ArticleHead & face medicine2022
Risky anatomical variations of sphenoid sinus and surrounding structures in endoscopic sinus surgery.
Article in Head & face medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationship of anatomical variations of sphenoid sinus and the outcomes of endoscopic endonasal transsphenoidal surgeries: a systematic review.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 · 2025Pooled it
- Sphenoid sinus pneumatization types, extensions and adjacent neurovascular structures: a systematic review with meta-analysis and meta-regression.Anatomical science international · 2026Review
- Anatomical variations of lamina papyracea, internal carotid artery, and optic canal dehiscence and protrusion: a computed tomography retrospective cohort study.BMC medical imaging · 2026Article
- CT evaluation of the relationship between optic canal, anterior clinoid process, optic strut, caroticoclinoid foramen, and dimensions of sella turcica based on sphenoid sinus pneumatization patterns.BMC medical imaging · 2025Article
- Do Onodi Cells Influence the Onset of Sphenoiditis? A Multicentric Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Three-dimensional imaging anatomical study of the lateral opticocarotid recess and the accessory sphenoidal septum.Surgical and radiologic anatomy : SRA · 2025Article
- New Surgical Devices for Closed Reduction of Frontal Sinus Bone Fracture.International journal for numerical methods in biomedical engineering · 2025Article
- Deep Learning for Automated Prediction of Sphenoid Sinus Pneumatization in Computed TomographyCurrent medical imaging · 2025Article
- Sphenoid sinus hyperpneumatization: anatomical variants, molecular blueprints, and AI-augmented roadmaps for skull base surgery.Frontiers in endocrinology · 2025Review
- Computed tomography based evaluation of the association between sphenoid sinus pneumatization patterns and variations of adjacent bony structures in relation to age and gender.Neurosurgical review · 2024Article
- Evaluation of the relationship between sphenoid sinus morphology and area and volume by computed tomography.Oral radiology · 2024Article
- Type IV optic nerve and Onodi cell: is there a risk of injury during sphenoid sinus surgery?Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2024Article
- A rare anatomical malformation of the sphenoid sinus: A case report.International journal of surgery case reports · 2023Article
- Anatomical Variants of Internal Carotid Artery-Results from a Retrospective Study.Medicina (Kaunas, Lithuania) · 2023Article
- Management of Capillary Hemangioma of the Sphenoid Sinus.Medicina (Kaunas, Lithuania) · 2023Review
- Surgical and Radiological Differences in Intersphenoid Sinus Septation and the Prevalence of Onodi Cells with the Endoscopic Endonasal Transsphenoidal Approach.Medicina (Kaunas, Lithuania) · 2022Article
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8 authors.
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Abstract
purposeThis study aimed to examine the relationship between the sphenoid sinus (SS) and surrounding vital structures such as the internal carotid artery (ICA) and optic nerve canal (ONC) as well as the types of attachment of the sphenoidal septa onto these structures.
methodsIn total, 230 computed tomography (CT) scans were reviewed to study the type of sphenoid sinus pneumatization (SSP), the protrusion and dehiscence of the ICA and ONC, the relationship between the sphenoidal septa and surrounding vital structures as well as pterygoid recess pneumatization (PRP).
resultsThe most common SSP was sellar type (58.7%). The rates of protrusion and dehiscence of the ICA were 26.3 and 0.4%, and for the ONC, they were 13 and 1.5%, respectively. The ICA and ONC were most protruded and dehiscent in more extensive SSP. In 21.6% of patients, the intersphenoidal septa (IS) were attached to the wall of the ICA and in 8.6% they were attached to the wall of the ONC. The attachment of IS to the ICA correlated statistically significantly (p < 0.0001) with protrusion of the ICA. Accessory septa were detected in 30.4% of cases with various sites of attachment.
conclusionTo reduce the risk of injury and complications during endoscopic sinus surgery (ESS), surgeons should consider using CT to identify possible bulging and dehiscence of the ICA/ONC and their relationship to the extent of SSP and also to establish the presence of deviation of the sphenoid septum, and the presence of accessory septa.
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