Normal Anatomical Variations of Sphenoid Sinus – A Retrospective Radiological Analysis by Cross Sectional Imaging
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Sphenoid sinus is situated in midline within the sphenoid bone in the base of skull posterior to the ethmoid air cells. This sinus is in close proximity with optic nerve (ON), internal carotid artery (ICA), pitutary gland (PG) and cavernous sinus (CS). Sphenoid sinus approach is commonly used for endoscopic pituitary gland surgery and other skull base procedures too. Radiological evaluation of this sinus is of paramount importance before attempting any such surgical procedures. Aim: This study was designed to evaluate sphenoid sinus and surgical structures in sphenoid sinus region in Indian population with help of radiological imaging. Materials and Methods: Retrospective analysis of non contrast computed tomograms (NCCT) of 140 patients was performed. Parameters measured were type of pneumatisation, septa number and attachment, presence of lateral recess (LR) and carotico-optic sinus (COS), dehiscence of bony lamella and presence of onodi cell (OC). All scans were reviewed by a team of otorhinolaryngologist and radiologist. Results: The study group consist of 140 individuals (85 Males and 35 Females). The mean age of patients was 33.45 year for males and 37.36 year for females. Most common type of septa found was complete single septa and sellar pneumatisation, Lateral recess was present in 48.57% and Carotico-optic recess in 24.28% of cases; onodi cell was least frequently encountered in 5% of NCCT scans only. Conclusion: Variation are common in sphenoid sinus and pre operative radiological assessment of complex relations of sphenoid sinus septa with important structures present in vicinity of this sinus is of paramount importance before attempting any endoscopic surgery in this area.
Authors and Affiliations
Dr Arun Yadav
Keywords
Related Articles
- EP ID EP528654
- DOI -
- Views 110
- Downloads 0
Evaluation of Serum Prolactin Levels in Hypothyroid Cases of Infertility in Females
The present study was undertaken to evaluate the serum prolactin levels in hypothyroid cases of female secondary fertility. Infertility affects 10-15% of couples of reproductive age groups and female factor is responsibl...
Seroconversion and Prevalence of TTIs (Transfusion Transmissible Infections) among Blood Donors in Southern Part of India
Aims & Objectives: Effective screening of donors blood as per WHO guidelines and to assess the sero prevalence of HIV, HBsAg, HCV, Syphilis and Malaria among population in a locality in southern part of India based on th...
Survey of Foot Complications among Patients Attending Diabetic Foot Clinic in A Tertiary Care Center
Introduction: The prevalence of diabetes is increasing worldwide resulting in foot complications, which leads to poor quality of life and increased cost of living. Aim: The aim of this study was to understand the spectru...
Characteristics and Associations of Renal Dysfunction at Presentation in Haart-Naïve HIV-Infected Subjects in Port Harcourt, Nigeria
Renal impairment is a major concern for HIV-infected individuals. It affects the way of life of the patients and could lead to a poor prognosis during the course of treatment. A retrospective study of 375 newlydiagnosed...
Cardiovascular Disease Continuum- An Update
The objective of this study is to determine the various risk factors responsible for causing the cardiovascular disease like diabetes mellitus, dyslipidemia, hypertension, smoking and visceral adiposity. High cholesterol...