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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2022

Sphenoid sinus pneumatization: the good, the bad, and the beautiful.

K Badran, A Tarifi, A Shatarat, D Badran

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

K BadranDepartment of Otolaryngology Head and Neck Surgery, The Hashemite University, PO Box 150459, Zarqa, 13115, Jordan. Badran99@hotmail.com.ORCID http://orcid.org/0000-0002-2086-4469
A TarifiDepartment of Otolaryngology Head and Neck Surgery, The Hashemite University, PO Box 150459, Zarqa, 13115, Jordan.ORCID http://orcid.org/0000-0001-8519-9431
A ShataratDepartment of Anatomy and Histology, The University of Jordan, Queen Rania Street, Amman, Jordan.ORCID http://orcid.org/0000-0002-8117-1762
D BadranDepartment of Anatomy and Histology, The University of Jordan, Queen Rania Street, Amman, Jordan.ORCID http://orcid.org/0000-0002-2101-0174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study different types of extension of sphenoid sinus pneumatization detected by CT and examine their correlation with other anatomical variants.

methodsSphenoid sinus pneumatization was characterized (780 hemi-sinuses) on CT scans. Its incidence and correlations with related anatomical variants were evaluated. Dimensions of surgical window were measured in the lateral type, where pneumatization extends beyond a line connecting Vidian (pteregoid) canal (VC) and foramen rotundum (FR).

resultsThe lateral recess of the sphenoid sinus was pneumatized in 27.3% of patients with a mean width of 7.59 mm. The distance separating the FR and the VC correlated strongly with the depth of the lateral recess. There was significant positive correlation between pneumatization of lateral recess and Vidian nerve prominence to other pneumatization patterns (lesser sphenoid, frontal, and Maxillary sinuses) (p < 0.0001). Lateral recess pneumatization in coronal cuts was also significantly correlated with anterior-posterior sphenoid pneumatization in sagittal cuts (p < 0.0001).

conclusionPre-operative assessment of sphenoid sinus pneumatization is essential in the endoscopic approach to skull base structures to facilitate surgical access and avoid injury of the nearby structures. Our study showed significant correlation among anatomical variants and different measurements which allows the surgeon to predict abnormal anatomy with high accuracy.

Indexed as

Sphenoid BoneSphenoid SinusGeniculate GanglionHumansMaxillary SinusSkull BaseEndoscopic endo-nasal approachForamen rotundumRadiological classificationSphenoid sinus pneumatizationVidian canal

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.