Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-13T06:49:11.209Z Has data issue: false hasContentIssue false
  • English
  • Français

Anatomical variation of the sphenoid sinus in paediatric patients and its association with age and chronic rhinosinusitis

Published online by Cambridge University Press:  10 April 2019

H Odat ,
D Almardeeni ,
M Tanash  and
M Al-Qudah
H Odat*
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
D Almardeeni
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
M Tanash
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
M Al-Qudah
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
*
Author for correspondence: Dr Haitham Odat, Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan E-mail: dr.haithamodat@gmail.com Fax: +962 2709 5123 96
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To report the prevalence of different anatomical variations of the sphenoid sinus and its related structures among paediatric patients with or without chronic rhinosinusitis.

Methods

Computed tomography scans of 50 paediatric patients with chronic rhinosinusitis were reviewed and compared to 50 scans of paediatric patients without chronic rhinosinusitis. The type of sphenoid sinus pneumatisation and the surrounding structures were thoroughly analysed. The patients were divided into three groups according to age.

Results

Mean age was 10.9 years (range, 4–16 years). The sellar configuration was the commonest in all groups, while the conchal type was the least common. There were significant differences between paediatric patients with or without sinusitis in: sphenoid sinus pneumatisation type, vidian canal type and Onodi cell presence. In addition, there were significant differences between age groups in: sphenoid sinus pneumatisation type, single sinus septum and multiple septa presence, and internal carotid artery bulging.

Conclusion

Age and sinusitis have a significant impact on sphenoid pneumatisation type and surrounding structure variation. Recognition of these variations can be useful for mapping this region, and enables a safer and more efficient endoscopic surgical procedure.

Keywords

Sphenoid SinusSinusitisComputed TomographyX-RayVidian NerveEndoscopic Surgical ProceduresSella Turcica
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 482 - 486
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr H Odat takes responsibility for the integrity of the content of the paper

References

1Tomovic, S, Esmaeili, A, Chan, NJ, Shukla, PA, Choudhry, OJ, Liu, JK et al. High-resolution computed tomography analysis of variations of the sphenoid sinus. J Neurol Surg B Skull Base 2013;74:82–90Google Scholar
2Aoki, S, Dillon, W, Barkovich, AJ, Norman, D. Marrow conversion before pneumatization of the sphenoid sinus: assessment with MR imaging. Radiology 1989;172:373–5Google Scholar
3Barghouth, G, Prior, JO, Lepori, D, Duvoisin, B, Schnyder, P, Gudinchet, F. Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. Eur Radiol 2002;12:1451–8Google Scholar
4Gilani, S, Shin, JJ. The burden and visit prevalence of pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg 2017;157:1048–52Google Scholar
5Heath, J, Hartzell, L, Putt, C, Kennedy, JL. Chronic rhinosinusitis in children: pathophysiology, evaluation, and medical management. Curr Allergy Asthma Rep 2018;18:37Google Scholar
6Silviu-Dan, F. Pediatric chronic rhinosinusitis. Pediatr Ann 2014;43:e201–9Google Scholar
7Al-Qudah, M. Image-guided sinus surgery in sinonasal pathologies with skull base/orbital erosion. J Craniofac Surg 2015;26:1606–8Google Scholar
8Hamberger, CA, Hammer, G, Norlen, G. Transantrosphenoidal hypophysectomy. Arch Otolaryngol 1961;74:2–8Google Scholar
9Lee, JC, Kao, CH, Hsu, CH, Lin, YS. Endoscopic transsphenoidal vidian neurectomy. Eur Arch Otorhinolaryngol 2011;268:851–6Google Scholar
10Kim, YH, Kim, JE, Kim, MJ, Cho, JH. New landmark for the endoscopic endonasal transsphenoidal approach of pituitary surgery. J Korean Neurosurg Soc 2013;53:218–22Google Scholar
11Al-Qudah, M. The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children. Int J Pediatr Otorhinolaryngol 2008;72:817–21Google Scholar
12Sirikci, A, Bayazit, YA, Bayram, M, Mumbuc, S, Gungor, K, Kanlikama, M. Variations of sphenoid and related structures. Eur Radiol 2000;10:844–8Google Scholar
13Szolar, D, Preidler, K, Ranner, G, Braun, H, Kern, R, Wolf, G et al. Magnetic resonance assessment of age-related development of the sphenoid sinus. Br J Radiol 1994;67:431–5Google Scholar
14Callahan, MJ, MacDougall, RD, Bixby, SD, Voss, SD, Robertson, RL, Cravero, JP. Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations. Pediatr Radiol 2018;48:21–30Google Scholar
15Vaezi, A, Cardenas, E, Pinheiro-Neto, C, Paluzzi, A, Branstetter, BF 4th, Gardner, PA et al. Classification of sphenoid sinus pneumatization: relevance for endoscopic skull base surgery. Laryngoscope 2015;125:577–81Google Scholar
16Fujioka, M, Young, LW. The sphenoidal sinuses: radiographic patterns of normal development and abnormal findings in infants and children. Radiology 1978;129:33Google Scholar
17Kim, HJ, Friedman, EM, Sulek, M, Duncan, NO, McCluggage, C. Paranasal sinus development in chronic sinusitis, cystic fibrosis, and normal comparison population: a computerized tomography correlation study. Am J Rhinol 1997;11:275–81Google Scholar
18Wiebracht, ND, Zimmer, LA. Complex anatomy of the sphenoid sinus: a radiographic study and literature review. J Neurol Surg B Skull Base 2014;75:378–82Google Scholar
19Vescan, AD, Snyderman, CH, Carrau, RL, Mintz, A, Gardner, P, Branstetter, B 4th et al. Vidian canal: analysis and relationship to the internal carotid artery. Laryngoscope 2007;117:1338–42Google Scholar
20Aksoy, F, Yenigun, A, Goktas, SS, Ozturan, O. Association of accessory sphenoid septa with variations in neighbouring structures. J Laryngol Otol 2017;131:51–5Google Scholar
21Sareen, D, Agarwal, A, Kaul, J, Sethi, A. Study of sphenoid sinus anatomy in relation to endoscopic surgery. Int J Morphol 2005;23:261–6Google Scholar
22Chmielik, LP, Chmielik, A. The prevalence of the Onodi cell – most suitable method of CT evaluation in its detection. Int J Pediatr Otorhinolaryngol 2017;97:202–5Google Scholar