Anatomical variations of ostiomeatal complex in cbct of. The series was also stratified by sides with osteomeatal complex womc obstruction womc, n 112 and those without osteomeatal complex somc obstruction somc, n 100. Bhanu prakash usmle, fmge and neet pg 20,679 views. Anatomical margins of uncinectomy in endoscopic sinus.
The mean ipsilateral score was calculated for the sinus cavities on each side, and this was significantly greater in the womc obstruction group 5. Pdf the role of osteomeatal complex anatomical variants in. Pdf currently, computed tomography is the method of choice for assessment of paranasal sinuses, nasal fossae and their anatomical variants. The main functional component of the maxillary sinus outflow tract is the ostiomeatal complex, which is collectively constituted by the uncinate process, the maxillary ostium, the infundibulum, and the ethmoid bulla.
It is an antomically constricted area that is prone to blockage, especially in the presence of structural anomalies, mucosal swelling or tumors. Silent sinus syndrome the silent sinus syndrome represents maxillary sinus atelectasis that results in painless enophthalmos, hypoglobus and facial asymmetry. Fifty patients of chronic sinusitis were evaluated by ct scan. The ostiomeatal complex omc is the collection of structures that aids in mucus drainage and airflow between the maxillary sinus, the anterior ethmoid air cells, and the frontal sinus. Sagittal reconstructions were also done for detailed assessment of the structures. The frequency of anatomical variants of the ostiomeatal complex is shown on. Certain anatomical variations of the lateral wall of the nose are very important and possibly contribute to the blockage of the ostiomeatal units, drainage and ventilation, and can thereby, increase the risk of sinus mucosal disease24 moreover, anatomic variation could be potentially. Anatomy, head and neck, nose paranasal sinuses statpearls. The middle meatus is the area that is most commonly involved in the pathophysiology of. These structures form a functional complex through which. Zagazig university medical journal, special issue, for 16th zagazig annual conference, march, 2009. Anatomical variations of the human nasal osteomeatal complex, studied by ct by mohammad omar. Anatomical variations of the human nasal osteomeatal.
While seemingly simple, sinonasal anatomy is composed of intricate and subdivided air. The ostiomeatal complex is differently defined by several authors. Osteomeatal complex is a functional entity of the anterior ethmoid complex that represents the final common pathway for drainage and ventilation of the frontal, maxillary, and anterior ethmoid cells. This in turn requires the surgeons to have detailed knowledge of the anatomy of the lateral nasal wall, paranasal sinuses and surrounding vital structures and of the large number of anatomical variants in the region. Computed tomography anatomy of the paranasal sinuses and. Precise information of the anatomical variants of the osteomeatal complex is critical for clinicians, especially with the advent of functional endoscopic sinus surgery. Anatomy of the paranasal sinuses, osteomeatal complex and nasal walls. Osteomeatal complex the middle meatus is the space below and lateral to the middle turbinate, and is often functionally referred to as the osteomeatal complex.
Anatomical variations of the ostiomeatal complex as a cause of. Pdf anatomical variations of the human nasal osteomeatal. Osteomeatal complex is a functional entity of the anterior ethmoid complex that represents the. Alsubael mo and hegazy am 2009 anatomical variations of the human nasal osteomeatal complex studied by ct. The role of anatomical variants in the sinusitis genesis is controversial. Precise information of the anatomical variants of the osteomeatal complex is critical for clinicians, especially with the advent of. It depicts the anatomical complexities of osteomeatal complex in much simpler way and acts as a roadmap for endoscopic sinus surgery. It contains the drainage pathways for the anterior ethmoids, the maxillary and the frontal sinuses. Anatomical variations in the human paranasal sinus region. Discussion the complex microarchitectural pathway comprising of the frontal recess, the maxillary ostium and the infundibulum is referred to as ostiomeatal complex.
The osteomeatal complex based essentially on the concept that such obstruction perpetuates the sinus disease. Role of anatomic variations of uncinate process in frontal. Osteomeatal complex article about osteomeatal complex by. Nasal septum and its arterial supply see epistaxis section for detailed blood supply figure 5. The aim of this study was to evaluate the types of attachment of the uncinate process and its implications in the development of. Anatomy of nose and paranasal sinuses linkedin slideshare. The osteomeatal complex is the main area targeted in chronic rhinosinusitis and within it uncinate process is the first anatomical structure encountered. This study aimed to determine the incidence and morphology of these variations in adult saudi patients, using computed tomography ct. The ostiomeatal complex omc is the collection of structures that aids in mucus drainage and airflow between the maxillary sinus, the anterior ethmoid air cells.
Cochlear component, vestibular component, semicircular component animation duration. Ostiomeatal complex the ostiomeatal complex omc or ostiomeatal unit omu, sometimes less correctly spelled as osteomeatal complex, is a common channel that links t. The term ostiomeatal unit represents the area on the lateral nasal wall middle meatus that receives drainage from the anterior and medial ethmoid cells, frontal sinus, and maxillary sinus. Nasal decongestants have shown to yield the best results with regards to reducing secretions, facilitating drainage, and increasing the overall patency openness of the maxillary and frontal ostia due to its ability to penetrate the osteomeatal complex, which is a common channel that provides drainage and ventilation for the frontal and. Anatomical variations in the human paranasal sinus region studied by ct. Anatomical variations in patients with chronic sinusitis. A study of anatomical variations of osteomeatal complex in. Each nasal cavity consists of three general regions the nasal vestibule is a small dilated space just internal to the naris that is lined by skin and contains hair follicles. The ostiomeatal complex omc or ostiomeatal unit omu, sometimes less correctly spelled as osteomeatal complex, is a common channel that links the frontal sinus, anterior ethmoid air cells and the maxillary sinus to the middle meatus, allowing airflow and mucociliary drainage.
Psychoanal a group of emotional ideas or impulses that have been banished from the conscious mind but that continue to influence a persons behaviour 3. Artistic anatomy 81930 is a specialized discipline concerned only with those structures that create and in. Even subtle mucosal disease in this area causes obstruction to the drainage of the anterior group of sinuses causing chronic sinusitis 12. The nose the nose consists of the external nose and the nasal cavity, both are divided by a septum into right and left halves. The bones pdf class videos for anatomy and environmental. Whereas medical anatomies consider the human body in an erect and mo. Chronic sinusitis is repeated bouts of acute infection or persistent inflammation of the sinuses. Haller cells are anterior ethmoidal cells that project.
Allergy, viral infection, and chemical irritation, acting through mucosal swelling, can produce obstruction of the osteomeatal. Region referring to the anterior ethmoids containing the ostia. The classic osteomeatal complex described already has been described as the anterior osteomeatal complex, while the space behind the basal lamella containing the posterior ethmoidal cells is referred to as the posterior ethmoidal complex, thus recognising the importance of basal lamella as an anatomical landmark to the posterior ethmoidal system. The effects of air pollutants and irritants on the upper. Haller cells are found in up to 45% of the general population 1,4,16,17 and in 1. The range of anatomic variants that can interfere with the mucociliary drainage of osteomeatal complex including concha bullosa, deviated nasal septum, uncinate process variations, ethmoid bulla, paradoxical middle turbinate, agger nasi and haller cells.
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