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Anterior skull base: High risk areas in endoscopic sinus surgery in chronic rhinosinusitis: A computed tomographic analysis

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Indian Journal of Otolaryngology and Head and Neck Surgery Aims and scope Submit manuscript

Abstract

Computed Tomography (CT) scan of nose and paranasal sinuses play a key role in preoperative evaluation of patients undergoing endoscopic sinus surgeries (ESS) for chronic rhinosinusitis. The asymmetry of ethmoid fovea olfactory fossa, anatomical variations of lateral lamella and course of anterior ethmoid artery are critical in ESS as it may predispose to dangerous consequences like hemorrhage. CSF leak and intracranial complications. A prospective study was done on 75 patients of clinically and diagnostically proven chronic rhinosimusits. The coronal CT scan was evaluated with special attention to anatomical variations of anterior skull base including ethmoid fovea, olfactory fossa, lateral lamella and course of anterior ethmoid artery. The endoscopic surgeon's awareness of these variations and its role in preventing complications are highlighted.

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Authors and Affiliations

  1. Department of ENT Speech and Hearing, Christian Medical College and Hospital, 632004, Vellore, Tamilnadn, India

    Mary Kurien

  2. Department of Radiodiagnosis, Christian Medical College and Hospital, 632004, Vellore, Tamilnadn, India

    N. K. Shyamkumar

  3. Department of Biostatistics, Christian Medical College and Hospital, 632004, Vellore, Tamilnadu, India

    Selvaraj

Authors
  1. Arif Ali
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  2. Mary Kurien
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  3. N. K. Shyamkumar
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  4. Selvaraj
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Correspondence to Mary Kurien.

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Ali, A., Kurien, M., Shyamkumar, N.K. et al. Anterior skull base: High risk areas in endoscopic sinus surgery in chronic rhinosinusitis: A computed tomographic analysis. Indian J Otolaryngol Head Neck Surg 57, 5–8 (2005). https://doi.org/10.1007/BF02907616

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  • DOI: https://doi.org/10.1007/BF02907616

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