Abstract
Endoscopic sinus surgery is a well-known approach for sino-nasal pathologies. Due to close proximity to the brain and orbit, the surgeon should be aware of the sino-nasal anatomy and its associated variations. Detailed preoperative assessment of the sinus computed tomography scans reduces the frequency of severe complications in patients undergoing an endoscopic sinus surgery. So, the aim of this study is to find the prevalence of dangerous ethmoid in a tertiary center in eastern Nepal. A descriptive cross-sectional study was performed in a Computed tomography scan of 50 patients with chronic sinusitis undergoing endoscopic sinus surgery from February 2018 to August 2018 in the department of Otolaryngology and Radiology of BP Koirala institute of health sciences after taking ethical approval from Institutional Review Committee of the institute. Measurements are taken in the coronal plane. The depth of the lateral lamella of the cribriform plate was defined according to the Keros classification which defines the dangerous ethmoid. and side. Data entered in MS excel. Statistical analysis was performed in SPSS version 11.5. Keros type I, II, and III were noted in 17 (17%), 54 (54%) and 29 (29%) of cases respectively. The mean width of the olfactory fossa, medial orbital wall distance and distance from medial nasal concha were 3.57mm, 8.77mm & 17.78mm respectively. The most common type of dangerous ethmoid was keros type II. The most common type of dangerous ethmoid was keros type II.
Highlights
Endoscopic sinus surgery is a well-known approach for sino-nasal pathologies
A descriptive cross-sectional study was performed in a Computed tomography scan of 50 patients with chronic sinusitis undergoing endoscopic sinus surgery from February 2018 to August 2018 in the department of Otolaryngology and Radiology of BP Koirala institute of health sciences after taking ethical approval from Institutional Review Committee of the institute
The aim of this study is to find the prevalence of dangerous ethmoid in a tertiary center in eastern Nepal
Summary
Endoscopic sinus surgery is a well-known approach for sino-nasal pathologies. The most commonly injured part in endoscopic sinus surgery is the lateral lamella of the cribriform plate.[1] CT reveals the variations and mucosal pathology.[2,3,4] The anatomical variations play a very important role in the pathogenesis of the sinonasal region.[5]. Et al coined the term dangerous ethmoid, based on the depth of the olfactory fossa. The other features of the roof of the nasal cavity have not been evaluated thoroughly, which include the position of the anterior ethmoid artery and the position of the lateral lamella in relation to the cribriform plate.[7]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
