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Paranazal Sinüs Bilgisayarlı Tomografi İncelemeleri ile Keros Sınıflaması ve Kribriform Plate Derinliği Asimetrisinin Değerlendirilmesi

Year 2018, Volume: 8 Issue: 2, 352 - 358, 29.06.2018
https://doi.org/10.31832/smj.378631

Abstract
















Amaç: Bu
radyo-anatomik çalışma ile bölgemizdeki 18 yaş altı ve üstü populasyonun
anterior kafa tabanı anatomisi ile ilgili veri elde etmek ve normatif verilerin
elde edilmesi ile komplikasyon oranlarının azaltılması amaçlanmıştır.

Gereç
ve Yöntemler:
Çalışmaya 7-18 yaş arası 100 kişi, 18-50 yaş arası 100 kişi
olmak üzere toplam 200 kişi dahil edildi. Koronal planda çekilmiş bilgisayarlı
tomografi görüntüleri dijital ortamda kemik pencerede incelendi. Olfaktor fossa
derinlik ölçümleri yapıldı ve sonuçlar istatistiki yöntemler ile
karşılaştırıldı.

Bulgular: Pediatrik grubun
yaş ortalaması 13.4±2.73 (erkek: 13.1±2.63, bayan: 13.6±2.82), erişkin grubun
yaş ortalaması 39.9±7.46 (erkek: 40.6±7.82, bayan: 39.3±7.11
) idi.
Pediatrik ve erişkin grup lamina lateralis derinlikleri açısından
karşılaştırıldığında aradaki fark istatistiki anlam oluşturmadı. Yine pediatrik
ve erişkin gruplar kendi içlerinde cinsiyet farklılığı, sağ ve sol taraf
asimerisi bakımından karşılaştırıldığında istatistiki anlamlı fark oluşmadı.
Pediatrik grupta %15, erişkin grupta %18 oranında keros asimetrisi tespit
edildi.

Sonuç: Çalışmada gerçekleştirilen
ölçümler sonucunda istatistiki olarak anlam ifade etmese de asimetrik keros
vakaları konusunda cerrahın dikkatli olması gerekliliği literatür ile uyumlu
bir şekilde tekrar vurgulanmıştır. Pediatrik yaş grubundaki farklılıklar için
ise geniş katılımcı sayıları ile çalışmanın tekrarlanması önerilebilir
    

References

  • Referans 1. Souza, S. A., Souza, M. M. A. D., Idagawa, M., Wolosker, Â. M. B., & Ajzen, S. A. Computed tomography assessment of the ethmoid roof: a relevant region at risk in endoscopic sinus surgery. Radiologia Brasileira 2008;41(3), 143-147. Referans 2. Keros, P. On the practical value of differences in the level of the lamina cribrosa of the ethmoid. Zeitschrift fur Laryngologie, Rhinologie, Otologie und ihre Grenzgebiete 1962; 41: 809-813. Refrains 3. Kaplanoglu, H., Kaplanoglu, V., Dilli, A., Toprak, U., & Hekimoğlu, B. An analysis of the anatomic variations of the paranasal sinuses and ethmoid roof using computed tomography. The Eurasian journal of medicine 2013;45(2), 115. Referans 4. Luong A, Marple BF. Sinus surgery: indications and techniques. Clin Rev Allergy Immunol 2006;30:217–22. Referans 5. Stankiewicz JA. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 1987;97:1270–3. Referans 6. Stammberger H. Special endoscopic anatomy of the lateral nasal wall and ethmoidal sinuses. In: BC Decker, ed. Functional Sinus Surgery. Philadelphia, 1991; pp.49-87. Referans 7. Gauba, V., Saleh, G. M., Dua, G., Agarwal, S., Ell, S., & Vize, C. Radiological classification of anterior skull base anatomy prior to performing medial orbital wall decompression. Orbit 2006;25(2), 93-96. Referans 8. Ohnishi T, Yanagisawa E. Lateral lamella of the cribriform plate – an important high-risk area in endoscopic sinus surgery. Ear Nose Throat J 1995;74:688–90. Referans 9. Başak, S., Akdilli, A., Karaman, C. Z., & Kunt, T. Assessment of some important anatomical variations and dangerous areas of the paranasal sinuses by computed tomography in children. International journal of pediatric otorhinolaryngology 2000;55(2), 81-89. Referans 10. Jang YJ, Park HM, Kim HG. The radiographic incidence of bony defects in the lateral lamella of the cribriform plate. Clin Otolaryngol Allied Sci 1999;24:440–2. Referans 11. Leunig, A., Betz, C. S., Sommer, B., & Sommer, F. Anatomic variations of the sinuses; multiplanar CT-analysis in 641 patients. Laryngo-rhino-otologie 2008;87(7), 482-489. Referans 12. Anderhuber, W., Walch, C., & Fock, C. Configuration of ethmoid roof in children 0-14 years of age. Laryngo-rhino-otologie 2001;80(9), 509-511. Referans 13. Basak, S., Karaman, C.Z., Akdilli, A., Mutlu, C., Odabasi, O., Erpek, G. Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery, Rhinology 1998;36(4),162–167. Referans 14. Güldner, C., Zimmermann, A. P., Diogo, I., Werner, J. A., & Teymoortash, A. Age-dependent differences of the anterior skull base. International journal of pediatric otorhinolaryngology 2012;76(6), 822-828. Referans 15. Wormald, P. J. Surgery of the frontal recess and frontal sinus. Rhinology 2005;43(2),82-5. Referans 16. Lebowitz, R. A., Terk, A., Jacobs, J. B., & Holliday, R. A. Asymmetry of the ethmoid roof: analysis using coronal computed tomography. The Laryngoscope 2001;111(12), 2122-2124. Referans 17. Dessi, P., Moulin, G., Triglia, J. M., Zanaret, M., & Cannoni, M. Difference in the height of the right and left ethmoidal roofs: a possible risk factor for ethmoidal surgery. Prospective study of 150 CT scans. The Journal of Laryngology & Otology 1994;108(3),261-262. Referans 18. Elwany, S., Medanni, A., Eid, M., Aly, A., El-Daly, A., & Ammar, S. R. Radiological observations on the olfactory fossa and ethmoid roof. The Journal of Laryngology & Otology 2010;124(12), 1251-1256.

