KHẢO SÁT DẠNG KHÍ HÓA VÀ THỂ TÍCH XOANG TRÁN TRÊN CT SCAN TỪ THÁNG 11/2022 ĐẾN 07/2023 TẠI BỆNH VIỆN TAI MŨI HỌNG THÀNH PHỐ HỒ CHÍ MINH
Main Article Content
Abstract
Introduction: The pneumatization of the frontal sinuses may be associated with persistent headaches, or be the cause of chronic allergic rhinitis. Scales based on sinus volume showed a better correlation with quality of life after treatment than 2D evaluation scales such as the Lund-Mackay scale. Therefore, this study was conducted to understand the pneumatization and calculate the volume of the frontal sinus.
Objectives: To determine the rate of pneumatization, the size and volume of the frontal sinus on CT scan.
Methods: The descriptive study included 136 adults aged 20 years and older who were examined in Ho Chi Minh City Otolaryngology in the period from 11/2022 to 07/2023. The paranasal sinus CT images were obtained and analyzed to classify the type of frontal sinus pneumatization, measure the size and calculate the volume of the frontal sinus.
Results: The rate of bilateral frontal sinus aplasia was 2.2%. The medium pneumatization is the most common form, accounting for 58,46%. The average height, width, and depth of the frontal sinus are 24.42 ± 7.86 mm. 24.50 ± 9.23 mm. 11.50 ± 4.05 mm. respectively. The mean frontal sinus volume is 2.31 ± 1.71 ml.
Conclusions: Classification of frontal sinus pneumatization should be based on sinus volume on CT scan to increase reliability, instead of assessment by classification on 2D planes due to the lack of contribution of the depth of the frontal sinus.
Article Details
Keywords
Aplasia, Frontal sinus, Hyperplasia, Hypoplasia, Pneumatization, Volumetry
References
2. Tezer MS, Tahamiler R, Canakçioğlu S. Computed tomography findings in chronic rhinosinusitis patients with and without allergy. Asian Pacific journal of allergy and immunology. Jun-Sep 2006;24(2-3):123-7.
3. Yu JL, Branstetter BFt, Snyderman CH. Frontal sinus volume predicts incidence of brain contusion in patients with head trauma. The journal of trauma and acute care surgery. Feb 2014;76(2):488-92. doi:10.1097/TA.0b013e3182aaa4bd
4. Pallanch JF, Yu L, Delone D, et al. Three-dimensional volumetric computed tomographic scoring as an objective outcome measure for chronic rhinosinusitis: clinical correlations and comparison to Lund-Mackay scoring. International forum of allergy & rhinology. Dec 2013;3(12):963-72. doi:10.1002/alr.21219
5. Tatlisumak E, Ovali GY, Asirdizer M, et al. CT study on morphometry of frontal sinus. Clinical anatomy (New York, NY). May 2008;21(4):287-93. doi:10.1002/ca.20617
6. Vázquez A, Baredes S, Setzen M, Eloy JA. Overview of Frontal Sinus Pathology and Management. Otolaryngologic clinics of North America. Aug 2016;49(4):899-910. doi:10.1016/j.otc.2016.03.014
7. Kjær I, Pallisgaard C, Brock-Jacobsen MT. Frontal sinus dimensions can differ significantly between individuals within a monozygotic twin pair, indicating environmental influence on sinus sizes. Acta oto-laryngologica. Sep 2012;132(9):988-94. doi:10.3109/00016489.2012.677064
8. Yüksel Aslier NG, Karabay N, Zeybek G, et al. The classification of frontal sinus pneumatization patterns by CT-based volumetry. Surgical and radiologic anatomy : SRA. Oct 2016;38(8):923-30. doi:10.1007/s00276-016-1644-7
9. Nguyễn Thị Hương Lan. Khảo sát sự bất đối xứng xoang trán hai bên trên CT scan. 2020.
10. Quatrehomme G, Fronty P, Sapanet M, Grévin G, Bailet P, Ollier A. Identification by frontal sinus pattern in forensic anthropology. Forensic science international. Dec 2 1996;83(2):147-53. doi:10.1016/s0379-0738(96)02033-6
11. Štoković N, Trkulja V, Čuković-Bagić I, Lauc T, Grgurević L. Anatomical variations of the frontal sinus and its relationship with the orbital cavity. Clinical anatomy (New York, NY). May 2018;31(4):576-582. doi:10.1002/ca.22999
12. Spaeth J, Krügelstein U, Schlöndorff G. The paranasal sinuses in CT-imaging: development from birth to age 25. International journal of pediatric otorhinolaryngology. Feb 14 1997;39(1):25-40. doi:10.1016/s0165-5876(96)01458-9
13. Cohen O, Warman M, Fried M, et al. Volumetric analysis of the maxillary, sphenoid and frontal sinuses: A comparative computerized tomography based study. Auris, nasus, larynx. Feb 2018;45(1):96-102. doi:10.1016/j.anl.2017.03.003
14. Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris, nasus, larynx. Jun 2007;34(2):191-5. doi:10.1016/j.anl.2006.09.003
15. Prossinger H. Mathematical analysis techniques of frontal sinus morphology, with emphasis on Homo. Anatomical record (Hoboken, NJ : 2007). Nov 2008;291(11):1455-78. doi:10.1002/ar.20783