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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 Surgery2024

Relation between anterior ethmoidal artery course on computed tomography and supraorbital ethmoid cell and Keros classification.

Tarık Sağlam, Muhammed Akif Deniz, Mehmet Turmak, Salih Hattapoğlu, İbrahim Akbudak, Muhammed Tekinhatun

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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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing 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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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Tarık SağlamDepartment of Radiology, Health Sciences University Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-0877-9042
Muhammed Akif DenizDepartment of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey. makifdeniz@yahoo.com.ORCID http://orcid.org/0000-0002-9586-2425
Mehmet TurmakDepartment of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-2278-4729
Salih HattapoğluDepartment of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0003-4781-9729
İbrahim AkbudakDepartment of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0001-9874-0055
Muhammed TekinhatunDepartment of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-3240-6991

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe anterior ethmoidal artery (AEA) is an important risk area in endoscopic sinus surgery. This study aimed to evaluate the course of AEA according to the Keros classification and the presence of supraorbital ethmoid cell (SOEC) and to prevent possible complications by emphasizing the importance of preoperative paranasal computed tomography (CT) imaging. This approach will increase the effectiveness of endoscopic sinus surgery and improve patient safety.

methodsThe paranasal CT scan images of patients aged > 18 years between October 2020 and November 2021 from our center were retrospectively analyzed. The images were primarily evaluated in the coronal plane, and the sagittal and axial planes were utilized to evaluate variations in AEA regarding the skull base. Furthermore, the relation of AEA course with Keros classification and SOEC was evaluated. The study included 1000 patients aged 18-80 years (right and left, a total of 2000 samples).

resultsGrade 3 AEA was the most common regarding the skull base. Keros Type 2 was the most common classification. Overall, 48.7% patients had SOEC. The incidence of Grade 3 AEA was higher among patients with SOEC and a higher Keros classification compared with those without SOEC and a lower Keros classification. Furthermore, Keros Type 3 was the most associated with SOEC presence.

conclusionConsistent with the literature, the probability of Grade 3 AEA in patients with high Keros classification and SOEC was significantly higher in our study. Therefore, we consider that preoperative imaging according to Keros classification and SOEC presence can predict AEA course and guide surgery.

Indexed as

Ethmoid SinusSkull BaseEthmoid BoneHumansOphthalmic ArteryRetrospective StudiesTomography, X-Ray ComputedAnterior ethmoidal arteryComputed tomographyKeros classificationSupraorbital ethmoid cell

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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.