a tertiary care hospital.
Material and method: A retrospective, observational, cross-sectional and descriptive study was conducted over a two-year period in “Hospital Español de Mexico”.
Results: A total of 159 CT scans were analyzed; the agger nasi cell was found in 129 CT scans (81.13%), frontoethmoidal cell type 1 in 66 CT scans (41.50%), type 2 in 15 CT scans (9.4%), type 3 in 6 CT scans (3.77%) and nil type 4. The kappa index between both observers turned out to be 0.9516.
Conclusion: The Agger nassi cell has the highest prevalence in this area, followed by frontoethmoidal cell type 1. We can consider that the frontoethmoidal cells in their vast majority are bilateral, followed by a unilateral right-sided presence.


Key words: frontal sinus, transnasal surgery, endoscopy, agger nasi.


REFERENCIAS

  1. Sanjurjo JL, Morales M. Abordajes endoscópicos al receso frontal. AN ORL México 2008; 53 (2): 87-90

  2. Sagar G, Chandra B, Meghanadh K. A study of anatomy of frontal recess in patients suffering from chronic frontal sinus disease. Indian J Otolaryngol Head Neck Surg. 2013: 65: S435-S439.

  3. Park S, Yoon B, Cho K, et al. Pneumatization pattern of the frontal recess: relationship of the anterior- to- posterior length of frontal isthmus and/or frontal recess with the columen of agger nasi cell. Clinical and Experimental Otorhinlaryngology. 2010; 3: 76-83.

  4. Bradoo R, Shah K, Joshi A. Factors affecting the outcome of frontal sinus surgery: a prospective study. Indian J Otolaryngol Head Neck Surg. 2014; 65: S260-S266.

  5. Flint P. Cummings Otolaryngology. Elsevier. 2015. Sexta edición. Estados Unidos. Páginas 790-802.

  6. Lee S, Woo H, Kye K, et al. Frontoethmoidal cells on computed tomographic analysis: the prevalence and relationship to frontal sinus/recess mucosal thickening. J Rhinol. 21; 2014: 31- 36.

  7. Eweiss A y Khalil H. The prevalence of frontal cells and their relation to frontal sinusitis: a radiological study of the frontal recess area. Hindawi Publishing Corporation. 2013; ID 697582. Cuatro páginas.

  8. Ji J, Zhou M, Li Z, et al. Frontal sinus surgery anterior to the ethmoid bulla. Int Surg. 2013; 98: 149 a 155.






>Journals >Revista de Sanidad Militar >Year 2016, Issue 4
 

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