Pediatrik Popülasyonda Unsinat Proses Üst Yapışma Yeri ve Etmoid Çatı Varyasyonlarının Değerlendirilmesi

Abstract

Amaç: Çalışmanın amacı, pediatrik popülasyonda uncinate prosesin üst yapışma yerini ve olfaktör fossa derinliği varyasyonlarını bilgisayarlı tomografi (BT) yardımıyla değerlendirmek, aralarındaki ilişkiyi incelemek ve endoskopik sinüs cerrahisinde komplikasyonlardan kaçınmak için farkındalık oluşturmaktır. Materyal ve Metot: Toplam 420 hasta çalışmaya dahil edildi ve 840 taraf incelemesi yapıldı. Koronal planda alınan BT görüntüleri kemik penceresinde dijital olarak incelendi ve Keros sınıflamasına göre olfaktör fossa derinliği ölçümleri yapıldı. Ayrıca, uncinate prosesin üst yapışma yerinin değerlendirilmesinde Landsberg ve Friedman sınıflaması kullanıldı ve sonuçlar istatistiksel yöntemlerle karşılaştırıldı. Dağılımlar yaş grupları arasında karşılaştırıldı ve SAUP ile OFD/Keros kategorileri arasındaki ilişki analiz edildi. Bulgular: Keros Sınıflamasına göre hastaların %23.7’si Keros I, %67.1’i Keros II ve %9.2’si Keros III idi. Uncinate prosesin üst adezyon yerinin dağılımı incelendiğinde, olfaktör fossa derinlikleri ile uncinate prosesin üst yapışma yerlerinin dağılımı arasında istatistiksel olarak anlamlı bir korelasyon yoktu. Sonuç: Bu pediatrik kohortta OFD yaşa bağlı belirgin değişkenlik gösterirken, SAUP paternlerinin OFD/Keros kategorileri ile anlamlı bir ilişkisi saptanmadı. Bu bulgular, özellikle frontal resesle ilişkili girişimler planlanırken, pediatrik preoperatif BT değerlendirmesinin yaşa duyarlı şekilde yorumlanmasını desteklemektedir.

Keywords

• Çocuk
• etmoid kemik
• çok kesitli bilgisayarlı tomografi
• kafa tabanı
• unsinat proses

Supporting Institution

Yok

Ethical Statement

Çalışmamız Sakarya Üniversitesi Etik Komitesi tarafından onaylandı (Tarih: 08.10.2021; Karar No: 489). Araştırma protokolü, Helsinki Bildirgesi ile belirlenen etik ilkeler ve ülkemizdeki yasa ve yönetmeliklerle oluşturulmuştur

Thanks

Yok

Evaluation of Uncinate Process Upper Attachment Sites and Ethmoid Roof Variations in Pediatric Population

Abstract

Objective: The aim of the study is to evaluate the uncinate process upper attachment site (SAUP) and depth of the olfactory fossa (OFD) variations in the pediatric population with the help of computed tomography (CT), to examine a relationship between them and to create awareness in order to avoid complications in endoscopic sinus surgery. Materials and Methods: A total of 420 people who met the appropriate criteria were included in the study, and 840 side reviews were conducted. CT images taken in the coronal plane were examined digitally in the bone window, and OFD measurements were made according to the Keros classification. In addition, Landsberg's and Friedman's classification was used in the evaluation of the SAUP and the results were compared with statistical methods. Distributions were compared across age groups, and the association between SAUP and OFD/Keros categories was analyzed. Results: According to the Keros Classification, 23.7% of the patients were Keros I, 67.1% were Keros II, and 9.2% were Keros III. When the distribution of the SAUP was examined, there was no statistically significant correlation between the OFD and the SAUP. Conclusion: In this pediatric cohort, OFD demonstrated clear age-related variation, whereas SAUP patterns showed no significant association with OFD/Keros categories. These findings support age-conscious interpretation of preoperative pediatric CT imaging, particularly when planning frontal recess–related procedures.

Keywords

• Child
• ethmoid bone
• multislice computed tomography
• skull base
• uncinate process

Supporting Institution

None

Ethical Statement

Our study was approved by the Sakarya University Ethical Committee (Date: 08.10.2021; Decision No: 489). The research protocol was created by the ethical principles established by the Declaration of Helsinki and laws and regulations in our country.

Thanks

None

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