Advertisement

Assessment of the prelacrimal recess in maxillary sinus in different sex and age groups using cone beam computed tomography (CBCT)

  • Zhaoyue ChenEmail author
  • Jianzhong Wang
  • Qinglian Wang
  • Qun Lu
  • Zhanglong Zheng
Rhinology
  • 24 Downloads

Abstract

Background

The intranasal endoscopic prelacrimal recess approach (PLRA) to the maxillary sinus (MS) has been reported to treat many MS and skull base diseases. However, previous studies revealed that the width of the prelacrimal recess (PLR) shows a large individual variation. The purpose of this study was to ascertain the prevalence of the PLR in MS according to gender and age.

Methods

A series of 701 maxillofacial cone beam computed tomography (CBCT) scans from adult patients were analyzed retrospectively. Patients were divided into five age groups (18–24 years, 25–34 years, 35–44 years, 45–54 years, and ≥ 55 years) and by sex. The frequencies of occurrence of the PLR in the MS were calculated and compared.

Results

According to the findings obtained from our study, PLR was present in 81.5% of maxillary sinuses. No differences were found when the data distributions of right and left sides were compared. For individuals, the right and left sides were not always symmetrical. The probability of PLR was lesser among women than among men, but this differences was not significant. Another finding of our study was that the percentage of PLR decreased with increasing age among patients aged < 55 years, however, increased again among patients aged ≥ 55 years.

Conclusion

The anatomy of PLR varies among individuals. Careful analysis of individual anatomical structure characteristic is recommended when considering intranasal endoscopic PLRA to the MS. Besides, the age variation of PLR should be considered in order to avoid complications.

Keywords

Prelacrimal recess Lacrimal recess Prelacrimal recess approach Endoscopic sinus surgery Maxillary sinus Nasolacrimal duct Cone beam computed tomography CBCT 

Notes

Acknowledgements

English translation assistance provided by MR. Jianli Chen with thanks.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest. There are no financial disclosures from any authors.

References

  1. 1.
    Suzuki M, Nakamura Y, Nakayama M et al (2011) Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 121(11):2399–2401CrossRefGoogle Scholar
  2. 2.
    Wang C, Han D, Zhang L (2012) Modified endoscopic maxillary medial sinusotomy for sinonasal inverted papilloma with attachment to the anterior medial wall of maxillary sinus. ORL J Otorhinolaryngol Relat Spec 74(2):97–101CrossRefGoogle Scholar
  3. 3.
    Zhou B, Han DM, Cui SJ et al (2013) Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J (Engl) 126(7):1276–1280Google Scholar
  4. 4.
    Morrissey DK, Wormald P, Psaltis AJ (2016) Prelacrimal approach to the maxillary sinus. Int Forum Allergy Rhinol 6(2):214–218CrossRefGoogle Scholar
  5. 5.
    Comoglu S, Celik M, Enver N et al (2016) Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 27(4):1025–1027CrossRefGoogle Scholar
  6. 6.
    Suzuki M, Nakamura Y, Yokota M et al (2017) Modified transnasal endoscopic medial maxillectomy through prelacrimal duct approach. Laryngoscope 127(10):2205–2209CrossRefGoogle Scholar
  7. 7.
    Yu QQ, Guan G, Zhang NK et al (2018) Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma. Eur Arch Otorhinolaryngol 275(9):2297–2302CrossRefGoogle Scholar
  8. 8.
    Lin YT, Lin CF, Yeh TH (2018) Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases. Int Forum Allergy Rhinol 8(4):530–536CrossRefGoogle Scholar
  9. 9.
    Zhou B, Huang Q, Shen PH et al (2016) The intranasal endoscopic removal of schwannoma of the pterygopalatine and infratemporal fossae via the prelacrimal recess approach. J Neurosurg 124(4):1068–1073CrossRefGoogle Scholar
  10. 10.
    Gao L, Zhou L, Dai Z et al (2017) The endoscopic prelacrimal recess approach to the pterygopalatine fossa and infratemporal fossa. J Craniofac Surg 28(6):1589–1593CrossRefGoogle Scholar
  11. 11.
    Chen H, Wang F, Weng B et al (2015) Endoscopic prelacrimal recess approach adjunct with vestibular sulcus incision: case report of a minimally invasive access to remove infratemporal fossa tumor. Eur Arch Oto-Rhino-Laryngol 272(7):1813–1817CrossRefGoogle Scholar
  12. 12.
    Li L, London NR, Silva S et al (2019) Transnasal prelacrimal approach to the inferior intraconal space: a feasibility study. Int Forum Allergy Rhinol 00(00):1–6Google Scholar
  13. 13.
    Lock PSX, Siow GW, Karandikar A et al (2019) Anterior maxillary wall and lacrimal duct relationship in Orientals: CT analysis for prelacrimal access to the maxillary sinus. Eur Arch Oto-Rhino-Laryngol 276(8):2237–2241CrossRefGoogle Scholar
  14. 14.
    Sieskiewicz A, Buczko K, Janica J et al (2017) Minimally invasive medial maxillectomy and the position of nasolacrimal duct: the CT study. Eur Arch Oto-Rhino-Laryngol 274(3):1515–1519CrossRefGoogle Scholar
  15. 15.
    Demeslay J, Vergez S, Serrano E et al (2016) Morphological concordance between CBCT and MDCT: a paranasal sinus-imaging anatomical study. Surg Radiol Anat 38(1):71–78CrossRefGoogle Scholar
  16. 16.
    Wang X, Chen X, Zheng M et al (2019) The relationships between the nasolacrimal duct and the anterior wall of the maxillary sinus. Laryngoscope 129(5):1030–1034CrossRefGoogle Scholar
  17. 17.
    Navarro PDL, Machado AJ, Crespo AN (2013) Evaluation of the lacrimal recess of the maxillary sinus: an anatomical study. Braz J Otorhinolaryngol 79(1):35–38CrossRefGoogle Scholar
  18. 18.
    Navarro PDL, Machado AJ, Crespo AN (2013) Assessment of the lacrimal recess of the maxillary sinus on computed tomography scans. Eur J Radiol 82(5):802–805CrossRefGoogle Scholar
  19. 19.
    Simmen D, Veerasigamani N, Briner HR et al (2017) Anterior maxillary wall and lacrimal duct relationship-CT analysis for prelacrimal access to the maxillary sinus. Rhinol J 55:170–174CrossRefGoogle Scholar
  20. 20.
    Cho SH, Kim TH, Kim KR et al (2010) Factors for maxillary sinus volume and craniofacial anatomical features in adults with chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 136(6):610–615CrossRefGoogle Scholar
  21. 21.
    Kashlan K, Craig J (2018) Dimensions of the medial wall of the prelacrimal recess. Int Forum Allergy Rhinol 8(6):751–755CrossRefGoogle Scholar
  22. 22.
    Jun B, Song S, Park C et al (2016) The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Otolaryngol Head Neck Surg 132(3):429–434CrossRefGoogle Scholar
  23. 23.
    Aktuna Belgin C, Colak M, Adiguzel O et al (2019) Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. Eur Arch Oto-Rhino-Laryngol 276(5):1493–1499CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otolaryngology, Xiamen Branch, Zhongshan HospitalFudan UniversityXiamenChina
  2. 2.Department of Stomatology, Xiamen Branch, Zhongshan HospitalFudan UniversityXiamenChina

Personalised recommendations