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ORIGINAL ARTICLE - RETROSPECTIVE STUDY
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Computed tomographic study of remarkable anatomic variations in paranasal sinus region and their clinical importance: Retrospective study


1 Department of Nuclear Medicine and Radiology, Institute of Nuclear Medicine and Molecular Imaging, AMRI Hospitals, Kolkata, West Bengal, India
2 Department of Periodontics, Kannur Dental College, Kerala, India
3 Department of Anatomy, Kannur Medical College, Kerala, India
4 Department of ENT, Kannur Medical College, Kerala, India

Correspondence Address:
Thittamarnahalli Muguregowda Honnegowda,
Department of Anatomy, Kannur Medical College, Kannur, Kerala
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ams.ams_192_19

Introduction: With the advent of functional endoscopic sinus surgery and coronal computed tomography (CT) imaging, more attention has been paid toward paranasal region anatomy. Detailed knowledge of anatomic variations in paranasal sinus region is critical for surgeons performing endoscopic sinus surgery as well as for the radiologist involved in the pre- and post-operative assessment. The anatomical variants with some accompanying pathologies would directly influence the success of diagnostic and therapeutic management of paranasal sinus diseases. Our study intends to explore the anatomy of paranasal air sinus through CT and to describe its variants, which may predispose to chronic sinusitis and complications in endoscopic sinonasal surgery. Materials and Methods: This was a retrospective study carried out in a tertiary institution. Two hundred and fifty patients without paranasal sinus symptoms who presented for head CT studies and gave consent for a coronal section scan of the paranasal sinuses to be taken in addition to the axial section of the head were included in the study. The CT examination was performed with GE Hispeed-NX/I Base-2002 Dual Slice Helical CT machine. Results: Among 250 study population, 100 females and 150 males. Among these 423 cases of anatomical variants were observed. The most common anatomical variants were pneumatization of the middle nasal turbinates 30.73%. This is followed by agger nasi cells 21.64%, Haller's cells 22.91%, septal deviation 21.91%, and sphenoid sinus septation (20.18%). Conclusion: CT is the gold standard in the radiologic investigation of the paranasal sinuses, sinonasal lesions, and inflammatory disease or pre- and post-surgical assessment. Its capability in disclosing in greatest details, the anatomical variation if any is found, which is causing or precipitating the sinusitis.


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    -  Nautiyal A
    -  Narayanan A
    -  Mitra D
    -  Honnegowda TM
    -  Sivakumar
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