CONSIDERATION OF ANATOMIC FEATURES ON SINUS MSCT IN THE BILAN PRE-ENDOSCOPIC SURGERY OF FRONTAL SINUS

Đình Âu Hoàng1,, Thế Cảnh Mai 2
1 Hanoi medical university hospital
2 Hanoi medical university

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Abstract

Purposes: To evaluate the important anatomic features on sinus multi-slice CT scanner (MSCT) in the pre- endoscopic frontal sinus surgery of chronic sinusitis patients. Matherial and Method: The cross sectional descriptive study on the chronic sinusitis patients who underwent the sinus MSCT and the endoscopic sinus surgery. Then, the important anatomic features in the bilan pre-endoscopic frontal sinus surgery were observed and evaluated. Results: From 09/2020 to 9/2022, 200 chronic sinusitis patients who underwent the sinus MSCT and endoscopic sinus surgery at Hanoi Medical University Hospital. Among them, there was 13 patients with uncinate process abnormality, account for 6,5% of all study population. The Agger Nasi cells were observed on 170 patients, account for 85%. The anterior ethmoidal artery at the non-safety location was observed on 54 patients in the right side, account for 27% and on 55 patients in the left side, account for 27.5%. Conclusion: The important anatomic features should be evaluated in the endoscopic frontal sinus surgery included the uncinate process abnormality, the Agger Nasi cells and the location of the anterior ethmoidal artery (AEA). These anatomic features were very well observed on MSCT. The detection and consideration of these anatomic features on MSCT played an important role in the bilan of pre endoscopic frontal sinus surgery.

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References

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