EVALUATION OF THE ANATOMICAL RELATIONSHIP OF THE OPTIC NERVE CANAL WITH THE POSTERIOR PARANASAL SINUSES ON MULTI-SLICE COMPUTED TOMOGRAPHY IN THE PRE-ENDOSCOPIC SINUS SURGERY PATIENTS
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Abstract
Purposes: To evaluate the anatomical relationships between the optic nerve canal and the posterior paranasal sinuses by multi-slice computed tomography (MSCT) of the sinuses in patient pre-endoscopic sinus surgery at the Hanoi Medical University Hospital. Material and methods: A cross-sectional descriptive study was conducted on 149 patients (75 women, 74 men) pre-endoscopic sinus surgery, who underwent MSCT without intravenous contrast to assess the anatomical relationship between optic nerve canal with posterior paranasal sinuses. The relationship between the optic canal and the posterior paranasal sinuses was assessed using the Delano classification criteria. Results: The mean age of the group of patients was 46.6±15, the lowest age was 8, the highest was 77. The most common type of optic nerve canal involvement with the posterior paranasal sinuses according to Delano's classification was the type I (accounting for 78.6%) followed by type II and type III (10.7%), not seeing type IV. There were no statistically significant differences in age or sex for each type of optic nerve involvement. Conclusion: The relationship between the optic nerve canal and the posterior paranasal sinuses needs to be fully in consensus to avoid serious damage to the optic nerve in endoscopic sinus surgery.
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Keywords
posterior paranasal sinus, multi-slice computed tomography, optic nerve
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