Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제48권4호
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  • Pages.207-218
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  • 2022
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Investigation of the prevalence and main features of skull-base anomalies and characteristics of the sphenoid sinus using cone-beam computed tomography

  • Akbulut, Aslihan (Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Istanbul Medipol University) ;
  • Demirel, Oguzhan (Mehmet Tanrikulu Health Services Vocational School) ;
  • Orhan, Kaan (Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University)
  • 투고 : 2022.03.21
  • 심사 : 2022.06.14
  • 발행 : 2022.08.31
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초록

Objectives: This study aimed to define the prevalence and characteristics of skull base anomalies and the features of sphenoid sinus pneumatization (SSP). Materials and Methods: Five hundred cone-beam computed tomography scans were evaluated retrospectively for the presence of fossa navicularis magna (FNM), canalis basilaris medianus (CBM), sphenoid emissary foramen (SEF), and/or Onodi cells (OC). Patterns of the SSP and sphenoid sinus mucosa dimensions (SSMD) were also recorded. Results: The prevalence of FNM, CBM, SEF, and OC was 26.0%, 22.4%, 47.4%, and 18.4%, respectively. Two hundred sixty-two (52.4%) sellar-type SSP were defined, followed by post-sellar 191 (38.2%), pre-sellar 31 (6.2%), and conchal 16 (3.2%) types. The frequency of SSMD less than 1 mm, 1-3 mm, and greater than 3 mm was 40.6%, 38.4%, and 21.0%, respectively. An SEF was detected more frequently in females, while SSMD greater than 3 mm was more frequent in males. An FNM was more prevalent in the 18-29 and 30-39 age groups and SEF was significantly less frequent in patients over 60 years of age compared to other age groups. A sinus mucosa larger than 3 mm was more common in the younger than 18 year group. The frequency of post-sellar-type pneumatization was lower in patients younger than 18 years. Conclusion: Skull-base anomalies are common and may be detected incidentally during imaging procedures. The sphenoid sinus, its variations, and pneumatization patterns should also be taken into consideration in imaging procedures performed for various purposes.

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참고문헌

  1. Policeni BA, Smoker WR. Imaging of the skull base: anatomy and pathology. Radiol Clin North Am 2015;53:1-14. https://doi.org/10.1016/j.rcl.2014.09.005
  2. Rai R, Iwanaga J, Shokouhi G, Loukas M, Mortazavi MM, Oskouian RJ, et al. A comprehensive review of the clivus: anatomy, embryology, variants, pathology, and surgical approaches. Childs Nerv Syst 2018;34:1451-8. https://doi.org/10.1007/s00381-018-3875-x
  3. Cellina M, Gibelli D, Floridi C, Toluian T, Valenti Pittino C, Martinenghi C, et al. Sphenoid sinuses: pneumatisation and anatomical variants-what the radiologist needs to know and report to avoid intraoperative complications. Surg Radiol Anat 2020;42:1013-24. https://doi.org/10.1007/s00276-020-02490-y
  4. Syed AZ, Zahedpasha S, Rathore SA, Mupparapu M. Evaluation of canalis basilaris medianus using cone-beam computed tomography. Imaging Sci Dent 2016;46:141-4. https://doi.org/10.5624/isd.2016.46.2.141
  5. Currarino G. Canalis basilaris medianus and related defects of the basiocciput. AJNR Am J Neuroradiol 1988;9:208-11.
  6. Akkoca Kaplan F, Bayrakdar IS, Bilgir E. Incidence of anomalous canals in the base of the skull: a retrospective radio-anatomical study using cone-beam computed tomography. Surg Radiol Anat 2020;42:171-7. https://doi.org/10.1007/s00276-019-02307-7
  7. Bayrak S, Goller Bulut D, Orhan K. Prevalence of anatomical variants in the clivus: fossa navicularis magna, canalis basilaris medianus, and craniopharyngeal canal. Surg Radiol Anat 2019;41:477-83. https://doi.org/10.1007/s00276-019-02200-3
  8. Kazkayasi M, Karadeniz Y, Altinok D, Koc C. [Investigation of the anatomic variations of the sphenoid sinus with the computed tomography]. KBB ve BBC Dergisi 2001;9:74-7. Turkish.
  9. Hamid O, El Fiky L, Hassan O, Kotb A, El Fiky S. Anatomic variations of the sphenoid sinus and their impact on trans-sphenoid pituitary surgery. Skull Base 2008;18:9-15. https://doi.org/10.1055/s-2007-992764
  10. Hiremath SB, Gautam AA, Sheeja K, Benjamin G. Assessment of variations in sphenoid sinus pneumatization in Indian population: a multidetector computed tomography study. Indian J Radiol Imaging 2018;28:273-9. https://doi.org/10.4103/ijri.IJRI_70_18
  11. Ali IK, Sansare K, Karjodkar F, Saalim M. Imaging analysis of onodi cells on cone-beam computed tomography. Int Arch Otorhinolaryngol 2020;24:e319-22. https://doi.org/10.1055/s-0039-1698779
  12. Thimmaiah VT, Anupama C. Pneumatization patterns of onodi cell on multidetector computed tomography. J Oral Maxillofac Radiol 2017;5:63-6. https://doi.org/10.4103/jomr.jomr_3_17
  13. Beltramello A, Puppini G, El-Dalati G, Girelli M, Cerini R, Sbarbati A, et al. Fossa navicularis magna. AJNR Am J Neuroradiol 1998;19:1796-8.
  14. Syed AZ, Mupparapu M. Fossa navicularis magna detection on cone-beam computed tomography. Imaging Sci Dent 2016;46:47-51. https://doi.org/10.5624/isd.2016.46.1.47
  15. Ersan N. Prevalence and morphometric features of fossa navicularis on cone beam computed tomography in Turkish population. Folia Morphol (Warsz) 2017;76:715-9. https://doi.org/10.5603/FM.a2017.0030
  16. Shapiro R, Robinson F. The foramina of the middle fossa: a phylogenetic, anatomic and pathologic study. Am J Roentgenol Radium Ther Nucl Med 1967;101:779-94. https://doi.org/10.2214/ajr.101.4.779
  17. Onodi A. The optic nerve and the accessory sinuses of the nose: a contribution to the study of canalicular neuritis and atrophy of the optic nerve of nasal origin. New York (NY): William Wood; 1910.
  18. Segal N, Atamne E, Shelef I, Zamir S, Landau D. Intracranial infection caused by spreading through the fossa naviclaris magna - a case report and review of the literature. Int J Pediatr Otorhinolaryngol 2013;77:1919-21. https://doi.org/10.1016/j.ijporl.2013.09.013
  19. Prabhu SP, Zinkus T, Cheng AG, Rahbar R. Clival osteomyelitis resulting from spread of infection through the fossa navicularis magna in a child. Pediatr Radiol 2009;39:995-8. https://doi.org/10.1007/s00247-009-1283-9
  20. Murjani B, Bhosale R, Ramaswami E, Kadam S, Ramchandani A. Anatomical variations of clivus: a descriptive anatomical study. Surg Radiol Anat 2021;43:945-51. https://doi.org/10.1007/s00276-021-02686-w
  21. Akkoca Kaplan F, Yesilova E, Bayrakdar IS, Ugurlu M. Evaluation of the relationship between age and gender of fossa navicularis magna with cone-beam computed tomography in orthodontic subpopulation. J Anat Soc India 2019;68:201-4. https://doi.org/10.4103/JASI.JASI_79_19
  22. Magat G. Evaluation of morphometric features of fossa navicularis using cone-beam computed tomography in a Turkish subpopulation. Imaging Sci Dent 2019;49:209-12. https://doi.org/10.5624/isd.2019.49.3.209
  23. Jacquemin C, Bosley TM, al Saleh M, Mullaney P. Canalis basilaris medianus: MRI. Neuroradiology 2000;42:121-3. https://doi.org/10.1007/s002340050029
  24. Khairy S, Almubarak AO, Aloraidi A, Alahmadi KOA. Canalis basalis medianus with cerebrospinal fluid leak: rare presentation and literature review. Br J Neurosurg 2019;33:432-3. https://doi.org/10.1080/02688697.2017.1346173
  25. Ozer MA, Govsa F. Measurement accuracy of foramen of vesalius for safe percutaneous techniques using computer-assisted three-dimensional landmarks. Surg Radiol Anat 2014;36:147-54. https://doi.org/10.1007/s00276-013-1148-7
  26. Poornima B, Phaniraj S, Mallikarjun M. A study of incidence of emissary sphenoidal foramen in dry adult human skull bones. Indian J Pharm Sci Res 2015;5:273-5.
