Utility of 3D Reconstructions for Preoperative Planning in Functional Endoscopic Sinus Surgery (FESS)

  • D. Radeanu
  • Constantin StanEmail author
  • A. A. Maniu
Conference paper
Part of the IFMBE Proceedings book series (IFMBE, volume 71)


Introduction: CT scanning generate tridimensional reconstructions to permit the observation of paranasal sinuses and nasal cavity, and other anatomic structures of our body. The use and application of the 3D reconstructions generated from files of CT examination. The evaluation before sinus surgery through 3D reconstructions from the CT files may help the surgeon for diagnosis, preoperative planning and to acquire more information than with the traditional two-dimensional images obtained with the three different plans: axial, coronal and sagittal. Objective: To investigate and demonstrate the reliability and the feasibility of the evaluation before sinus surgery through 3D reconstructions from CT examinations of patients with a free software. Method: The reconstructions were carried out before the surgeries in order to assess the paranasal sinuses and nasal cavity for 45 patients. After this study, the surgery was digitally stored. Conclusion: With simple tools and personal computer, we evaluated the possibility to generate 3D reconstructions, the preoperative knowledge of the paranasal sinuses and nasal cavity may generate benefits during the performance of surgeries.


3D reconstruction Endoscopic Surgery Paranasal sinuses Nasal cavity 


Conflict of Interest

The authors declare that they have no conflict of interests.


