scholarly journals Frontal recess anatomy and frontal sinusitis association from the perspectives of different classification systems

B-ENT ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 7-12
Author(s):  
Ozgur Kemal ◽  
◽  
Emel Tahir ◽  
Asli Tanrivermis Sayit ◽  
Egemen Cengiz ◽  
...  
Keyword(s):  
Classification Systems ◽  
Frontal Sinusitis ◽  
Frontal Recess

scholarly journals The Relationship Between the Width of the Frontal Recess and the Frontal Recess Cells in Japanese Patients

2019 ◽  
Vol 12 ◽  
pp. 117955061988494
Author(s):  
Seiichiro Makihara ◽  
Shin Kariya ◽  
Mitsuhiro Okano ◽  
Tomoyuki Naito ◽  
Kensuke Uraguchi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Frontal Sinus ◽  
Significant Positive Correlation ◽  
Japanese Patients ◽  
Cell Types ◽  
Sinus Surgery ◽  
Ct Scans ◽  
Frontal Sinusitis ◽  
Frontal Recess ◽  
The Relationship

Objective: The agger nasi cell (ANC) is an easily identifiable landmark when approaching the frontal sinus. The success of endoscopic frontal sinus surgery may be influenced by the width of the frontal recess (FR). The aim of this study is to examine the relationship between the FR width and the ANC size in Japanese patients. In addition, the effect of various frontal recess cells (FRCs) on the development of frontal sinusitis has been examined. Materials and methods: Multiplanar computed tomography (CT) scans of the nasal cavities and paranasal sinuses in 95 patients (190 sides) before endoscopic sinus surgery were reviewed. The presence of FRCs, the thickness of the frontal beak (FB), the ANC size, and the anterior-to-posterior (A-P) length of the frontal isthmus (FI) and FR were evaluated in patients with and without frontal sinusitis. Results: The prevalence of the ANC, frontal cell types 1, 2, 3, and 4, frontal bullar cell (FBC), suprabullar cell, supraorbital ethmoid cell, and interfrontal sinus septal cell was 85.3%, 11.6%, 0%, 7.9%, 0%, 25.3%, 45.8%, 16.8%, and 15.3%, respectively. The ANC volume showed a significant positive correlation with the A-P length of the FI and FR. The incidence of frontal sinusitis in the patients with FBCs was significantly higher than that without FBCs. Conclusion: A large ANC offers a greater potential to facilitating the approach to the frontal sinus because of the extensiveness of the FR in Japanese patients. The presence of FBCs may be related to a higher incidence of frontal sinusitis.

scholarly journals The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: a computed tomographic analysis

2014 ◽  
Vol 52 (3) ◽  
pp. 208-214
Author(s):  
W.-S. Lai ◽  
P.-L. Yang ◽  
C.-H. Lee ◽  
Y.-Y. Lin ◽  
Y.-H. Chu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Strong Association ◽  
Ct Scans ◽  
Mucosal Inflammation ◽  
Frontal Sinusitis ◽  
Logistic Regression Models ◽  
Computed Tomographic ◽  
Frontal Recess ◽  
Inflammatory Conditions ◽  
Increased Risk

Objectives: The frontal sinus has the most complex and variable drainage routes of all paranasal sinus regions. The goal of this study was to identify these anatomical factors and inflammation areas relating to chronic frontal sinusitis by comparing radiological presentations in patients with and without frontal sinusitis. Methods: All adult patients with chronic rhinosinusitis who had received computed tomography (CT) scans of the nasal cavities and paranasal sinuses between October 2010 and September 2011. Logistic regression analysis was used to compare the distribution of various frontal recess cells and surrounding inflammatory conditions in patients with and without frontal sinusitis. Results: Analysis of 240 sides of CT scans was performed with 66 sides excluded. The opacification of the frontal recess and sinus lateralis demonstrated a strong association with an increased presence of frontal sinusitis by multiple logistic regression models. Conclusion: Opacification of the frontal recess and sinus lateralis was found to be associated with a significantly increased risk of frontal sinusitis and developing severe blockage of drainage pathways. It provides evidence that mucosal inflammation disease in these two areas is a very important factor leading to chronic frontal sinusitis.

Powered Instrumentation in Dissection of the Frontal Recess

1996 ◽  
Vol 75 (6) ◽  
pp. 359-364 ◽  
Author(s):  
Dewey A. Christmas ◽  
John H. Krouse
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Normal Mucosa ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Frontal Sinusitis ◽  
Frontal Recess ◽  
Anatomic Location ◽  
Postoperative Risk ◽  
Standard Techniques

The use of powered instrumentation in functional endoscopic sinus surgery has become very popular due to its safety and thoroughness. An area which has been more problematic in the use of this technique has been the frontal recess, due to its anatomic location and associated risk of serious complications. We have done a number of powered dissections of the frontal recess as a surgical treatment of refractory frontal sinusitis, and find that it is extremely safe and effective. The ability of the powered devices to preserve normal mucosa allows an adequate surgical approach while significantly decreasing the postoperative risk of frontal recess stenosis and reocclusion. We feel that powered dissection of the frontal recess offers a significant advantage over standard techniques in this anatomic location.

