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Prevalence of the prelacrimal recess in maxillary sinus and its medial bony wall dimensions

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

To investigate the occurrence rate of the prelacrimal recess (PLR) and its medial bony wall dimensions based on the radiological analysis to help surgeons enhance the understanding of anatomic structures for the endoscopic prelacrimal recess approach.

Methods

Cone-beam computed tomography images of 255 patients were evaluated retrospectively. The prevalence of the PLR in maxillary sinus was investigated and the thickness of its medial bony wall was measured and statistically assessed. Meanwhile, the width of the PLR was measured. The correlation between the width of the PLR and its medial bony wall thickness was assessed. The data were compared between the left side and right side, male and female.

Results

The PLR was present in 82.5% of the maxillary sinus, with no significant differences between the left and right sides, as well as different gender groups. The mean thickness of the medial bony wall of the PLR was 2.84 ± 1.41 mm, without statistical difference between the left and right sides but significantly larger in males than in females. The mean width of the PLR was 4.62 ± 1.74 mm and it had a significant negative correlation with the thickness of the medial bony wall of the PLR.

Conclusion

A large individual variation exists in the anatomy of PLR, including its prevalence and dimensions of its medial bony wall. When considering the intranasal endoscopic prelacrimal recess approach, the surgeons should carefully evaluate the anatomical structure of the PLR preoperatively so as to minimize the risks of surgical complications.

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Acknowledgements

Firstly, I want to thank Mr. Jianli Chen for his English translation assistance. Secondly, I would like to extend my thanks to MS Gao Jing for her continuous support.

Funding

There are no financial disclosures from any authors.

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Author notes

  1. Zhaoyue Chen , Qinglian Wang, and Peng Wang contributed equally to the study.

Authors and Affiliations

  1. Department of Otolaryngology, Xiamen Branch, Zhongshan Hospital, Fudan University, No. 668 JinHu Road, Xiamen, China

    Zhaoyue Chen & Peng Wang

  2. Department of Stomatology, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen, China

    Qinglian Wang

Authors
  1. Zhaoyue Chen
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  2. Qinglian Wang
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  3. Peng Wang
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Corresponding author

Correspondence to Zhaoyue Chen.

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The authors declare that they have no conflict of interest.

Ethical approval

The Ethics Committee of the Xiamen Branch, Zhongshan Hospital, Fudan University approved this study.

Human and animal rights

This study protocol was conducted with strict adherence to the tenets of the Declaration of Helsinki 2013. All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national research committee.

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Informed written consent was obtained from all subjects.

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Chen, Z., Wang, Q. & Wang, P. Prevalence of the prelacrimal recess in maxillary sinus and its medial bony wall dimensions. Eur Arch Otorhinolaryngol 278, 1099–1105 (2021). https://doi.org/10.1007/s00405-020-06400-1

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  • DOI: https://doi.org/10.1007/s00405-020-06400-1

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