A Clinical Study on the Findings of OMU CT Scans Taken in Patients with Chronic Paranasal Sinusitis Symptoms

Shin, Yong Je; Jun, Wan Suk; Yun, Jong Wook; Choi, II Kyung; Kim, Heung Sik; Yoo, Young Sam

doi:10.35420/jcohns.1994.5.2.229

J Clin Otolaryngol Head Neck Surg 1994; 5(2):229-236

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1994.5.2.229

원저

만성 부비동염의 증상을 호소하는 환자에서 시행된 OMU CT의 임상적 고찰

신용제¹, 전완석¹, 윤종욱¹, 최일경¹, 김흥식¹, 유영삼²

A Clinical Study on the Findings of OMU CT Scans Taken in Patients with Chronic Paranasal Sinusitis Symptoms

Yong Je Shin¹, Wan Suk Jun¹, Jong Wook Yun¹, II Kyung Choi¹, Heung Sik Kim¹, Young Sam Yoo²

Author Information & Copyright ▼

¹서울 적십자병원 이비인후과

²인제대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, Seoul Red Cross Hospital, Inje University, Seoul, Korea

²Department of Otolaryngology，College of Medicine, Inje University, Seoul, Korea

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Chronic paranasal sinusitis has been a trouble-maker in the field of otolaryngology. But nowadays, functional endoscopic sinus surgery is popularized with the help of ostiomeatal CT scan for the purpose of reestablishing ventilation, and mucocilliary clearance of the sinuses. With its increasing use, the importance of OMU CT scan is well-known and it is now playing an important role not only in screening but also in predicting any anatomical variation with its outstanding resolution power.

400 sides of OMU CT scans taken in 200 patients with symptoms of chronic paranasal sinusitis were analyzed according to the bony anatomical variants and mucosal involvement to get their prevalences. The purposes of this study are to determine the background prevalence of bony anatomical variants and mucosal abnormalities of the paranasal sinuses and to assess the possible pathogenicity of their findings in patients with sinusitis.

The results were as follows:

We could observe septal deviation in 38.3% of cases, concha bullosa in 14.5% of cases, paradoxical curvature of the middle turbinate in 32.3% of cases, Haller’s cell in 30.3% of cases, lateralized uncinate process in 9.8% of cases, hypertrophic uncinate process in 30.0% of cases, defect in the lamina papyracea in 6.8% of cases, type I cribriform plate in 49.0% of cases, prominent optic nerve and internal carotid artery within the sphenoid sinus in 8.0% and 28.0% of cases, respectively.
The prevalences of mucosal involvement were in the order of anterior ethmoid, maxillary sinus, posterior ethmoid sinus, frontal sinus and sphenoid sinus.
The relationship between nasal septal deviation and sinus disease and that between disease of anterior ethmoid or ethmoidal infundibulum and sinus disease were statistically significant.
The relationship between concha bullosa or paradoxically curved middle turbinate and sinus disease was not significant.
The average distance from the anterior nasal spine to the anterior wall of the sphenoid sinus was 60 mm in males and 57 mm in females.

Keywords: OMU CT scan; Paranasal sinusitis; Anatomical variants