Morphological variations of the middle and superior turbinates, olfactory fossa and nasal septum in diferent sphenoid sinus pneumatization patterns

dc.authorid0000-0001-9352-875X
dc.authorid0000-0002-9524-5056
dc.authoridh0000-0002-5150-5987
dc.authorid0000-0002-1373-3065
dc.authorid0000-0001-7643-5084
dc.contributor.authorGökşan, Ahmet Safa
dc.contributor.authorAçar, Gülay
dc.contributor.authorDigilli Ayaş, Betül
dc.contributor.authorÇiçekcibaşı, Aynur Emine
dc.contributor.authorAydoğdu, Demet
dc.date.accessioned2025-04-09T05:51:25Z
dc.date.available2025-04-09T05:51:25Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractPurpose Detailed assessment of the extrasinusal pneumatization of the superior and middle turbinate (SCB, MCB), olfactory fossa (OFP), and nasal septum (NSP) in coronal and sagittal sphenoid sinus (SS) pneumatization types provides a precise understanding of the surgical corridors used for skull base surgery. We aimed to analyze the relationships among these variations using computed tomography (CT) images. Methods CT images of 153 patients were retrospectively analyzed for all types of sinonasal pneumatizations and volumes of SCB and sphenoid sinus, together with the prevalence of mucosal thickening of the sphenoid sinus (MTSS). Results The prevalences of cellular, extensive, and complete SCB were 28.6%, 21.1%, and 23.5% in prepterygoid; 38.1%, 42.1%, and 35.3% in prerotundum; and 33.3%, 36.8%, and 41.2% in postrotundum CSSP types, respectively. The frequencies of lamellar, bulbous, and extensive MCB were 29%, 14.3%, and 33.3% in pterygoid, 38.7%, 57.1%, and 25.9% in prerotundum, 32.3%, 8%, and 40.8% in postrotundum CSSP types, respectively. SCB and MCB were observed unilaterally at 24.8% and 30% and bilaterally at 12.8% and 32.7%, respectively. OFP, NSP, and MTSS were detected at 24.2%, 31.4%, and 27.5%, respectively. Increased age was signifcantly associated with a lower probability of pneumatization in SS and MCB. Conclusions The data obtained showed that the degree of SS pneumatization signifcantly afected the frequencies of the SCB, MCB, OFP, NSP, and MTSS. Also, the SCB volume is signifcantly related to the CSSP types. Preoperative CT evaluation is crucial for surgeons to be aware of these variations and to avoid iatrogenic injury.
dc.identifier.doi10.1007/s00234-024-03518-5
dc.identifier.issn00283940
dc.identifier.scopus2-s2.0-85211778613
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1007/s00234-024-03518-5
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12986
dc.indekslendigikaynakScopus
dc.institutionauthorGökşan, Ahmet Safa
dc.institutionauthorid0000-0001-9352-875X
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofNeuroradiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSuperior Turbinate
dc.subjectMiddle Turbinate
dc.subjectSphenoid Sinus Pneumatization
dc.subjectOlfactory Fossa
dc.subjectNasal Septum
dc.titleMorphological variations of the middle and superior turbinates, olfactory fossa and nasal septum in diferent sphenoid sinus pneumatization patterns
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Yükleniyor...
Küçük Resim
İsim:
goksan-ahmet safa-2024.pdf
Boyut:
1.41 MB
Biçim:
Adobe Portable Document Format
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.17 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: