Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging

Servet Akyüz; Fatma Nur Yıldırım; Can Zafer Karaman; Hatice Sema Başak

doi:10.5152/ejra.2019.209

Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging

Abstract

Objective: Transnasal endoscopic surgical treatments of the maxillary sinus (MS) and nasolacrimal canal (NLC) pathologies are very common. A detailed understanding of the anatomy of this region preoperatively affects the chances of surgical success. Advances in paranasal sinus computed tomography (PNSCT) have yielded a better understanding of the surgical anatomy. Material and Methods: The anatomical relationships between the medial and anterior walls of MS and NLC involving 81 patients (41 males and 41 females) were analyzed by means of PNSCT sections. The anatomical relationship of NLC with the MS anterior wall was evaluated and classified into unified and separate types. The separate-type NLC was further classified as protruding or nonprotruding according to the localization of the medial wall of the MS. In addition, the vertical height of the lower meatus and long and short diameters of the NLC were measured. Results: The unified type was detected in 54 (32.9%) patients out of the total MSs of 164 patients. The distance between the anterior walls of the MS and NLC was 3.50 mm in females and 3.95 mm in males; this did not significantly differ between the genders. Further, 26 MSs were of the protruding type. The vertical height of the lower meatus was 10.75 mm in females and 12.15 mm in males. The long diameter of the NLC was 6.30 mm in women and 6.80 mm in men. The short diameter of the NLC was 4.85 mm in women and 5.00 mm in men. Conclusion: The relationship between the NLC and MS shows anatomical variations. Understanding these variations before surgery can increase the success rate of endoscopic surgical procedures directed toward the medial wall of MSs.

Keywords

References

Wang X, Chen X, Zheng M, Liu C, Wang C, Zhang L. The relationships between the nasolacrimal duct and the anterior wall of the maxillary sinus. Laryngoscope 2019; 129: 1030-4.
Park D Y, Choo O, Hong S, Kim H. Infratemporal fossa cellulitis caused by a remnant iatrogenic foreign body after a bimaxillary operation. J Craniofac Surg 2015; 26: 196-7.
Moriyama M, Kodama S, Hirano T, Suzuki M. Endoscopic-modified medial maxillectomy and its limitation for a solitary fibrous tumor of the lacrimal sac and nasolacrimal duct. Auris Nasus Larynx 2017; 44: 370-4.
Küçük B, Yorulmaz İ. Nazal ve Paranazal Tümörlerin Medial Maksillektomi ile Rezeksiyonunda Nazolakrimal Sistemin Korunması. K.B.B. ve Baş Boyun Cerrahisi Derg 2000; 8: 28-32.
Sieskiewicz A, Buczko K, Janica J, Lukasiewicz A, Lebkowska U, Piszczatowski B, et al. Minimally invasive medial maxillectomy and the position of nasolacrimal duct: the CT study. Eur Arch Otorhinolaryngol 2017; 274: 1515-9.
Navarro Pde L, Machado AJ Jr, Crespo AN. Assessment of the lacrimal recess of the maxillary sinus on computed tomography scans. Eur J Radiol 2013; 82: 802- 5.
Meyers A, Hawes MJ. Nasolacrimal obstruction after inferior meatus nasal antrostomy. Arch Otolaryngol Head Neck Surg 1991; 117: 208-11.
Ghosh A, Pal S, Srıvastava A, Saha S. Modification of endoscopic medial maxillectomy: a novel approach for inverted papilloma of the maxillary sinus. J Laryngol Otol 2015; 129: 159-63

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Servet Akyüz
0000-0003-0660-7543
Türkiye

Fatma Nur Yıldırım
0000-0002-4263-0735
Türkiye

Can Zafer Karaman
0000-0001-5462-321X
Türkiye

Hatice Sema Başak
0000-0003-0687-975X
Türkiye

Publication Date

December 7, 2019

Submission Date

October 1, 2019

Acceptance Date

November 29, 2019

Published in Issue

Year 2019 Volume: 2 Number: 3

DOI

https://doi.org/10.5152/ejra.2019.209

IZ

https://izlik.org/JA73YS96JR

Cite

RIS / Bibtex

APA

Akyüz, S., Yıldırım, F. N., Karaman, C. Z., & Başak, H. S. (2019). Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging. European Journal of Rhinology and Allergy, 2(3), 71-74. https://doi.org/10.5152/ejra.2019.209

AMA

1.Akyüz S, Yıldırım FN, Karaman CZ, Başak HS. Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging. Eur J Rhinol Allergy. 2019;2(3):71-74. doi:10.5152/ejra.2019.209

Chicago

Akyüz, Servet, Fatma Nur Yıldırım, Can Zafer Karaman, and Hatice Sema Başak. 2019. “Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging”. European Journal of Rhinology and Allergy 2 (3): 71-74. https://doi.org/10.5152/ejra.2019.209.

EndNote

Akyüz S, Yıldırım FN, Karaman CZ, Başak HS (December 1, 2019) Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging. European Journal of Rhinology and Allergy 2 3 71–74.

IEEE

[1]S. Akyüz, F. N. Yıldırım, C. Z. Karaman, and H. S. Başak, “Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging”, Eur J Rhinol Allergy, vol. 2, no. 3, pp. 71–74, Dec. 2019, doi: 10.5152/ejra.2019.209.

ISNAD

Akyüz, Servet - Yıldırım, Fatma Nur - Karaman, Can Zafer - Başak, Hatice Sema. “Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging”. European Journal of Rhinology and Allergy 2/3 (December 1, 2019): 71-74. https://doi.org/10.5152/ejra.2019.209.

JAMA

1.Akyüz S, Yıldırım FN, Karaman CZ, Başak HS. Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging. Eur J Rhinol Allergy. 2019;2:71–74.

MLA

Akyüz, Servet, et al. “Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging”. European Journal of Rhinology and Allergy, vol. 2, no. 3, Dec. 2019, pp. 71-74, doi:10.5152/ejra.2019.209.

Vancouver

1.Servet Akyüz, Fatma Nur Yıldırım, Can Zafer Karaman, Hatice Sema Başak. Evaluation of Maxillary Sinus and Nasolacrimal Canal Relationship via Paranasal Sinus Tomography Imaging. Eur J Rhinol Allergy. 2019 Dec. 1;2(3):71-4. doi:10.5152/ejra.2019.209