  1. 1.
    Martins, M.J.B., Aguiar, C.V., Júnior, J.F.N., Abreu, J.P.S., Feijão, M.X., Jataí, I.O., et al.: Preoperative planning using 3D reconstructions and virtual endoscopy for location of the frontal sinus. Int. Arch. Otorhinolaryngol. 15(1), 48–53 (2011)Google Scholar
  2. 2.
    Minni, A., Messineo, D., Attanasio, G., Pianura, E., D’ambrosio, F.: 3D cone beam (CBCT) in evaluation of frontal recess: findings in youth population. Eur. Rev. Med. Pharmacol. Sci 16, 912–918 (2012)Google Scholar
  3. 3.
    Slavin, R.G., Spector, S.L., Bernstein, I.L., et al.: The diagnosis and management of sinusitis: a practice parameter update. J. Allergy Clin. Immunol. 116(6 suppl), S13–S47 (2005). (PubMed: 16416688)CrossRefGoogle Scholar
  4. 4.
    Pallanch, J., Yu, L., Delone, D., et al.: 3-D volumetric computed tomographic scoring as an objective outcome measure for chronic rhinosinusitis: clinical correlations and comparison to Lund-Mackay scoring. Int. Forum Allergy Rhinol. (Published online 17 Sept 2013)Google Scholar
  5. 5.
    Micah, M., Pallanch, J.F., Sherris, D.A., Kita, H., et al.: Computed tomography scans as an objective measure of disease severity in chronic rhinosinusitis. Otolaryngol. Head Neck Surg. 150(2), 305–311 (2014). Scholar
  6. 6.
    Tuşaliu, M., Zainea, V., Mogoantă, C.A., Dragu, A.A., Goanţă, C.M., Niţescu, M., Oţelea, M.R., Budu, V.A.: Diagnostic and therapeutic aspects in malignant sinonasal lymphoma. Rom. J. Morphol. Embryol. 57(1), 233–236 (2016)Google Scholar
  7. 7.
    Sanchez Fernandez, J.M., Anta Escuredo, J.A., Sanchez Del Rey, A., Santaolalla, Montoya F.: Morphometric study of the paranasal sinuses in normal and pathological conditions. Acta Otolaryngol. 120(2), 273–278 (2000). PMID: 11603789CrossRefGoogle Scholar
  8. 8.
    Selcuk, O.T., Erol, B., Renda, L., Osma, U., Eyigor, H., Gunsoy, B., et al.: Do altitude and climate affect paranasal sinus volume? J. Cranio-Maxillo-Facial Surg. Official Publi. Eur. Assoc. Cranio-Maxillo-Facial Surg. 43(7), 1059–1064 (2015). Scholar
  9. 9.
    Ikeda, A., Ikeda, M., Komatsuzaki, A.: A CT study of the course of growth of the maxillary sinus: normal subjects and subjects with chronic sinusitis. ORL; J. Oto-Rhino-Laryngology Relat. Spec. 60(3), 147–152 (1998). (PMID: 9579359)CrossRefGoogle Scholar
  10. 10.
    Sahlstrand-Johnson, P., Jannert, M., Strombeck, A., Abul-Kasim, K.: Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med. Imaging 11, 8 (2011). (PMID: 21466703; PubMed Central PMCID: PMC3080316)CrossRefGoogle Scholar
  11. 11.
    Tikku, T., Khanna, R., Sachan, K., Srivastava, K., Munjal, N.: Dimensional changes in maxillary sinus of mouth breathers. Journal of oral biology and craniofacial research. 3(1), 9–14 (2013). (PMID: 25737873; PubMed Central PMCID: PMC3941914)CrossRefGoogle Scholar
  12. 12.
    Aksoy, E.A., Ozden, S.U., Karaarslan, E., Unal, O.F., Tanyeri, H.: Reliability of high-pitch ultra-low-dose paranasal sinus computed tomography for evaluating paranasal sinus anatomy and sinus disease. J Craniofac Surg. 25(5), 1801–1804 (2014). (PMID: 25203576)CrossRefGoogle Scholar
  13. 13.
    Deutschmann, M.W., Yeung, J., Bosch, M., Lysack, J.T., Kingstone, M., Kilty, S.J., et al.: Radiologic reporting for paranasal sinus computed tomography: a multi-institutional review of content and consistency. Laryngoscope 123(5), 1100–1105 (2013). PMID: 23619621CrossRefGoogle Scholar
  14. 14.
    Pirner, S., Tingelhoff, K., Wagner, I., Westphal, R., Rilk, M., Wahl, F.M., et al.: CT-based manual segmentation and evaluation of paranasal sinuses. Eur. Arch. Oto-Rhino-Laryngology: Official J. Eur. Fed. Oto-Rhino-Laryngological Soc. 266(4), 507–518 (2009). (PMID: 18716789)CrossRefGoogle Scholar
  15. 15.
    Coronado, C., Arriadaga, O., Galdames, I.V.: Easy and unbiased determination of the maxillary sinus volume. Int. J. Morphol. 19(4), 1375–1378 (2011)CrossRefGoogle Scholar
  16. 16.
    Barboni, B., Mangano, C., Valbonetti, L., Marruchella, G., Berardinelli, P., Martelli, A., et al.: Synthetic bone substitute engineered with amniotic epithelial cells enhances bone regeneration after maxillary sinusGoogle Scholar
  17. 17.
    Apuhan, T., Yildirim, Y.S., Ozaslan, H.: The developmental relation between adenoid tissue and paranasal sinus volumes in 3-dimensional computed tomography assessment. Otolaryngol. Head Neck Surg. Official J. Am. Acad. Otolaryngol. Head Neck Surg. 144(6), 964–971 (2011). Scholar
  18. 18.
    Park, I.H., Song, J.S., Choi, H., Kim, T.H., Hoon, S., Lee, S.H., et al.: Volumetric study in the development of paranasal sinuses by CT imaging in Asian: a pilot study. Int. J. Pediatr. Otorhinolaryngol. 74(12), 1347–1350 (2010). PMID: 20863577CrossRefGoogle Scholar
  19. 19.
    Jun, B.C., Song, S.W., Park, C.S., Lee, D.H., Cho, K.J., Cho, J.H.: 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. Official J. Am. Acad. Otolaryngol. Head Neck Surg. 132(3), 429–434 (2005). (PMID: 15746857)CrossRefGoogle Scholar
  20. 20.
    Flohr, T.G., Schaller, S., et al.: Multi-detector row CT systems and image reconstruction techniques. Radiology 235, 756–773 (2005)CrossRefGoogle Scholar
  21. 21.
    Kapakin, S.: The paranasal sinuses: three-dimensional reconstruction, photo-realistic imaging, and virtual endoscopy. Folia Morphol. (Warsz) 75(3), 326–333 (2016). (Epub 26 Feb 2016)CrossRefGoogle Scholar
  22. 22.
    Cohen, O., et al.: Volumetric analysis of the maxillary, sphenoid and frontal sinuses: a comparative computerized tomography based study. Auris Nasus Larynx 45(1), 96–102 (2018)CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology“Iuliu Hatieganu” University of Medicine and PharmacyCluj-NapocaRomania

Personalised recommendations