The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway
Objective: The aim of this study was to evaluate the effects of suprabullar pneumatization on the orientation of the frontal sinus outflow structures and its association with the volume of anterior ethmoid sinus. Methods: A retrospective chart review of computed tomography of paranasal sinuses (CTPN...
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| Format: | Article |
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MDPI AG
2021-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/1/52 |
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| author | Nikma Fadlati Umar Mohd Ezane Aziz Norhafiza Mat Lazim Baharudin Abdullah |
| author_facet | Nikma Fadlati Umar Mohd Ezane Aziz Norhafiza Mat Lazim Baharudin Abdullah |
| author_sort | Nikma Fadlati Umar |
| collection | DOAJ |
| description | Objective: The aim of this study was to evaluate the effects of suprabullar pneumatization on the orientation of the frontal sinus outflow structures and its association with the volume of anterior ethmoid sinus. Methods: A retrospective chart review of computed tomography of paranasal sinuses (CTPNS) images was conducted. A total of 370 sides of the CTPNS of 185 patients were analyzed. Results: The course of anterior ethmoidal artery (AEA) along the skull base (<i>p</i> = 0.04) and position of AEA at the second lamella (<i>p</i> = 0.04) was significantly associated with the type of suprabullar pneumatization. The AEA is expected to be lower at the skull base and at a longer distance from the second lamella with the increase in grading of the suprabullar pneumatization. The distance of AEA to the second lamella (<i>p</i> < 0.001) and third lamella (<i>p</i> = 0.04) was significantly different depending on the type of suprabullar pneumatization, which indicates AEA is expected to be at a longer distance from the second lamella and third lamella in higher grade suprabullar pneumatization. The type of suprabullar pneumatization has a significant but weak association with the anterior ethmoid sinus volume (<i>p</i> = 0.04). Conclusions: There is a significant effect of the type of suprabullar pneumatization on the orientation of the surrounding anatomical structures at the frontal recess. The type of suprabullar pneumatization is influenced by the anterior ethmoid sinus volume, which suggests it has a possible role in the frontal drainage pathway. |
| first_indexed | 2024-03-10T01:39:24Z |
| format | Article |
| id | doaj.art-6b26f1a4532447349357aed79b251559 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T01:39:24Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-6b26f1a4532447349357aed79b2515592023-11-23T13:27:24ZengMDPI AGDiagnostics2075-44182021-12-011215210.3390/diagnostics12010052The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage PathwayNikma Fadlati Umar0Mohd Ezane Aziz1Norhafiza Mat Lazim2Baharudin Abdullah3Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, MalaysiaDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, MalaysiaObjective: The aim of this study was to evaluate the effects of suprabullar pneumatization on the orientation of the frontal sinus outflow structures and its association with the volume of anterior ethmoid sinus. Methods: A retrospective chart review of computed tomography of paranasal sinuses (CTPNS) images was conducted. A total of 370 sides of the CTPNS of 185 patients were analyzed. Results: The course of anterior ethmoidal artery (AEA) along the skull base (<i>p</i> = 0.04) and position of AEA at the second lamella (<i>p</i> = 0.04) was significantly associated with the type of suprabullar pneumatization. The AEA is expected to be lower at the skull base and at a longer distance from the second lamella with the increase in grading of the suprabullar pneumatization. The distance of AEA to the second lamella (<i>p</i> < 0.001) and third lamella (<i>p</i> = 0.04) was significantly different depending on the type of suprabullar pneumatization, which indicates AEA is expected to be at a longer distance from the second lamella and third lamella in higher grade suprabullar pneumatization. The type of suprabullar pneumatization has a significant but weak association with the anterior ethmoid sinus volume (<i>p</i> = 0.04). Conclusions: There is a significant effect of the type of suprabullar pneumatization on the orientation of the surrounding anatomical structures at the frontal recess. The type of suprabullar pneumatization is influenced by the anterior ethmoid sinus volume, which suggests it has a possible role in the frontal drainage pathway.https://www.mdpi.com/2075-4418/12/1/52suprabullar pneumatizationsuprabullar cellfrontal recessanterior ethmoidal arterymiddle ethmoidal arteryposterior ethmoidal artery |
| spellingShingle | Nikma Fadlati Umar Mohd Ezane Aziz Norhafiza Mat Lazim Baharudin Abdullah The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway Diagnostics suprabullar pneumatization suprabullar cell frontal recess anterior ethmoidal artery middle ethmoidal artery posterior ethmoidal artery |
| title | The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway |
| title_full | The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway |
| title_fullStr | The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway |
| title_full_unstemmed | The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway |
| title_short | The Effects of Suprabullar Pneumatization on the Orientation of Its Surrounding Anatomical Structures Relevant to the Frontal Drainage Pathway |
| title_sort | effects of suprabullar pneumatization on the orientation of its surrounding anatomical structures relevant to the frontal drainage pathway |
| topic | suprabullar pneumatization suprabullar cell frontal recess anterior ethmoidal artery middle ethmoidal artery posterior ethmoidal artery |
| url | https://www.mdpi.com/2075-4418/12/1/52 |
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