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Influence of opacification in the frontal recess on frontal sinusitis

Published online by Cambridge University Press:  20 April 2017

K Hashimoto ,
K Tsuzuki ,
K Okazaki  and
M Sakagami
K Hashimoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
K Tsuzuki*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
K Okazaki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
M Sakagami
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
*
Address for correspondence: Dr K Tsuzuki, 1-1 Mukogawa, Nishinomiya, Hyogo 663–8501, Japan Fax: +81 798 41 8976 E-mail: [email protected]
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Abstract

Objectives:

This study aimed to radiologically evaluate the influence of inflammatory changes in frontal recess cells on frontal sinusitis.

Methods:

A total of 93 patients (186 sides) who underwent primary sinonasal surgery at Hyogo College of Medicine were enrolled in 2015 and 2016. Opacification of agger nasi, fronto-ethmoidal, ethmoid bulla, suprabullar and frontal bulla cells was determined by pre-operative computed tomography and its influence on frontal sinusitis was investigated.

Results:

In all, 42 per cent of 186 sides were affected by frontal sinusitis. Agger nasi, ethmoid bulla, fronto-ethmoidal, suprabullar and frontal bulla cells were identified in 99 per cent, 100 per cent, 38 per cent, 69 per cent, and 16 per cent of sides, respectively. The presence of frontal recess cells and frontal ostium size did not significantly influence frontal sinusitis development. However, opacification of agger nasi, type 1 fronto-ethmoidal and suprabullar cells significantly influenced frontal sinusitis development.

Conclusion:

Frontal sinusitis is caused by inflammatory changes in frontal recess cells.

Keywords

Frontal SinusHelical Computed TomographyParanasal Sinus DiseasesEosinophil
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 620 - 626
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Fokkens, WJ, Lund, VJ, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl 2012;23:1–298 Google Scholar
2 Draf, W. Endonasal micro-endoscopic frontal sinus surgery: the Fulda concept. Operative Tech Otolaryngol Head Neck Surg 1991;2:234–40CrossRefGoogle Scholar
3 Chen, PG, Wormald, PJ, Payne, SC, Gross, WE, Gross, CW. A golden experience: fifty years of experience managing the frontal sinus. Laryngoscope 2016;126:802–7Google Scholar
4 Tokunaga, T, Sakashita, M, Haruna, T, Asaka, D, Takeno, S, Ikeda, H et al. Novel scoring system and algorithm for classifying chronic rhinosinusitis: the JESREC Study. Allergy 2015;70:995–1003 Google Scholar
5 Ishitoya, J, Sakuma, Y, Tsukuda, M. Eosinophilic chronic rhinosinusitis in Japan. Allergol Int 2010;59:239–45Google Scholar
6 Zinreich, SJ, Kennedy, DW, Rosenbaum, AE, Gayler, BW, Kumar, AJ, Stammberger, H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769–75Google Scholar
7 Kuhn, FA. Chronic frontal sinusitis: The endoscopic frontal recess approach. Operative Tech Otolaryngol Head Neck Surg 1996;7:222–9Google Scholar
8 Lund, VJ, Mackay, IS. Staging in rhinosinusitus. Rhinology 1993;31:183–4Google Scholar
9 Tsuzuki, K, Hinohira, Y, Takebayashi, H, Kojima, Y, Yukitatsu, Y, Daimon, T et al. Novel endoscopic scoring system after sinus surgery. Auris Nasus Larynx 2014;41:450–4Google Scholar
10 Han, D, Zhang, L, Ge, W, Tao, J, Xian, J, Zhou, B. Multiplanar computed tomographic analysis of the frontal recess region in Chinese subjects without frontal sinus disease symptoms. ORL J Otorhinolaryngol Relat Spec 2008;70:104–12CrossRefGoogle ScholarPubMed
11 Kubota, K, Takeno, S, Hirakawa, K. Frontal recess anatomy in Japanese subjects and its effect on the development of frontal sinusitis: computed tomography analysis. J Otolaryngol Head Neck Surg 2015;44:21 Google Scholar
12 Cho, JH, Citardi, MJ, Lee, WT, Sautter, NB, Lee, HM, Yoon, JH et al. Comparison of frontal pneumatization patterns between Koreans and Caucasians. Otolaryngol Head Neck Surg 2006;135:780–6CrossRefGoogle ScholarPubMed
13 Lee, WT, Kuhn, FA, Citardi, MJ. 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngol Head Neck Surg 2004;131:164–73Google Scholar
14 Lai, WS, Yang, PL, Lee, CH, Lin, YY, Chu, YH, Wang, CH et al. The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: a computed tomographic analysis. Rhinology 2014;52:208–14Google Scholar
15 Bolger, WE, Butzin, CA, Parsons, DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56–64 Google Scholar
16 Krzeski, A, Tomaszewska, E, Jakubczyk, I, Galewicz-Zielinska, A. Anatomic variations of the lateral nasal wall in the computed tomography scans of patients with chronic rhinosinusitis. Am J Rhinol 2001;15:371–5Google Scholar
17 Meyer, TK, Kocak, M, Smith, MM, Smith, TL. Coronal computed tomography analysis of frontal cells. Am J Rhinol 2003;17:163–8Google Scholar
18 Lien, CF, Weng, HH, Chang, YC, Lin, YC, Wang, WH. Computed tomographic analysis of frontal recess anatomy and its effect on the development of frontal sinusitis. Laryngoscope 2010;120:2521–7CrossRefGoogle ScholarPubMed
19 DelGaudio, JM, Hudgins, PA, Venkatraman, G, Beningfield, A. Multiplanar computed tomographic analysis of frontal recess cells: Effect on frontal isthmus size and frontal sinusitis. Arch Otolaryngol Head Neck Surg 2005;131:230–5Google Scholar
20 Eweiss, AZ, Khalil, HS. The prevalence of frontal cells and their relation to frontal sinusitis: a radiological study of the frontal recess area. ISRN Otolaryngol 2013;2013:Article ID 687582CrossRefGoogle ScholarPubMed
21 Gotlib, T, Kuzminska, M, Held-Ziolkowska, M, Niemczyk, K. Asymmetry of the anterior skull base at the level of frontal ostium, a radioanatomical study. Rhinology 2014;52:419–23Google Scholar