Anatomical variations and it's imaging characteristics of frontal recess cells in patients with frontal sinus related headache
10.16066/j.1672-7002.2024.04.008
- VernacularTitle:额窦相关头痛患者额隐窝气房发育的影像学特点分析
- Author:
Chengyao LIU
1
,
2
;
Xiangdong WANG
;
Qinggang XU
;
Shilei CUI
;
Zhongyan LIU
;
Yan ZHAO
;
Luo ZHANG
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学),北京 100730
2. 北京市耳鼻咽喉科研究所,鼻病研究北京市重点实验室,北京 100005
- Keywords:
Frontal Sinus;
Headache;
frontal recess cells;
International Frontal Sinus Anatomy Classification;
middle concha bullosa
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(4):242-247
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To determine the prevalence of frontal recess cells variations in patients with frontal sinus associated headache according to the International Frontal Sinus Anatomy Classification(IFAC).METHODS A retrospective study was conducted on the CT scans of sinuses in patients with frontal sinus associated headache.We reviewed 46 patients with frontal sinus-related headache who had clinical symptoms and were relieved after nasal endoscopic surgery.The development of frontal recess cells in the frontal recess drainage area was analyzed,and the variation of middle meatus and sinus involvement were analyzed in the same time.The Anatomical variations and imaging characteristics of frontal recess cells development in patients with frontal sinus associated headache were analyzed.RESULTS A total of 92 sinus CT profiles were analyzed in 46 patients.The most common cells were agger nasi cell(ANC)(100%,92/92),followed by supra bulla cell(SBC)(78.3%,72/92),supra agger cell(SAC)(67.4%,62/92),supra bulla frontal cell(SBFC)(27.2%,25/92),supra agger frontal cell(SAFC)(20.7%,19/92),frontal septal cell(FSC)(8.7%,8/92)and supraorbital ethmoid cell(SOEC)(0%,0/92).In the conventional frontal sinus drainage area,SAFC(P=0.0108),SAC(P=0.0104)and SAFC(P=0.0088)in the IFAC classification were significantly associated with the occurrence of frontal sinus associated headache.At the same time,the middle concha bullosa also showed a significant correlation with the occurrence of frontal sinus associated headache in the lower segment of the frontal recess drainage channel(P=0.0390).CONCLUSION In the frontal recess drainage channel,the abnormal development of SAC,SAFC,SBFC and the middle concha bullosa are significantly correlated with frontal sinus associated headache.
