Abstract
The study was designed (1) to study the prevalence of pneumatisation of the superior turbinate in patients undergoing FESS, (2) to evaluate the role of superior turbinate pneumatisation in sinusitis involving the posterior sinuses. The study involved 50 patients being evaluated for FESS. Pre-operative CT scans were done and reviewed by a single observer with specific attention to superior turbinates. Record was also made for opacification/mucosal thickness of the sinuses. Each side of nasal cavity was examined separately. Therefore 50 patients had 100 sides. Of the 100 sides, superior turbinate was identified in 70 sides on CT scan. Of the 70 sides having an identifiable superior turbinate, 18.6 % i.e. thirteen sides had turbinates which were pneumatised. Pneumatised superior turbinates were seen in higher percentage in patients with diseased posterior sinuses. Pneumatised superior turbinate may contribute to posterior sinus disease and mandates attention during FESS.
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References
Marks SC (2000) Anatomy of the nose and sinuses. In: Marks SC (ed) Nasal and sinus surgery. W.B. Saunders, Philadelphia, pp 3–30
Kelly JT, Prasad AK, Wexler AS (2000) Detailed flow patterns in the nasal cavity. J Appl Physiol 89(1):323–337
Van Alyea OE (1939) Ethmoid labyrinth: anatomic study with consideration of the clinical significance of its structural characteristics. Arch Otolaryngol 29:881–901
Kaygusuz A, Haksever M, Akduman D, Aslan S, Sayar Z (2014) Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease—a computerized tomography assisted anatomical and clinical study. Indian J Otolaryngol Head Neck Surg 66(3):260–266
Braun H, Stammberger H (2003) Pneumatization of turbinates. Laryngoscope 113(4):668–672
Donald PJ (1995) Anatomy and histology. In: Donald PJ, Gluckman JL, Rice DH (eds) The sinuses. Raven Press, New York, pp 25–48
Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101(1 Pt 1):56–64
Hornibrook J, Taylor R (2011) Giant pneumatized (concha bullosa) superior turbinate causing unilateral facial pain. Internet J Otorhinolaryngol. doi:10.5580/12dc
Stammberger HR (1991) Functional endoscopic sinus surgery: the Messerklinger technique. B.C. Decker, Philadelphia
Kanowitz SJ, Nusbaum AO, Jacobs JB, Lebowitz RA (2008) Superior turbinate pneumatization in patients with chronic rhinosinusitis: prevalence on paranasal sinus CT. Ear Nose Throat J 87(10):578
Ariyurek OM, Balkanci F, Aydingoz U, Onerci M (1996) Pneumatised superior turbinate: a common anatomic variation? Surg Radiol Anat 18(2):137–139
Hollinshead WH, Rosse C (1985) The ear, orbit, and nose. In: Hollinshead WH, Rosse C (eds) Textbook of anatomy. Harper & Row, Philadelphia, pp 943–986
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Neha Verma and Pankaj Kumar declare that they have no conflict of interest.
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Permission to conduct the above study was obtained prior to the start of the study by The Ethical Committee of the hospital of affiliation of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Verma, N., Kumar, P. Role of Superior Turbinate Pneumatisation in Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg 68, 87–89 (2016). https://doi.org/10.1007/s12070-015-0903-y
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DOI: https://doi.org/10.1007/s12070-015-0903-y