Analysis of Lamina Papyracea Area and Ethmoid Sinus Volume in Indonesian Patients Undergoing Paranasal Sinus CT Scan

Authors

  • Wahyuni Wahyuni universitas hasanuddin http://orcid.org/0000-0002-9120-1929
  • Nurlaily Idris universitas hasanuddin
  • Mirna Muis universitas hasanuddin
  • Andi Alfian Zainuddin universitas hasanuddin
  • Muhammad Fadjar Perkasa universitas hasanuddin
  • Muhammad Ilyas universitas hasanuddin

DOI:

https://doi.org/10.21776/ub.jkb.2020.031.01.6

Keywords:

Ethmoid sinus volume, lamina papyracea area, paranasal sinus CT scan

Abstract

Of the rhinosinusitis (CRS) patients, half of whom require surgical intervention. Functional endoscopic sinus surgery (FESS) is a standard treatment of CRS and sinonasal polyposis. Orbito-ocular complications can occur during FESS. The lamina papyracea (LP) is the weakest point of the medial wall of the orbit. The variability in the size and shape of the paranasal sinuses is important in the FESS procedure. The ethmoid sinus is the most complex paranasal sinuses. Preoperative evaluation using computed tomography (CT) is mandatory for all patients undergoing FESS. This study aimed to determine the lamina papyracea area and ethmoid sinuses volume in patients who underwent a CT scan of paranasal sinuses. This study was a descriptive study on 103 patients who underwent a CT scan of paranasal sinuses in the Radiology Department of Hasanuddin University General Hospital, Makassar, from January to August 2019. The lamina papyracea area and ethmoid sinus volume were measured based on age and gender. The results showed that the average of lamina papyracea size and ethmoid sinus volume was greater in males than in females. There was a correlation between age and posterior height of left lamina papyracea (p=0.02), but no correlation between ethmoid sinuses volume and age.

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Author Biographies

Wahyuni Wahyuni, universitas hasanuddin

Departement radiologi fakultas kedokteran universitas hasanuddin

Nurlaily Idris, universitas hasanuddin

Departement radiologi fakultas kedokteran universitas hasanuddin

Mirna Muis, universitas hasanuddin

Departement radiologi fakultas kedokteran universitas hasanuddin

Andi Alfian Zainuddin, universitas hasanuddin

Departemen Ilmu Kesehatan Masyarakat/Ilmu Kedokteran Keluarga Fakultas Kedokteran Universitas Hasanuddin

Muhammad Fadjar Perkasa, universitas hasanuddin

Departemen Ilmu Kesehatan  THT-KL Fakultas Kedokteran Universitas Hasanuddin

Muhammad Ilyas, universitas hasanuddin

Departement radiologi fakultas kedokteran universitas hasanuddin

References

Açar G, Büyükmumcu M, and Güler İ. Computed Tomography-Based Analysis of the Lamina Papyracea Variations and Morphology of the Orbit Concerning Endoscopic Surgical Approaches. Brazilian Journal of Otorhinolaryngology. 2019; 85 (5): 551-559.

Johan F. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. (Online) 2017. http://www.entdev.uct.ac.za/

Herzallah IR, Marglani OA, and Shaikh AM. Variations of Lamina Papyracea Position from the Endoscopic View: A Retrospective Computed Tomography Analysis. International Forum of Allergy & Rhinology. 2015; 5(3): 263-270.

El-Anwar MW, Khazbak AO, Eldib DB, and Algazzar HY. Lamina Papyracea Position in Patients with Nasal Polypi: A Computed Tomography Analysis. Auris Nasus Larynx. 2018; 45(3): 487-491.

Shigeta Y, Okushi T, Yoshikawa M, et al. Endoscopic Sinus Surgery Complications a Prospective Multicenter Study. Nihon Jibiinkoka Gakkai Kaiho. 2012; 115(1): 22-28.

Lee JE, Lee JJ, Lee SU, et al. CT-Based Morphological Analysis of Isolated Inferior and Medial Blow-out Orbital Fractures in Korean Adults. Orbit. 2015; 34(6): 303-308.

Khan MK. Essential Otolaryngology Head & Neck Surgery, 10th Edn. K J Lee, Ed. McGraw-Hill, 2012. ISBN 978 0 07 176147 5 pp 117 Price (paperback) £74.99 $119.95. The Journal of Laryngology & Otology. 2013; 127(3): 330.

Bulescu IA, Munteanu O, Stanciulescu R, et al. Computed-Tomography Volumetric Study of the Ethmoid Labyrinth. Romanian Journal of Rhinology. 2017; 7(27): 181-184.

Cashman EC, MacMahon PJ, and Smyth D. Computed Tomography Scans of Paranasal Sinuses before Functional Endoscopic Sinus Surgery. World Journal of Radiology. 2014; 6(8): 567-583.

11. Reddy UDMA and Dev B. Pictorial Essay: Anatomical Variations of Paranasal Sinuses on Multidetector Computed Tomography-How Does It Help FESS Surgeons? Indian Journal of Radiology and Imaging. 2012; 22(4): 317-324.

Gabriel OH, Kenneth O, Bright O, and Sagbodje DE. Morphology and Anatomical Variations of the Ethmoidal Sinus in Adult Nigerians. International Scholars Journals. 2017; 4(2): 95-100.

Gupta AK, Bansal S, and Sahini D. Anatomy and Its Variations for Endoscopic Sinus Surgery. Clinical Rhinology. 2012; 5(2): 55-62.

Schembri N, Gatt AS, Ellul D, Brunton J, and Dundee/UK. Computed Tomography Road Map of the Paranasal Sinuses for Treatment Planning. European Society of Radiology. 2013; C-2607: 1-21.

O'Brien WT Sr, Hamelin S, and Weitzel EK. The Preoperative Sinus CT: Avoiding a “CLOSE†Call with Surgical Complications. Radiology. 2016; 281(1): 10-21.

Emirzeoglu M, Sahin B, Bilgic S, Celebi M, and Uzun A. Volumetric Evaluation of the Paranasal Sinuses in Normal Subjects Using Computer Tomography Images: A Stereological Study. Auris Nasus Larynx. 2006; 34(2): 191-195.

Marquez S, Tessema B, Clement PA, and Schaefer SD. Development of the Ethmoid Sinus and Extramural Migration: The Anatomical Basis of this Paranasal Sinus. The Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology. 2008; 291(11): 1535-1553.

Fernandez JMS, Escuredo JAA, Del Rey AS, and Montoya FS. Morphometric Study of the Paranasal Sinuses in Normal And Pathological Conditions. Acta Oto-Laryngologica. 2000; 120(2): 273-278

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Published

2020-02-29

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Section

Research Article

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