Evaluation of the Relationship of Sphenoid Sinus Pneumatization with Adjacent Neurovascular Structures Using Computed Tomography: Sphenoid Sinus Pneumatization

Hamiyet Havva Zengin; Dilber Öztürk; Mehmet Akif Sarı; Sevim Özdemir

doi:10.70087/rami.tui/010104

Yazarlar

Hamiyet Havva Zengin Radiology Author https://orcid.org/0000-0003-1530-5280
Dr Dilber Öztürk Radiology Author https://orcid.org/0009-0006-8602-539X
Mehmet Akif Sarı Haseki Eğitim ve Araştırma Hastanesi Author https://orcid.org/0009-0007-8796-1881
Sevim Özdemir Haseki Eğitim ve Araştırma Hastanesi Author https://orcid.org/0000-0003-4270-6370

DOI:

https://doi.org/10.70087/rami.tui/010104

Anahtar Kelimeler:

bilgisayarlı tomografi- nörovasküler yapılar- pnömatizasyon- sfenoid kemik- sfenoid sinüs

Öz

Amaç: Bu çalışmanın amacı bilgisayarlı tomografi (BT) görüntülerinde sfenoid sinüsün (SS) pnömatizasyon tipi ile komşu nörovasküler yapılar arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Paranazal sinüs BT incelemesi yapılan 235 hasta (108 kadın, 127 erkek; yaş aralığı 7-85 yıl) retrospektif olarak değerlendirildi. SS sagittal düzlemdeki pnömatizasyon dereceleri Konkal, Presellar, Sellar veya Postsellar tipi olarak sınıflandırıldı. Koronal düzlemin değerlendirilmesinde, SS pnömatizasyonunun lateral uzanım derecesi, lateral uzanımın varlığı ve derecesine göre analiz edildi. Değerlendirme, SS ile ilişkili olarak optik sinir, internal karotid arter (İKA), vidian kanal ve foramen rotundumu içeriyordu. SS pnömatizasyon paternleri ile nörovasküler yapılar arasındaki ilişkileri değerlendirmek için Spearman korelasyon analizi kullanıldı.

Bulgular: Her iki tarafta da en sık görülen pnömatizasyon tipi sellar tipti. Koronal planda en sık görülen pnömatizasyon tipi her iki tarafta postrotundum tipiydi. Sfenoid sinüsün koronal düzlemdeki pnömatizasyon derecesinin, sfenoid sinüs ile ilişkili olarak komşu nörovasküler yapılarla değerlendirilmesi; İKA’nın sağ duvardan SS’ye çıkıntı yapması ile SS’nin pnömatizasyon derecesi arasındaki korelasyon istatistiksel olarak anlamlı bulundu.

Sonuç: BT ile SS pnömatizasyonunun ayrıntılı sınıflandırılması, görüntülenmesi ve tanımlanması, özellikle nörovasküler yapılarla ilişkisinin ortaya konulması, önemli cerrahi komplikasyonları önleyebilir ve cerrahi işlemler için yol gösterici olabilir.

İndirmeler

İndirme verisi henüz mevcut değil.

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