An International Journal Clinical Rhinology

Register      Login

VOLUME 2 , ISSUE 3 ( September-December, 2009 ) > List of Articles

RESEARCH ARTICLE

Anatomical Analysis of the Frontal Recess Cells in Endoscopic Sinus Surgery-An Indian Perspective

AK Agarwal, JC Passey, JM Kaul

Keywords : Frontal recess,frontal recess cells,FESS,agger nasi cells,supraorbital ethmoidal cells,intersinus septal cell

Citation Information : Agarwal A, Passey J, Kaul J. Anatomical Analysis of the Frontal Recess Cells in Endoscopic Sinus Surgery-An Indian Perspective. Clin Rhinol An Int J 2009; 2 (3):15-20.

DOI: 10.5005/jp-journals-10013-1004

Published Online: 01-12-2009

Copyright Statement:  Copyright © 2009; The Author(s).


Abstract

Surgery of the frontal sinus has gone a full circle from intranasal procedures to destructive and disfiguring external operations and now back to intranasal procedures but with endoscopes. Endoscopic surgery of the frontal sinus has always been a challenging experience because of the narrowness of the area, poor visibility, variable anatomy and encroachment by accessory cells such as agger nasi, frontal, intersinus septal cells on the drainage pathway. With the developments in optical aids such as endoscopes, which provide an angled view, better and brighter illumination, sophistication in the designs of instrumentation and development of imaging techniques, a renewed interest has been created in this area, but the knowledge of anatomy of this area is poor and does not meet the demands of the present day endoscopic surgeon. Moreover, no studies are available on Indian subjects.

Our main interest in the present study was to study the various air cells which encroach the area of frontal recess and would need surgical removal to provide a good drainage and ventilation.


PDF Share
  1. Paranasal sinus bony anatomic variation and mucosal abnormalities. Laryngoscope 1991;101:56-64.
  2. Cross sectional imaging of the nasal cavity and paranasal sinuses of Op. Tech Otolaryngol Head Neck Surg 1990;1:94-98.
  3. CT of paranasal sinuses: Study of control series in relation to endoscopic sinus surgery J Laryngol Otol 1990;104:477-81.
  4. Functional endoscopic sinus surgery. Mosby. St. Louis 1991.
  5. A study based on one hundred consecutive dissections. Arch Otolaryngol 1936;23:322-43.
  6. Combined endoscopic intranasal and external frontal sinusotomy (The above and below approach to chronic frontal sinusitis; Alternatives to obliteration) Am J Rhinol 1997;11:349-54.
  7. Frontal Sinus Outflow Tract, “Anatomical Study” Acta Otolaryngol 2001;121:305-09.
  8. Multiplanar computed tomographic analysis of frontal recess cells. Arch Otolaryngol Head Neck Surg 2005;131:230-35.
  9. The agger nasi cell: The key to understanding the anatomy of the frontal recess. Otolaryngol Head Neck Surg 2003;129:497-507.
  10. Coronal computed tomography analysis of frontal cells. Am J Rhinol 2003;17:163-68.
  11. Supraorbital Ethmoidal Cell. Otolaryngol Head . Neck Surg 1997;116:254-61.
  12. ) Endoscopic paranasal sinus surgery. 3rd ed., Philadelphia, Lippincot Williams Wilkins, 2004.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.