The CT image characteristics of anterior ethmoidal artery and its significance in nasal endoscopic surgery.
10.13201/j.issn.2096-7993.2025.10.009
- Author:
Yanfei JIANG
1
;
Leihua TANG
2
;
Junjie DING
1
;
Yuhan ZHANG
1
;
Jianhua ZHANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery，Shanghai Eighth People's Hospital，Shanghai，200234，China.
2. Department of Radiology，Shanghai Eighth People's Hospital.
- Publication Type:Journal Article
- Keywords:
Keros classification;
anterior ethmoidal artery;
nasal endoscopic surgery;
paranasal sinus CT;
supraorbital ethmoidal cell
- MeSH:
Humans;
Retrospective Studies;
Endoscopy;
Ethmoid Sinus/diagnostic imaging*;
Tomography, X-Ray Computed;
Arteries/diagnostic imaging*;
Sinusitis/diagnostic imaging*;
Male;
Female;
Middle Aged;
Adult;
Aged
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(10):944-948
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the CT image characteristics of anterior ethmoidal artery（AEA） through CT scan and its significance in nasal endoscopic surgery. Methods:A retrospective study of 82 patients（164 sides） with chronic sinusitis was conducted. All patients underwent CT scan and the images were reconstructed. The AEA classification was used and calculate the rate of AEA suspension. The AEA was classified, and the suspension rate of the AEA was calculated. The height of the lateral lamella of the cribriform plate （LLCP） was measured, and Keros classification was performed. The relationship between Keros classification and AEA suspension was analyzed. The supraorbital ethmoidal cell （SOEC） was identified, and its relationship with AEA suspension was analyzed. Results:Type Ⅰ AEA accounted for 42.07%（69/164）. Type Ⅱ AEA accounted for 22.56%（37/164）. Type Ⅲ AEA accounted for 35.37%（58/164）. The suspension rate was 35.37%. The average height of the LLCP was （3.7±1.8） mm. In the Keros classification, type Ⅰaccounted for 53.05%（87/164）, Type Ⅱaccounted for 37.80%（62/164）. Type Ⅲ accounted for 9.15%（15/164）. The results of the Spearman analysis showed that there was a moderate positive correlation between the Keros classification and the suspension of the AEA（r=0.526, P<0.01）. Among 164 sides, SOEC was present in 15 sides. The suspension rate of AEA in the group with SOEC was significantly higher than that in the group without SOEC（P<0.01）. Conclusion:Sinus CT and multiplanar reconstruction can clarify the image characteristics of AEA and its relationship with surrounding structures. When the level of Keros classification is higher or SOEC is present, the suspension rate of AEA increases significantly. It is of great significance to clarify the characteristics of AEA before surgery in order to avoid injury during surgery.
