CT Anatomy of Paranasal Sinuses – Corelation with Clinical Sinusitis
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Coronal CT is a wonderful diagnostic tool for detailed evaluation of paranasal sinus anatomy. With the advent of functional endoscopic sinus surgery considerable attention has been directed towards the understanding of osteomeatal complex and its role in the causation of chronic sinusitis. Material and Methods: A total number of 150 patients who came with signs and symptoms of sinusitis at a tertiary care hospital and referred to the department of radio-diagnosis for CT scanning of the paranasal sinus region were studied over a period of 18 months. Results: In our study there were 52% males and 48% females. We found a multitude of anatomic variants of the sino-nasal cavities. A majority of patients in our study had presence of at least one variant, which suggests that the presence of anatomical variants is extremely common in the paranasal sinus region. Conclusions: Prevalence of chronic/ recurrent sinusitis is clearly more in patients with anatomical variants. As some variations like Onodi cells and Haller cells may predispose patients to increased risk of intraoperative complications every patient undergoing invasive procedures like FESS must have a CT study prior to the surgery.
Authors and Affiliations
Shephali S Pawar, Saksham Bansal
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