Middle Turbinate Resection: Issues and Controversies

2000 ◽  
Vol 14 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Renato J. Giacchi ◽  
Richard A. Lebowitz ◽  
Joseph B. Jacobs
Keyword(s):  
Chronic Rhinosinusitis ◽  
Additional Data ◽  
Middle Turbinate ◽  
Olfactory Function ◽  
Frontal Sinusitis ◽  
Anatomic Landmark ◽  
Endoscopic Findings ◽  
Frontal Recess ◽  
Potential Benefits ◽  
Potential Loss

Diversity of opinion continues to exist among otolaryngologists regarding the potential benefits of preservation or resection of the middle turbinate during endoscopic ethmoidectomy. Rhinologists in favor of middle turbinate preservation cite the potential loss of olfactory function as well as diminished humidification and filtration of inspired air following its resection. In addition, the middle turbinate remnant could lateralize, causing frontal recess obstruction and frontal sinusitis. In general, it is accepted that a diseased or flail middle turbinate should be resected during ethmoidectomy to create a marsupialized surgical bed. However, in the case of a structurally sound middle turbinate, indications for resection vary significantly. We are reporting on 100 primary endoscopic ethmoidectomies for chronic rhinosinusitis followed for at least 2 years. Of these 100 sides, 50 included conservative partial middle turbinectomy and 50 were performed with middle turbinate preservation. The postoperative clinical and endoscopic findings revealed no difference in the incidence of frontal sinusitis or frontal recess stenosis between groups. We compared additional data and present our technique of conservative middle turbinate resection, which preserves a portion of this structure as an important anatomic landmark.

scholarly journals FRONTAL RECESS CELL IN FRONTAL SINUSITIS- A RADIOLOGICAL STUDY

2019 ◽  
Vol 6 (2) ◽  
pp. 92-96
Author(s):  
Senthilnathan V ◽  
Gnanavelraja C ◽  
Alli Arimapamagan ◽  
Rajajeyakumar M.
Keyword(s):  
Frontal Sinusitis ◽  
Radiological Study ◽  
Frontal Recess

scholarly journals A prospective study of the prevalence of Kuhn’s frontal cells and their relation to frontal sinus disease

2019 ◽  
Vol 5 (5) ◽  
pp. 1249
Author(s):  
Raam Deepak Krishnasamy ◽  
Karthikeyan Padmanabhan
Keyword(s):  
Frontal Sinus ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
P Value ◽  
Transverse Diameter ◽  
Frontal Sinusitis ◽  
Tertiary Care Centre ◽  
High Resolution Computed Tomography ◽  
Sinus Disease ◽  
Frontal Recess

<p class="abstract"><strong>Background:</strong> The involvement of frontal cells in the frontal sinus disease pathology remains an understudied area. There are very few reports on the prevalence of frontal recess cells in India. In this context the present study was designed to determine the frequency of occurrence of Kuhn frontal cells and to determine whether the size of the frontal isthmus or the presence of frontal cells is related to the presence of frontal sinus disease.</p><p class="abstract"><strong>Methods:</strong> This study included 80 patients who presented with signs and symptoms of chronic rhino-sinusitis after satisfying the inclusion criteria to the Department of ENT in a tertiary care centre (Mahatma Gandhi Medical College and Research Institute) in Pondicherry from January 2017 to April 2018. The patients were subjected to detailed clinical history, basic preoperative blood investigations, diagnostic nasal endoscopy and High Resolution Computed Tomography of nose and para-nasal sinuses after which the diagnosis was established.</p><p class="abstract"><strong>Results:</strong> Out of the 80 study participants subjected to our study the number of individuals who had frontal sinusitis was 50%. The association between frontal sinusitis and Kuhn cells was insignificant. The mean value of anteroposterior diameter of the naso-frontal isthmus in case of patients with and without frontal sinusitis was 0.705-0.735. In case of transverse diameter it was 0.725-0.720 and in case of the area of the frontal isthmus it was 30.86-31.12 which had a p value of 0.49</p><p><strong>Conclusions:</strong> Therefore in our study we concluded that there is no significant relation for any particular frontal recess cell or the size of the nasofrontal isthmus for being the sole cause for chronic frontal sinusitis.</p>

Computed tomographic analysis of frontal recess anatomy and its effect on the development of frontal sinusitis

2010 ◽  
Vol 120 (12) ◽  
pp. 2521-2527 ◽  
Author(s):  
Ching-Feng Lien ◽  
Hsu-Huei Weng ◽  
Yu-Chien Chang ◽  
Yen-Chun Lin ◽  
Wen-Hung Wang
Keyword(s):  
Frontal Sinusitis ◽  
Computed Tomographic ◽  
Frontal Recess ◽  
Tomographic Analysis

The Effect of Middle Turbinate Resection upon the Frontal Sinus

1995 ◽  
Vol 9 (4) ◽  
pp. 191-196 ◽  
Author(s):  
Paul B. Swanson ◽  
Donald C. Lanza ◽  
Eugenia M. Vining ◽  
David W. Kennedy
Keyword(s):  
Frontal Sinus ◽  
Statistical Difference ◽  
Severe Disease ◽  
Middle Turbinate ◽  
Sinus Surgery ◽  
Ct Scans ◽  
Control Group ◽  
Case Group ◽  
Frontal Sinusitis ◽  
Frontal Recess

Diversity of opinion exists among otolaryngologists regarding the importance of preserving the middle turbinate during sinus surgery. The purpose of this study is to determine whether or not middle turbinate resection has a bearing upon postoperative disease within the frontal sinus. In this retrospective analysis of 110 consecutive patients with chronic or recurrent acute sinusitis, 69 (case group) had previous middle turbinectomy and 41 patients (control group) had intact middle turbinate after prior sinus surgery. In 42 patients, CT scans were scored and defined as having either mild-moderate or severe disease. Frontal sinusitis seen on CT scan was present in 75% (30 of 40) of case sides and 45% (9 of 20) of control sides, and this difference was significant (P < 0.05). The height of middle turbinate resection was measured, and there was no statistical difference in frontal sinusitis between patients with high and low resection. Therefore, this work does not support the concept that middle turbinate resection results in a lower incidence of frontal recess disease.

Sign in / Sign up

Export Citation Format

Share Document