  27. Raval BB, Singh PR, Rajguru J. A morphologic and morphometric study of foramen vesalius in dry adult human skulls of gujarat region. J Clin Diagn Res 2015;9:AC04-7. https://doi.org/10.7860/JCDR/2015/11632.5553
  28. Pathmashri VP, Thenmozhi D. Occurrence, shape and size of foramen vesalius in dry human skulls. J Pharm Sci Res 2015;7:718-9.
  29. Leonel LCPC, Peris-Celda M, de Sousa SDG, Haetinger RG, Liberti EA. The sphenoidal emissary foramen and the emissary vein: anatomy and clinical relevance. Clin Anat 2020;33:767-81. https://doi.org/10.1002/ca.23504
  30. Bayrak S, Kursun-Cakmak ES, Atakan C, Orhan K. Anatomic study on sphenoidal emissary foramen by using cone-beam computed tomography. J Craniofac Surg 2018;29:e477-80. https://doi.org/10.1097/SCS.0000000000004492
  31. Meybodi AT, Vigo V, Benet A. The Onodi cell: an anatomic illustration. World Neurosurg 2017;103:950.e5-6. https://doi.org/10.1016/j.wneu.2017.05.012
  32. Badawi K, Madani GA, Seddeg Y. The radiological study of Onodi cells among adult sudanese subjects. IOSR-JDMS 2017;16:106-9.
  33. Wada K, Moriyama H, Edamatsu H, Hama T, Arai C, Kojima H, et al. Identification of Onodi cell and new classification of sphenoid sinus for endoscopic sinus surgery. Int Forum Allergy Rhinol 2015;5:1068-76. https://doi.org/10.1002/alr.21567
  34. Banaz F, Alnoury IS, Al-Shehri A, Alandejani T. Retrospective computed tomography prevalence of Onodi cells among adults in Jeddah, Saudi Arabia: age and gender difference. Am J Res Commun 2014;2:45-56.
  35. Senturk M, Guler I, Azgin I, Sakarya EU, Ovet G, Alatas N, et al. The role of Onodi cells in sphenoiditis: results of multiplanar reconstruction of computed tomography scanning. Braz J Otorhinolaryngol 2017;83:88-93. https://doi.org/10.1016/j.bjorl.2016.01.011
  36. Shokri A, Faradmal MJ, Hekmat B. Correlations between anatomical variations of the nasal cavity and ethmoidal sinuses on conebeam computed tomography scans. Imaging Sci Dent 2019;49:103-13. https://doi.org/10.5624/isd.2019.49.2.103
  37. Idowu OE, Balogun BO, Okoli CA. Dimensions, septation, and pattern of pneumatization of the sphenoidal sinus. Folia Morphol (Warsz) 2009;68:228-32.
  38. Trevino-Gonzalez JL, Maldonado-Chapa F, Becerra-Jimenez JA, Soto-Galindo GA, Morales-Del Angel JA. Sphenoid sinus: pneumatization and septation patterns in a hispanic population. ORL J Otorhinolaryngol Relat Spec 2021;83:362-71. https://doi.org/10.1159/000514458
  39. Fooanant S, Angkurawaranon S, Angkurawaranon C, Roongrotwattanasiri K, Chaiyasate S. Sphenoid sinus diseases: a review of 1,442 patients. Int J Otolaryngol 2017;2017:9650910. https://doi.org/10.1155/2017/9650910
  40. Kanwar SS, Mital M, Gupta PK, Saran S, Parashar N, Singh A. Evaluation of paranasal sinus diseases by computed tomography and its histopathological correlation. J Oral Maxillofac Radiol 2017;5:46-52.
  41. Marcolini TR, Safraider MC, Socher JA, Lucena GO. Differential diagnosis and treatment of isolated pathologies of the sphenoid sinus: retrospective study of 46 cases. Int Arch Otorhinolaryngol 2015;19:124-9. https://doi.org/10.1055/s-0034-1397337
  42. Turgut S, Ozcan KM, Celikkanat S, Ozdem C. Isolated sphenoid sinusitis. Rhinology 1997;35:132-5.
  43. Almomen A, Alshakhs A, Alturaifi A. The different causes and management of chronic sphenoid rhinosinusitis. Glob J Otolaryngol 2020;22:GJO.MS.ID.556076. https://doi.org/10.19080/GJO.2020.22.556076
  44. Kushwah APS, Bhalse R, Pande S. CT evaluation of diseases of Paranasal sinuses & histopathological studies. Int J Med Res Rev 2015;3:1306-10. https://doi.org/10.17511/ijmrr.2015.i11.237