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Examination of ethmoidal roof regarding Keros and Yenigun classifications in a Turkish population: a computerized tomography study

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Abstract

Purpose

Understanding ethmoid roof morphology is crucial to prevent complications in endoscopic sinus surgery. This study aimed to evaluate the morphological properties of the ethmoidal roof regarding gender and age differences using Keros and Yenigun classifications on high-resolution computed tomography images.

Methods

We retrospectively analyzed 891 high-resolution computed tomography paranasal sinus study images and measured the depth of the cribriform plate in coronal sections and the anterior–posterior length in axial planes. The study retrospectively examined CT images of paranasal sinuses of patients living in the eastern Anatolian region of Turkey.

Results

In both Keros and Yenigun Classifications, the most common class was type 2, and the least common class was type 3. According to Keros et al.'s method, no significant difference was observed between men and women (p = 0.698). However, according to Yenigun et al., the average values of women in terms of the anterior–posterior distance of the ethmoid roof were significantly higher than men (p = 0.001). When examined according to age, a very low, negative correlation was revealed regarding Keros and Yenigun classifications (p = 0.047 and p < 0.001 retrospectively). According to Keros and Yenigun's classification, there was no significant difference between the left and right sides (p = 0.488 and p = 0.919, respectively).

Conclusion

The morphological properties of the ethmoidal roof have importance to be considered for preoperative planning. Studying larger patient groups and meta-analyses that gather various research results about this subject might help better understand the ethmoidal roof morphology among populations.

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Data availability

The datasets generated and/or analyzed during the current study are not publicly available due to the risk of a breach of patient data privacy. However, they are available from the corresponding author upon reasonable request.

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Funding

All the authors declare no support from any organization for this study and no financial relationships with any organizations that might have an interest in the submitted work.

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Authors and Affiliations

  1. Oral and Dental Health Training and Research Hospital, Erzincan Binali Yıldırım University, 24100, Erzincan, Turkey

    Merve Kolak

  2. Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, 24100, Erzincan, Turkey

    Volkan Kızılgöz & Mecit Kantarci

  3. Department of Radiology, Faculty of Medicine, Atatürk University, 25240, Erzurum, Turkey

    Mecit Kantarci

Authors
  1. Merve Kolak
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  2. Volkan Kızılgöz
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  3. Mecit Kantarci
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Contributions

Study design: MRK, MCK; data collection: VK, MCK; statistical analysis: VK, MRK; data interpretation: VK, MCK, MRK; manuscript preparation: MRK, VK; literature search: MRK, VK, MCK.

Corresponding author

Correspondence to Merve Kolak.

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Conflict of interest

The authors declare no conflict of interest regarding the publication of this paper.

Ethical approval

This study has been approved by the ethics committee (Erzincan Binali Yıldırım University Ethics Committee of Clinical Research, Date: 13.04.2023, Session: 08, Number: 2023–08/2). Due to the methodology of the study, consent form from all patients has been waived by the ethics committee.

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Kolak, M., Kızılgöz, V. & Kantarci, M. Examination of ethmoidal roof regarding Keros and Yenigun classifications in a Turkish population: a computerized tomography study. Surg Radiol Anat 46, 19–25 (2024). https://doi.org/10.1007/s00276-023-03270-0

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  • DOI: https://doi.org/10.1007/s00276-023-03270-0

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