Volume 7, Issue 1, March 2019, Page: 18-24
Multiparametric Correlation Between Anatomical Variants of the Paranasal Sinuses and Chronic Rhinosinusitis: Case-control Study
Prada William, Department of Radiology and Diagnostic Images, Sabana University, Bogotá, Colombia
Medina Fernando, Department of Radiology and Diagnostic Images, Sabana University, Bogotá, Colombia
Received: Jan. 30, 2019;       Accepted: Mar. 7, 2019;       Published: Mar. 29, 2019
DOI: 10.11648/j.ijmi.20190701.13      View  696      Downloads  103
Introduction: Chronic rhinosinusitis (RSC) is a disabling disease that can affect up to 70% of people. It is very important to know which are the anatomical variants that the patient presents for surgical planning and often for the treatment of the variants that can present as a risk factor. The evidence shows heterogeneity in the prevalence of these anatomical variants and it is not described quantitatively which are the variants that present the greatest relationship as a risk factor. Establishing the multiparametric correlation between at least one of the most frequent anatomical variants of the paranasal sinuses and the development of rhinosinusitis is the most important objective of this investigation. Materials and methods: Case-control study with multiparametric correlation analysis of the anatomical variants of paranasal sinuses as a risk factor in the development of sinusitis. Analysis with measures of central tendency, Xi2, Fisher's exact test, binary logistic regression. Results: The most frequent anatomical variant was the deviation of the nasal septum on the left side (78%). The second most common variant found was the Agger Nasi cells (68%), followed by the protrusion of the Vidian nerve in the sphenoid sinus (52%). The only anatomical variant that could be determined within the regression model was the obstruction of the osteomeatal complex; which is presented as a risk factor with an OR of 16 (95% CI: 6.9-41.3). Conclusions: Obstruction of the osteomeatal complex is a very important risk factor for the development of chronic rhinosinusitis.
Paranasal Sinuses, Correlation, Sinusitis, Anatomical Variants
To cite this article
Prada William, Medina Fernando, Multiparametric Correlation Between Anatomical Variants of the Paranasal Sinuses and Chronic Rhinosinusitis: Case-control Study, International Journal of Medical Imaging. Vol. 7, No. 1, 2019, pp. 18-24. doi: 10.11648/j.ijmi.20190701.13
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Hamilos DL. Chronic rhinosinusitis: epidemiology and medical management. J Allergy Clin Immunol. 2011; 128(4):693-707; quiz 8-9.
Herzallah IR, Hamed MA, Salem SM, Suurna MV. Mucosal contact points and paranasal sinus pneumatization: Does radiology predict headache causality? Laryngoscope. 2015; 125(9):2021-6.
Tramontini, C MA, Mora J, Ordoñez L. Variantes anatómicas de los senos paranasales: hallazgos por imagen y relevancia quirúrgica. Rev. Medica. Sanitas 2015. p. 39-43.
Jain R, Stow N, Douglas R. Comparison of anatomical abnormalities in patients with limited and diffuse chronic rhinosinusitis. Int Forum Allergy Rhinol. 2013; 3(6):493-6.
Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital. 2012; 32(4):244-51.
Sadr SM, Ahmadinejad M, Saedi B, Razaghian F, Rafiee M. Anatomical variations in sinus imaging in sinusitis: a case control study. B-ent. 2012; 8(3):185-9.
Roman RA, Hedesiu M, Gersak M, Fidan F, Baciut G, Baciut M. Assessing the prevalence of paranasal sinuses anatomical variants in patients with sinusitis using Cone Beam Computer Tomography. Clujul Med. 2016; 89(3):419-21.
Kaygusuz A, Haksever M, Akduman D, Aslan S, Sayar Z. Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease-a computerized tomography assisted anatomical and clinical study. Indian J Otolaryngol Head Neck Surg. 2014; 66(3):260-6.
Jorissen M, Hermans R, Bertrand B, Eloy P. Anatomical variations and sinusitis. Acta Otorhinolaryngol Belg. 1997; 51(4):219-26.
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015; 152(2 Suppl): S1-S39.
Scribano E, Ascenti G, Cascio F, Racchiusa S, Salamone I. [Computerized tomography in the evaluation of anatomic variations of the ostiomeatal complex]. Radiol Med. 1993; 86(3):195-9.
Jones NS. CT of the paranasal sinuses: a review of the correlation with clinical, surgical and histopathological findings. Clin Otolaryngol Allied Sci. 2002; 27(1):11-7.
Adeel M, Rajput MS, Akhter S, Ikram M, Arain A, Khattak YJ. Anatomical variations of nose and para-nasal sinuses; CT scan review. J Pak Med Assoc. 2013; 63(3):317-9.
Tiwari R, Goyal R. Study of Anatomical Variations on CT in Chronic Sinusitis. Indian J Otolaryngol Head Neck Surg. 2015; 67(1):18-20.
Dasar U, Gokce E. Evaluation of variations in sinonasal region with computed tomography. World J Radiol. 2016; 8(1):98-108.
Shin JM, Baek BJ, Byun JY, Jun YJ, Lee JY. Analysis of sinonasal anatomical variations associated with maxillary sinus fungal balls. Auris Nasus Larynx. 2016; 43(5):524-8.
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Kumar KA, Kramper M, et al. Clinical practice guideline (update): Adult Sinusitis Executive Summary. Otolaryngol Head Neck Surg. 2015; 152(4):598-609.
Lee JH, Kim HJ, Hong YH, Kim KS. Underestimation of Rhinogenic Causes in Patients Presenting to the Emergency Department with Acute Headache. Acta Neurol Taiwan. 2015; 24(2):37-42.
van Lindert EJ, Ingels K, Mylanus E, Grotenhuis JA. Variations of endonasal anatomy: relevance for the endoscopic endonasal transsphenoidal approach. Acta Neurochir (Wien). 2010; 152(6):1015-20.
Lund VJ, Kennedy DW. Staging for rhinosinusitis. Otolaryngol Head Neck Surg. 1997; 117(3 Pt 2): S35-40.
Angélico Jr FV, Rapoport PB. Analysis of the Agger nasi cell and frontal sinus ostium sizes using computed tomography of the paranasal sinuses. Braz J Otorhinolaryngol. 2013; 79(3):285-92.
Landsberg R, Friedman M. A computer-assisted anatomical study of the nasofrontal region. Laryngoscope. 2001; 111(12):2125-30.
Yenigun A, Fazliogullari Z, Gun C, Uysal, II, Nayman A, Karabulut AK. The effect of the presence of the accessory maxillary ostium on the maxillary sinus. Eur Arch Otorhinolaryngol. 2016; 273(12):4315-9.
Vogiatzi T, Kloukos D, Scarfe WC, Bornstein MM. Incidence of anatomical variations and disease of the maxillary sinuses as identified by cone beam computed tomography: a systematic review. Int J Oral Maxillofac Implants. 2014; 29(6):1301-14.
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