Sagittal computerized tomography reconstruction of the lateral nasal wall for functional endoscopic sinus surgery

Six patients between the ages of 6 and 22 years old with cystic fibrosis were found to have mucoceles of the paranasal sinuses. Four were male and two were female. They experienced nasal obstruction, purulent rhinorrhea, and anosmia, but none had fever or pain. Nasal endoscopy and coronal computerized tomography scans revealed the lateral nasal wall to be displaced medially against the septum. Functional endoscopic sinus surgery revealed large cystic spaces filled with thick yellow-green mucus. Postoperatively most patients are able to smell and breathe through their noses. The mucocele probably begins as an obstructed anterior ethmoid cell, which then enlarges and obstructs the osteomeatal complex, which further impairs drainage of the other sinuses into this area.

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A Prospective Correlation Study Between Computerized Tomography of Paranasal Sinuses and Nasal Endoscopy Findings in Patients of Chronic Rhinosinusitis Undergoing Functional Endoscopic Sinus Surgery

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-021-03030-9 ◽

2022 ◽

Author(s):

Pratibha Krishniya ◽

Pragya Rajpurohit ◽

Vikrant Kumar Sharma ◽

Yogesh Aseri ◽

P. C. Verma

Keyword(s):

Chronic Rhinosinusitis ◽

Computerized Tomography ◽

Paranasal Sinuses ◽

Endoscopic Sinus Surgery ◽

Correlation Study ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Nasal Endoscopy

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Evaluation of ostiomeatal complex pathology related to endoscopic sinus surgery – a retrospective analysis

Romanian Journal of Rhinology ◽

10.1515/rjr-2015-0011 ◽

2015 ◽

Vol 5 (18) ◽

pp. 95-100

Author(s):

Vlad Budu ◽

Alexandra Schnaider ◽

Maria Sabina Tache ◽

Ioan Bulescu

Keyword(s):

Nasal Obstruction ◽

Endoscopic Sinus Surgery ◽

Uncinate Process ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Common Finding ◽

Nasal Discharge ◽

Lateral Nasal Wall ◽

Concha Bullosa ◽

Ostiomeatal Complex

Abstract BACKGROUND. The ostiomeatal complex (OMC) is the anatomical region situated between the middle turbinate and the lateral nasal wall, at the level of the middle meatus. Common anatomical variations of OMC are concha bullosa, hypertrophy of the uncinate process and of the bulla ethmoidalis and Haller’s cell. Our study was aimed to investigate the prevalence of these conditions and their relations to different symptoms. MATERIAL AND METHODS. The study is a retrospective descriptive study based on 256 files of patients who were hospitalized and treated for OMC pathology in our clinic between January 2009 and January 2014. The data acquired were included into Excel Worksheets and statistically analyzed using GraphPad Software. RESULTS. The most common finding was concha bullosa (63.67%), followed by hypertrophy of the bulla ethmoidalis (10.93%) and of the uncinate process (10.15%). Haller’s cell was found in only 3% of cases. The most common symptom for all patients was nasal obstruction, followed by nasal discharge. The majority of symptoms improved after functional endoscopic sinus surgery for OMC drainage. CONCLUSION. OMC pathology is a frequent indication for functional endoscopic sinus surgery. The most common condition that determines blockage of OMC and need for surgical treatment is concha bullosa. The most common complaint of patients with OMC pathology is nasal obstruction.

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