Estimation of cone-ray computer tomography data for the selection of optimal access to the maxillary sinus
S.A. KARPISCHENKO, A.A. ZUBAREVA, S.V. BARANSKAYA, A.A. KARPOV
Pavlov First Saint Petersburg State Medical University, 6-8 Leo Tolstoy Str., Saint Petersburg, Russian Federation, 197022
Karpischenko S.A. – D. Med. Sc., Professor, Head of the ENT Department, tel. (812) 338-70-19, e-mail: karpischenkos@mail.ru
Zubareva A.A. – D. Med. Sc., Professor, Head of the ENT Department, tel. (812) 338-70-19, e-mail: a.zubareva@bk.ru
Baranskaya S.V. – post-graduate student of the ENT Department, tel. (812) 338-71-76, e-mail: sv-v-b@yandex.ru
Karpov A.A. – resident of the ENT Department, tel. (812) 338-71-76, e-mail: artemiykarpov@mail.ru
The unique anatomy of the maxillary sinus can cause some difficulties associated with surgical approach even in an experienced surgeon; this fact requires a qualitative estimation of its structures at the preoperative phase. To avoid possible problems and complications, radiation diagnostic methods are used, among them the most modern and significant is cone-beam computer tomography. It enables to evaluate the shape, size, position, structure of the maxillary sinus and obtain a three-dimensional image of the sinus, which allows the surgeon to choose the optimal operative approach to the maxillary sinus. To identify the nasolacrimal duct and to predict the location of the anastomosis, we estimated the distance between the nasal cavity bottom and the nasolacrimal canal outlet; the distance between the nose aperture and the nasolacrimal canal opening; the distance between the nasal cavity bottom and the maxillary sinus bottom; the angle between the lower and medial walls of the maxillary sinus. The data of cone-beam computer tomography allow the surgeon to evaluate the anatomical landmarks of the nasal cavity and paranasal sinuses and choose the most optimal surgical approach to the maxillary sinus.
Key words: maxillary sinus, nasolacrimal duct, computer tomography, basal antrostomy.
REFERENCES
- Morrissey D.K., Wormald P.J., Psaltis A.J. Prelacrimal approach to the maxillary sinus. Int Forum Allergy Rhinol., 2016 Feb;6(2):214-8. doi: 10.1002/alr.21640. Epub 2015, Sep 8.
- Hosemann W., Scotti O., Bentzien S. Evaluation of telescopes and forceps for endoscopic transnasal surgery on the maxillary sinus. Am J Rhinol., 2003;17:311–316.
- Robey A., O’Brien E.K., Leopold D.A. Assessing current technical limitations in the small-hole endoscopic approach to the maxillary sinus. Am J Rhinol Allergy. 2010;24:396–401.
- Singhal D., Douglas R., Robinson S. and Wormald P.J. The incidence of complications using new landmarks and a modified technique of canine fossa puncture. Am J Rhinol., 2007. 21:316–319.
- Robinson S.R., Baird R., Le T. and Wormald P.J. The incidence of complications after canine fossa puncture performed during endoscopic sinus surgery. Am J Rhinol., 2005. 19:203–206.
- Wormald P.J., McDonogh M. The ‘swing-door’ technique for uncinectomy in endoscopic sinus surgery. J Laryngol Otol., 1998, Jun;112(6):547–551. doi: 10.1017/S0022215100141052.
- Albu S., Gocea A., Necula S. Simultaneous inferior and middle meatus antrostomies in the treatment of the severely diseased maxillary sinus. Am J Rhinol Allergy. 2011 Mar-Apr;25(2):e80–e85. doi: 10.2500/ajra.2011.25.3592.
- Wormald P.J., Ooi E., van Hasselt C.A., Nair S. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope, 2003 May;113(5):867–873. doi: 10.1097/00005537-200305000-00017.
- Eloy P., Mardyla N., Bertrand B., Rombaux P. Endoscopic endonasal medial maxillectomy: case series. Indian J Otolaryngol., Head Neck Surg. 2010 Sep;62(3):252–257. doi: 10.1007/s12070-010-0076-7.
- Sieskiewicz A., Buczko K., Janica J., Lukasiewicz A., Lebkowska U., Piszczatowski B., Olszewska E. Minimally invasive medial maxillectomy and the position of nasolacrimal duct: the CT study. Eur Arch Otorhinolaryngol., 2017; 274(3): 1515–1519. Published online 2016, Nov 14. doi: 10.1007/s00405-016-4376-8.
- Chen X.B., Lee H.P., Chong V.F.H. et al. Numerical simulation of the effects of inferior turbinate surgery on nasal airway heating capacity. Am J Rhinol., 2010. 24:118–122.
- Chen X.B., Leong S.C., Lee H.P. et al. Aerodynamic effects of inferior turbinate surgery on nasal airflow – a computational fluid dynamics model. Rhinology, 2010. 48:394–400.
- Modrzynski M. Hyaluronic acid gel in the treatment of empty nose syndrome. Am J Rhinol Allergy, 25:103–106, 2011.
- Tanna N., Edwards J.D., Aghdam H. et al. (2007) Transnasal endoscopic medial maxillectomy as the initial oncologic approach to sinonasal neoplasms: the anatomic basis. Arch Otolaryngol Head Neck Surg., 133(11):1139–1142.
- Sieśkiewicz A., Piszczatowski B., Olszewska E. et al. (2014) Minimally invasive transnasal medial maxillectomy for treatment of maxillary sinus and orbital pathologies. Acta Otolaryngol., 134(3):290–295.
- Nakamaru Y., Furuta Y., Takagi D. et al. Preservation of the nasolacrimal duct during endoscopic medial maxillectomy for sinonasal inverted papilloma. Rhinology, 2010;48:452–456.
- Nakayama T., Asaka D., Okushi T et al. (2012) Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct. Am J Rhinol Allergy, 26(5):405–408.
- Zhou B., Han D.M., Cui S.J., Huang Q., Wang C.S. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J (Engl)., 2013 Apr;126(7):1276–1280.
- Zhou B., Han D.M., Cui S.J., Huang Q, Wei Y.X., Liu H.C., Liu M. Endoscopic nasal lateral wall dissection approach to maxillary sinus. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi., 2007 Oct;42(10):743–748.
- Karpishchenko S.A., Zubareva A.A., Chibisova M.A., Shavgulidze M.A. Tsifrovaya ob»emnaya tomografiya v otorinolaringologii. Prakticheskoe rukovodstvo [Digital volumetric tomography in otorhinolaryngology. Practical guidance]. Saint Petersburg: “Dialog”, 2011. 72 p.
- Karpishchenko S.A., Baranskaya S.V. Features of the location of the valve Gasner. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae, 2015, vol. 21, no. 2, pp. 52–53 (in Russ.).