Keros Classification And Evaluation of Cribriform Plate Depth Asymmetry Of The Population In Marmara Region

Year 2018, Volume: 8 Issue: 2, 352 - 358, 29.06.2018
https://doi.org/10.31832/smj.378631

Abstract

References

  • Referans 1. Souza, S. A., Souza, M. M. A. D., Idagawa, M., Wolosker, Â. M. B., & Ajzen, S. A. Computed tomography assessment of the ethmoid roof: a relevant region at risk in endoscopic sinus surgery. Radiologia Brasileira 2008;41(3), 143-147. Referans 2. Keros, P. On the practical value of differences in the level of the lamina cribrosa of the ethmoid. Zeitschrift fur Laryngologie, Rhinologie, Otologie und ihre Grenzgebiete 1962; 41: 809-813. Refrains 3. Kaplanoglu, H., Kaplanoglu, V., Dilli, A., Toprak, U., & Hekimoğlu, B. An analysis of the anatomic variations of the paranasal sinuses and ethmoid roof using computed tomography. The Eurasian journal of medicine 2013;45(2), 115. Referans 4. Luong A, Marple BF. Sinus surgery: indications and techniques. Clin Rev Allergy Immunol 2006;30:217–22. Referans 5. Stankiewicz JA. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 1987;97:1270–3. Referans 6. Stammberger H. Special endoscopic anatomy of the lateral nasal wall and ethmoidal sinuses. In: BC Decker, ed. Functional Sinus Surgery. Philadelphia, 1991; pp.49-87. Referans 7. Gauba, V., Saleh, G. M., Dua, G., Agarwal, S., Ell, S., & Vize, C. Radiological classification of anterior skull base anatomy prior to performing medial orbital wall decompression. Orbit 2006;25(2), 93-96. Referans 8. Ohnishi T, Yanagisawa E. Lateral lamella of the cribriform plate – an important high-risk area in endoscopic sinus surgery. Ear Nose Throat J 1995;74:688–90. Referans 9. Başak, S., Akdilli, A., Karaman, C. Z., & Kunt, T. Assessment of some important anatomical variations and dangerous areas of the paranasal sinuses by computed tomography in children. International journal of pediatric otorhinolaryngology 2000;55(2), 81-89. Referans 10. Jang YJ, Park HM, Kim HG. The radiographic incidence of bony defects in the lateral lamella of the cribriform plate. Clin Otolaryngol Allied Sci 1999;24:440–2. Referans 11. Leunig, A., Betz, C. S., Sommer, B., & Sommer, F. Anatomic variations of the sinuses; multiplanar CT-analysis in 641 patients. Laryngo-rhino-otologie 2008;87(7), 482-489. Referans 12. Anderhuber, W., Walch, C., & Fock, C. Configuration of ethmoid roof in children 0-14 years of age. Laryngo-rhino-otologie 2001;80(9), 509-511. Referans 13. Basak, S., Karaman, C.Z., Akdilli, A., Mutlu, C., Odabasi, O., Erpek, G. Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery, Rhinology 1998;36(4),162–167. Referans 14. Güldner, C., Zimmermann, A. P., Diogo, I., Werner, J. A., & Teymoortash, A. Age-dependent differences of the anterior skull base. International journal of pediatric otorhinolaryngology 2012;76(6), 822-828. Referans 15. Wormald, P. J. Surgery of the frontal recess and frontal sinus. Rhinology 2005;43(2),82-5. Referans 16. Lebowitz, R. A., Terk, A., Jacobs, J. B., & Holliday, R. A. Asymmetry of the ethmoid roof: analysis using coronal computed tomography. The Laryngoscope 2001;111(12), 2122-2124. Referans 17. Dessi, P., Moulin, G., Triglia, J. M., Zanaret, M., & Cannoni, M. Difference in the height of the right and left ethmoidal roofs: a possible risk factor for ethmoidal surgery. Prospective study of 150 CT scans. The Journal of Laryngology & Otology 1994;108(3),261-262. Referans 18. Elwany, S., Medanni, A., Eid, M., Aly, A., El-Daly, A., & Ammar, S. R. Radiological observations on the olfactory fossa and ethmoid roof. The Journal of Laryngology & Otology 2010;124(12), 1251-1256.
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Ahmet Kara

Halil Elden

Mehmet Güven This is me

Mahmut Sinan Yılmaz This is me

Deniz Demir

Publication Date June 29, 2018
Submission Date January 14, 2018
Published in Issue Year 2018 Volume: 8 Issue: 2

Cite

AMA Kara A, Elden H, Güven M, Yılmaz MS, Demir D. Paranazal Sinüs Bilgisayarlı Tomografi İncelemeleri ile Keros Sınıflaması ve Kribriform Plate Derinliği Asimetrisinin Değerlendirilmesi. Sakarya Tıp Dergisi. June 2018;8(2):352-358. doi:10.31832/smj.378631

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