An International Journal Clinical Rhinology

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles

RESEARCH ARTICLE

Etiopathogenesis of Rhinosinusitis in Relation to Ethmoid Anatomy

Rahul Gupta, RG Aiyer, VK Pandya, GB Soni, PJ Dhameja, Mayank Patel

Keywords : Rhinosinusitis,concha bullosa,anatomical variations,FESS

Citation Information : Gupta R, Aiyer R, Pandya V, Soni G, Dhameja P, Patel M. Etiopathogenesis of Rhinosinusitis in Relation to Ethmoid Anatomy. Clin Rhinol An Int J 2010; 3 (1):17-21.

DOI: 10.5005/jp-journals-10013-1020

Published Online: 01-04-2010

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Objectives

The purpose of this study was to determine the prevalence of anatomical variations of the ethmoid sinus in patients with rhinosinusitis. This was done to assess and evaluate the significance of the anatomical variations of the ethmoid in the genesis of inflammatory sinus disease.

Material and methods

We reviewed 50 patients with rhinosinusitis, of which 38(76%) had anatomical variations of ethmoid and the extent of mucosal disease.

Results

Concha bullosa was found to be the most common anatomic variation and was seen in 25(50%) patients closely followed by variations in the uncinate process, paradoxically bend middle turbinate. The most commonly affected paranasal sinus was maxillary sinus (84%) followed by anterior ethmoidal sinus, posterior ethmoidal sinus, frontal sinus and sphenoid sinus in descending order.

Conclusion

Anatomical variations of the ethmoid sinuses are important etiological factors in the genesis of inflammatory sinus disease.


PDF Share
  1. Endoscopy of the Paranasal Sinuses. New York: Springer-Verlag 1983.
  2. Microbiology of chronic sinusitis. Laryngoscope 2001;111:1330-32.
  3. Functional endoscopic sinus surgery. The Messerklinger technique. Toronto, Philadelphia: BC Decker; 1991.
  4. Anatomic Variations in Pediatric Chronic Sinusitis. Otolaryngol. Clin. North Am 1996;29:75-91.
  5. Intranasal Anatomic Variations in Pediatric Sinusitis. Am. J Rhinol 1997;11:355-60.
  6. Tenn White PSComparision of sinus computed tomography staging system- Otolaryngol Head-Neck Surg 117:372-79.
  7. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101(1 Pt 1):56-64.
  8. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769-75.
  9. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12:778-84.
  10. CT of the paranasal sinuses: Study of a control series in relation to endoscopic sinus surgery. J Laryngol Otol 1990;104:477-81.
  11. Diagnostic imaging of the nose and paranasal sinuses. J Laryngol Otol 1989;103:453-60.
  12. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol. (Stockh) Supplement 1996;525:9-13.
  13. Anatomic varaitions of the bone in sinonasal CT. Indian Journal of Otolaryngol and Head-Neck Surgery 2001;53:123-28.
  14. Low dose CT in chronic sinusitis. Indian Journal of Otolaryngology and Head Neck Surgery 2000;52:17-21.
  15. Computerised tomography in the preoperative evaluation of functional endoscopic sinus surgery. Journal of Laryngology and Otology.
  16. Ostiomeatal Complex Risk Factors for Sinusitis: CT Evaluation. J Otolaryngol 1991;20: 419-24.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.